Who We Work With
-
1–3 provider private podiatry practices
-
Medicare-heavy patient populations
-
Clinics performing routine foot care and DME billing
Where Medicare Revenue Quietly Slips Away?
Most Medicare-heavy podiatry practices assume every visit gets reimbursed correctly. It doesn’t.
We routinely uncover 10–20% in under-collected revenue due to:
-
Routine foot care denials tied to missing or incorrect modifiers
-
Improper LCD interpretation
-
Unworked A/R over 90 days
-
Missed secondary billing opportunities
-
DME claims submitted without proper documentation support
-
If your practice is performing CPT 99213, 99214, 11721, 11055, L3000, or diabetic routine foot care — small documentation gaps can quietly cost thousands per month.
We don’t just submit claims. We audit revenue systems.
Most practices we review show 8–20% in recoverable revenue.
What Makes Our Billing Approach Different
Denial analysis by CPT code
Routine foot care documentation review
A/R aging cleanup and active follow-up
DME billing oversight and optimization
Monthly performance reporting with clear revenue metrics
Case Studies
15% Revenue Increase from One Workflow Fix
A solo Medicare-heavy podiatry provider assumed all visits were being billed. They weren’t.
During our review, we identified a workflow breakdown that left a full week of encounters un-submitted.
After implementing structured claim tracking and verification checkpoints:
-
15% increase in collectible revenue
-
Previously missed encounters recovered
-
Clear submission accountability established
A 15% lift in collections from a single structural workflow correction. Revenue increased without adding patients, marketing, or staff.
Denied Claims Are Not Dead Claims
In another case, a denied Medicare claim had been written off due to appeal complexity.
We reviewed documentation, submitted a structured manual appeal, and overturned the denial.
While the single claim totaled $600, the larger issue was this — No consistent appeal process existed.
Once implemented, denial follow-up became systematic — not optional.
Small denials compound into large revenue losses when left unaddressed.
How Our Process Works
Step 1: Baseline Revenue Review
We review your denial rate, payer mix, A/R aging, and Medicare documentation patterns.
Step 2: Revenue Leak Identification
We identify where collections are being lost and quantify the impact.
Step 3: Billing Transition & Optimization
We implement structured workflows for claim submission, denial management, and follow-up.
Step 4: Monthly Revenue Visibility
You receive ongoing reporting showing denial trends, A/R status, and performance improvements.
Clear. Structured. Professional.