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5 Common Mistakes Podiatrists Make With Their Medical Billing

Medical billing mistakes can hurt your podiatry practice’s profits. You should take a look at these 5 common billing mistakes that podiatry practices make. We’ve even included simple solutions you can use to remedy each mistake.

Mistake #1: Claims Aren’t Filed On Time

If claims aren’t filled on time then you can lose out on collections. This ends up hurting your practice’s profitability. You should be sure to double-check that claims are submitted within the required timeframe.

Solution

Set up a system to make sure claims are always filed on time. This could be achieved by hiring a person responsible for this task or by outsourcing to a medical billing company that can handle the process for you.

Mistake #2: The Coding Is Not Specific Enough

Coding to the highest level for each specific code is important to maximizing profits. If the coding is not specific enough then money could be left on the table.

Solution

Hiring a biller who specializes in podiatry will ensure that you have coding done specific to your area of practice. You could alternatively hire and train your own medical billing staff.

Mistake #3: Insurance Is Not Being Verified Frequently Enough

If you don’t verify insurance frequently enough then you risk your patient’s insurance changing. This could result in you providing procedures that aren’t covered by insurance.

Solution

You should verify your patient’s insurance every single time they come in for a visit.

Mistake #4: The Coding Isn’t Accurate

Improper or inaccurate coding is a large problem you want to avoid as a podiatry practice owner. Inaccurate coding can actually lead to rejected claims and refiling. This results in collections taking much longer. There is also a relationship between improper coding and fraud. Purposefully inaccurate coding for better reimbursements can lead to audits.

Solution

Outsourcing will ensure your coding is accurate and handled by professionals who understand all the latest requirements in medical billing and coding.

Mistake #5: Underbilling

Underbilling is another mistake many podiatry practice owners make. Underbilling often comes from not being aware of the proper billing rules and coding options. It may also occur when the billing staff isn’t properly trained on the latest medical billing regulations.

Solution

Outsourcing your medical billing will ensure your billing to the full extent to maximize your profits.

Get the Most From Your Medical Billing With Outsourcing

Accurate and timely medical billing is an important part of improving your podiatry practice’s profits. Outsourcing your medical billing gives you access to medical billers who are trained in your specific area of practice. These billers are up-to-date and specialize in podiatry, meaning you know you’re having your medical billing done thoroughly and correctly.

Outsource Your Podiatry Practice’s Medical Billing

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Podiatry CPT Codes for 2022 + Modifiers

Running a successful podiatry practice requires staying up-to-date on podiatry-specific CPT codes and modifiers. Below is a roundup of podiatry CPT codes used in 2022.

Podiatry CPT Code Ranges in 2022

Below is a general list of the codes for podiatry practice services and procedures in 2022:

  • G0127 – Trim nails
  • 11055 – Trim skin lesion
  • 11056 – Trim skin lesions (2 to 4)
  • 11057 – Trim skin lesions (over 4)
  • 11719 – Trim nails (any number)
  • 11720 – Debride nail (1 to 5)
  • 11721 – Debride nail (6 or more)
  • 11730 – Partial or complete nail plate avulsion
  • 11732 – Additional partial or complete nail plate avulsion

Podiatry Modifiers

Below is a list of the common modifiers used in podiatry practice medical billing. These modifiers are used in medical billing to lower the risk of claim denial. It also allows for a higher level of coding specificity to help you get the right reimbursements.

  • Q7 – Non-traumatic amputation of the foot
  • Q8 – Absence of posterior tibial pulse, dorsalis pedis pulse, decreasing hair, thickening of nails, pigment chains, or thin skin
  • Q9 – Edema, burning, paresthesia, temperature changes, or claudication
  • TA – Left foot, great toe
  • T1 – Left foot, second digit
  • T2 – Left foot, third digit
  • T3 – Left foot, fourth digit
  • T4 – Left foot, fifth digit
  • T5 – Right foot, great toe
  • T6 – Right foot, second digit
  • T7 – Right foot, third digit
  • T8 – Right foot, fourth digit
  • T9 – Right foot, fifth digit
  • XE – Separate encounter
  • XS – Separate structure
  • XP – Separate practitioner
  • XU – Unusual non-overlapping service
  • 59 – Distinct procedural service or procedure

Learn more in our guide to podiatry medical billing, or contact us to learn more about our podiatry medical billing services.

How to Increase Podiatry Practice Collections

As a podiatrist and owner of a practice, you’re likely always looking for ways to increase your collections and boost your practice’s revenue. Increasing collections will in turn boost your practice’s profitability.

These operational changes will help to increase your podiatry practice’s collection.

