Your specialist works the queue you assign: eligibility and benefits, documentation checks against coverage rules, claim submission, payment posting, denial follow-up and AR. Behind them we run sourcing, vetting, payroll, HIPAA-aligned infrastructure and replacements.
Why Podiatry Claims Deny
Medicare excludes routine foot care from coverage. It makes exceptions when a systemic condition, such as diabetes or peripheral vascular disease, makes the care medically necessary (CMS Benefit Policy Manual, ch. 15 §290). The exception only pays when the record shows it: the qualifying condition, the findings that support it and, for some conditions, proof that the patient is under the active care of a treating physician.
With a large share of Medicare patients in most podiatry practices, a small gap in that record turns into a steady stream of denials.
What the Specialist Checks Before Submission
Coverage Denials and Appeals
Missing-documentation denials get the gap filled and go back out. Coverage denials get prepared for appeal with the full record. Your providers and coders choose the codes and modifiers, you decide which appeals to pursue, and nothing is written off without your sign-off.
If code selection itself needs staffing, see medical coding services. For a backlog of aged claims, see AR recovery and denial management.
Remote or On-Site
Billing specialists work remote from a managed, HIPAA-aligned environment. Where your practice needs patient-access roles in the building, myMedCrew places on-site as well, scoped on brief. Remote front-desk support lives at virtual medical receptionists.
What a Podiatry Billing Specialist Costs
Podiatry billing specialists sit in our RCM tier at $14/hr, billed on hours worked.
Proof Behind the Placement
How It Starts
Book a call and bring your Medicare share and last month's denials. We scope the role against your visit volume and payer mix, present pre-vetted candidates, and administrative placements are typically working within 15-20 business days. If a placement does not work out, we manage the transition and the replacement.
Verification support ahead of the visit lives at insurance verification and eligibility services; the generalist parent page is medical billing services.
Frequently asked questions
Does Medicare cover routine foot care?+
Generally no. Medicare excludes routine foot care but makes exceptions when a systemic condition, such as diabetes or peripheral vascular disease, makes the care medically necessary. The record has to show the qualifying condition and supporting findings for the claim to pay.
What is the active care requirement?+
For some qualifying conditions, Medicare covers foot care only if the patient is under the active care of a physician for that condition. Claims then need details such as the treating physician's name and when the patient was last seen. The specialist confirms those details are present before submission.
Can the specialist handle diabetic shoe billing?+
Yes, on the paperwork side: gathering the certifying physician's statement and supporting records before a therapeutic footwear claim is submitted. Clinical and coding decisions stay with your providers.
Who decides on codes, modifiers and appeals?+
Your practice. Code and modifier selection stays with your providers and coders, appeal decisions and write-offs need your sign-off, and the specialist prepares each one with the complete record.
How much does a podiatry billing specialist cost?+
myMedCrew places podiatry billing specialists at a flat $14/hr, billed on hours worked.
How fast can the specialist start?+
For administrative roles, a placement is typically seated and working within 15-20 business days of the scoping call.
See where your foot care claims fall short.
Bring last month's denials and we will show you where the specialist would start.