Schedule More Patient Visits

Naturally, increasing the number of patients you see will boost the amount of money your practice is bringing in through collections. To see more patients, in turn, you’ll have to free up time in your busy schedule. This may require strategically cutting down visit lengths or delegating time that would be spent on administrative tasks like billing to outsourced help.

Perfect Your In-House Collections Process

Making sure your billing process results in timely billing should be a number one priority for every practice. It’s even more beneficial if you find ways to automate this in-house collections process to ensure there are few manual tasks required to keep the medical billing process running properly.

One way to streamline this process is by using a swipe and hold feature. Swipe and hold will make future bills automatic payments. This cuts down on how often you’re tracking down past due balances and other payments.

Outsource Your Practice’s Medical Billing

If you want to increase your practice’s collections without any major changes to your daily operations, outsourcing your billing and coding to a medical billing company may be the best option. You’ll have a team of skilled medical billing professionals with training specific to podiatry. This will lead to a more accurate and efficient billing process.

4 Reasons Why Outsourcing Is Profitable for Podiatry Practices

Streamlining the medical billing process is sure to boost your profitability. But, how do you accomplish this? Outsourcing medical billing offers a number of benefits that can lead to your podiatry practice running more smoothly. This allows you to focus on your patients rather than medical billing.

Outsourcing can provide benefits such as increased collections by 15% and decreased days in A/R by 19 days on average—all with a service tailored specifically to family practice providers.

Here are the top 4 reasons why outsourcing medical billing can be profitable for your podiatry practice.

Less Time in A/R

With outsourced medical billing, you have the benefit of decreased days in A/R by roughly 19 days. This is achieved as specialists are able to bill insurance companies quickly and accurately.

Outsourced medical billing specialists have years of experience dealing with all types of insurance companies and claim forms. Their expertise allows them to move quickly and gives you the freedom to focus on patients instead of being bogged down with worry about medical billing claims.

Cut Out Costly Mistakes

Mistakes in medical billing can end up costing your revenue. To avoid this, outsourcing your medical billing may be the best option. With outsourcing, you have access to medical billing specialists versed in the latest changes in coding and billing procedures. This means you don’t have to worry about yourself or your staff not being up-to-date, resulting in costly errors.

Free Up Your Time to See More Patients

With less time spend handling medical billing you’ll have more time to dedicate to patients. This allows you to spend more time with your existing patients and see more patients than you normally would, leading to higher revenue for your podiatry practice.

Save On Employee Overhead Costs

Hiring employees to handle medical billing comes with additional costs beyond just their hourly rate or yearly salary. Meanwhile, outsourcing your medical billing means you don’t have to deal with any of the costs associated with having an employee. This helps to lower your overhead costs significantly.

Outsourcing Your Medical Billing

There are numerous benefits to outsourcing your medical billing but cutting costs, increasing free time, and saving on overhead costs are major areas of interest for many podiatry practices hoping to grow their profitability.

Contact us today for more information about our medical billing services. We tailor our services specifically to podiatry practices, ensuring you have the most skilled and up-to-date medical billers working for your practice.

Outsource Your Podiatry Medical Billing

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5 Common Mistakes Family Practice Physicians Make With Their Medical Billing

You may be missing out on opportunities to increase your family practice’s collections due to medical billing mistakes. Check out these 5 common mistakes family practice physicians are making when it comes to their medical billing. Plus, simple solutions you can take today to make the most of your medical billing.

1. Coding Is Not Specific

Every single diagnosis and procedure in your office should be coded to the highest level for that specific code. This means it should be coded to the highest number of digits that can be used for that code for more accurate billing.

Solution

Hire a specialist who understands medical billing in and out specifically for family practices. You may consider outsourcing to a medical billing firm that can provide you with a skilled professional already trained in family practice medical billing. Alternatively, you could hire or train your own medical billing staff to work in-house.

2. Claim Isn’t Filed On Time

Double-check the window of time you have to submit claims. If you don’t have your claims submitted on time you can lose out on collections, hurting your practice’s profitability.

Solution

Check into timely filings and set up a system to ensure your claims are always filed on time. This may mean hiring someone specifically to handle filing claims or it may require outsourcing to a medical billing company that can handle this process for you.

3. Not Verifying Insurance

Not verifying the insurance of a patient is a common medical billing pitfall but it shouldn’t be one you make regularly. If a patient’s insurance has changed and the change isn’t verified, you may end up providing procedures that aren’t covered by insurance.

Solution

Verify a patient’s insurance every single time they come in for a visit.

4. Not Billing Enough (Underbilling)

Your practice can’t afford to underbill for your services as a family practitioner. Not billing enough often comes from simply not being aware of the proper billing rules and the coding options available.

Solution

Outsource to a medical coding company that can ensure you are billing to the full extent to maximize your profits as a practice.

5. Improper Coding

Coding that isn’t specific is a problem on its own but improper coding to start is an even bigger problem. Improper coding can lead to rejected claims and refiling which takes more time to get to collections.

You’ll also need to be especially careful when it comes to improper coding in its relationship to fraud. If you are billing the wrong code for better reimbursement you are setting yourself up to be audited and held responsible for fraud.

Solution

Outsource your medical billing to take the stress and headache that comes with potential improper coding off your plate.

Get the Most From Your Medical Billing

It’s important that your medical billing is accurate and timely in order to improve the profits of your family practice. By outsourcing your medical billing you get access to medical billers who are up to date on the latest medical billing training specific to your specialty as a family practice physician. This also alleviates pressure from your staff and yourself, allowing you to have lower overhead for employee expenses and take back time you can spend seeing more patients.

Outsource Your Family Practice Medical Billing

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4 Reasons Why Outsourcing is Profitable for Family Practice

Medical billing is a key part of running a medical practice. Streamlining the process is important for making your family practice more profitable. Your goal is to focus on patients rather than medical billing and outsourcing provides you with numerous benefits that will help your practice run more smoothly. In fact, outsourcing provides benefits such as increased collections by 15% and decreased days in A/R by 19 days on average—all with a service tailored specifically to family practice providers.

Here are the top 4 reasons why outsourcing medical billing can be profitable for your family practice.

Fewer Days in A/R

Fewer days in A/R means that you are being paid faster. On average, when you outsource your medical billing you are looking to decrease the number of days in A/R by 19 days. This is achieved because the specialists working on your medical billing are quickly and accurately able to fill claims due to their expertise in billing for your area of specialty.

Remove the Risk of Costly Mistakes

When you are trying to train your own staff to handle medical billing who may be juggling other tasks or you’re attempting to handle the minutia of medical billing yourself, there’s a greater risk of costly mistakes. When you outsource, specialists will handle all of your medical billing. Medical billing specialists will be up-to-date on the latest changes in coding and billing procedures to ensure all billing is done correctly.

Free Up Your Time to See More Patients

Outsourcing your medical billing frees up hours of your and your staff’s time to focus on treating more patients. In turn, this boosts revenue as you are able to fit more patients into your schedule each day.

Save On Employee Overhead Costs

When you outsource you won’t need to employ a person specifically to handle medical billing for your family practice. Employees can be more costly than outsourcing as you have to handle all the costs associated with employees that exceed just their salary. For many practices, this makes outsourcing a no-brainer.

Outsourcing Your Medical Billing

With more time for patients, lower employee overhead, and fewer days in A/R, your family practice will more than benefit by outsourcing medical billing. You’ll also reap the benefits of less stress on you and your employees, giving you time to focus on expanding your practice instead of trudging through complicated medical billing processes.

Outsource Your Family Practice Medical Billing

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Family Practice CPT Codes for 2022 + Modifiers

Staying up-to-date on family practice CPT codes and modifiers is a key part of running a successful practice. Below is a cheat sheet to use for understanding family practice CPT codes in 2022.

Family Practice CPT Code Ranges in 2022

Below is a general list of the code ranges for family practice services and procedures in 2022:

  • 99214 – Established patient office visit (30 to 39 minutes)
  • 99213 – Established patient office visit (20 to 29 minutes)

Family Practice Modifiers

Below is a list of the common modifiers used in family practice medical billing. Modifiers are used in medical billing to avoid claim denials and incorporate a higher level of coding specificity to help get the right reimbursements.

  • GO – Telehealth services to diagnose/treat symptoms of acute stroke
  • GT or 95 – Diagnosis, evaluation, and treatment of symptoms through telemedicine
  • 59 – Denotes distinct procedural services from the rest of the services performed on the same day
  • 76 – Denote repeated procedure performed on the same day by the same physician

Learn more in our guide to family practice medical billing, or contact us to learn more about our family practice medical billing services.

How to Increase Family Practice Collections

As a family practice physician, you may be stuck when it comes to increasing your collections. With more collections, you can boost your practice’s profitability. Luckily, there are a few operational changes you can make to increase your family practice collections.

Here is an overview discussing how you can increase your family practice collections.

Increase Patient Visits

Increasing patient visits will help to increase family practice collections. To do this, alleviate the time spent on medical billing. This freed-up time can then be dedicated to taking on new patients. Seeing more patients in a day is the one true golden ticket to pulling in more revenue for your practice.

Streamline the Collections Process In-House

Streamlining your in-house medical billing process is another way to increase family practice collections. The collections process should be down to a science, ensuring the bills are timely and automated where possible. An excellent way to streamline your in-house collections process is to set up a swipe and hold feature which will allow for the automatic payment of future bills. This leads to higher profits and fewer headaches caused by trying to track down past due balances and other payments.

Hire an Outsourced Medical Billing Company

Working with an outsourced medical billing company can be a great way to increase family practice collections. This will give your practice access to medical billing staff with specialized training in family practice billing. This helps to ensure accuracy and efficiency during the billing process. At the end of the day, you’ll find that outsourcing your medical billing can lead to increased collections and decreased time in A/R for higher profitability.

If you are looking for a way to increase family practice collections, consider working with an outsourced medical billing company.

Outsource Your Psychiatry Medical Billing

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How Is Mental Health Billing Different Than Medical Billing?

Medical billing can be a nightmare for any type of practice. The paperwork, the constant phone calls with insurance companies and providers to get paid what you deserve—it all takes its toll on medical professionals who have only two main options: building up their teams or outsourcing this responsibility entirely. The bureaucracy involved in managing these issues becomes more severe when dealing specifically with mental health practices because they often require additional steps compared with standard medical billing.

The limits that insurance companies place on mental health services can create a financial ceiling for providers of mental health services. While mental health providers may only be able to bill for one code during a behavioral health visit, another specialist will be able to bill multiple. This severely cuts into the amount of profit a mental healthcare provider can net. In a specialty that is already taxing, having to struggle with uncollected bills and lack of billing leniency leads to more stress for practitioners.

Mental health services are looked at differently by insurance companies and patients alike. This combination of cultural and corporate perception of mental health services places additional stress on providers.

Differences Between Medical Billing and Mental Health Billing

Major areas of difference or concern for medical billing versus mental health billing include:

  • Pre-authorization is almost always required before submitting medical claims.
  • Mental health providers often do not have front office staff who can handle billing and coding, this places those responsibilities onto the practitioners themselves.
  • Mental health practitioners provide and varied and diverse number of services customized to each individual’s needs making coding and billing more complex.

Standardization and Mental Health Billing

Mental health billing and standardization don’t mix well, but unfortunately insurance has rigid requirements that result in practitioners having to work with the lack of flexibility in billing and coding despite the flexibility required of their services. The major problems mental health practitioners face with mental health billing are session duration standardization and service limits. Different lengths of time spent with a patient must be billed using different codes, adding to the complexity of mental health billing. There are also maximum number of treatments a mental health patient can receive in a day or week, which greatly limits patients who may need to exceed that limit to receive proper treatment.

Outsourcing Medical Billing

Due to the complexity of mental health billing, outsourcing is often the best option for mental health practitioners. It’s important, however, to hire a firm that knows how to work with your specialty, especially one as complex as mental health services. Contact us to learn more about our outsourced medical billing services.

4 Reasons Why Outsourcing Medical Billing is Profitable for Mental Health Practices

Medical billing is an important aspect of running a medical practice. Psychiatrists need to focus on patients rather than medical billing when they outsource their billing operations. Outsourcing provides benefits such as increased collections by 15% and decreased days in A/R by 19 days on average – all with a service tailored specifically to mental health providers that will increase profits.

Here are the top 4 reasons why outsourcing medical billing can be profitable for your mental health practice.

More Time to Focus on Your Patients and Their Care

You free up time to focus on more important aspects of your practice when you outsource your medical billing. You can then spend this extra time with patients or working on ways to improve your existing services. With more time spent with patients you will increase your collections and up the profitability of your practice.

Avoid Costly Mistakes

Outsourcing your medical billing to a specialist who is up-to-date on the latest changes in coding and billing procedures can help you avoid costly mistakes that can cut into your revenue.

Decrease Days in A/R

On average, outsourcing your medical billing can decrease the number of days in A/R by 19 days. Specialists are able to bill insurance companies quickly and accurately. This allows you to focus on what you do best—treat your patients.

When you outsource your medical billing, you are trusting someone else with this important task. Specialists who work in medical billing have years of experience dealing with all types of insurance companies and claim forms. This means that you can focus on providing quality care to your patients without having to worry about medical billing claims.

Save Your Practice Money

With outsourcing, you won’t need to employ a person or multiple people to handle medical billing for your practice. This cuts out all the costs associated with employees that exceed just the salary.

Outsourcing Your Medical Billing

There are many benefits to outsourcing your medical billing.

Some of these benefits include increased collections, decreased days in A/R, and saved money.

Contact us today for more information about our medical billing services tailored specifically for mental health providers!

Outsource Your Mental Health Billing

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