AI-Powered Podiatry Billing & RCM

Stop Losing Revenue
to Podiatry Billing Complexity

From routine foot care and diabetic nail debridement to bunionectomies and wound care, podiatry billing runs on modifiers and medical-necessity documentation that general billers routinely miss. Starting at 2.99%. Live in 7 days.

  • Up to 98% first-pass claim acceptance
  • AAPC-certified coders for Q7/Q8/Q9, toe modifiers & DME documentation
  • Live in under 7 days - no migration, no downtime
See How It Works
300+ healthcare practices across 40+ states trust Sirius
Podiatry billing specialist - Sirius Solutions Global
+30%
AR Reduction
98%
Clean Claims Rate

Trusted by Podiatry Practices Across 40+ States

Practice Management Software Supported

Epic EHR
Athenahealth
eClinicalWorks
AdvancedMD
CureMD
Meditab
OmniMD
Specialty Cloud EHR

And 50+ more systems supported (TrakNet, ModMed, etc.)

No Migration Required

Works with Your Existing Practice Software

No migration. No downtime. Live in days. We connect directly to your podiatry practice management system without disrupting a single patient appointment.

  • Go live in under 7 days from contract signing
  • Zero data migration - we work inside your existing system
  • 24/7 technical support during and after onboarding
The Revenue Leak Problem

Is Your Podiatry Practice Leaving Money on the Table?

Podiatry billing isn't general medical billing with foot codes bolted on. Routine foot care, DME, wound care, and surgery are each governed by different Medicare rules. Without dedicated focus, revenue leaks silently.

Routine Foot Care (Q Modifiers)

Routine foot care is excluded by Medicare unless a qualifying systemic condition and a documented class finding are present. Missing a Q7, Q8, or Q9 modifier turns a coverable visit into an instant denial.

Wound Care Measurements

Debridement coding hinges on the depth of tissue removed. Selective debridement of skin vs. subcutaneous tissue vs. bone require entirely different codes, modifiers, and documentation.

Toe/Laterality Modifiers

Multiple toes, multiple metatarsals, right vs. left (LT/RT, TA, T1-T9). Units, modifiers, and documentation all need to match exactly or the claim gets flagged for bundling violations.

Therapeutic Shoes & DME

Medicare treats diabetic therapeutic shoes as a separate Part B category. An incomplete certifying statement or missing proof-of-delivery can hold up the entire claim.

Collection Rate Comparison

Industry Avg Clean Claims
70%
Sirius Clean Claims
98%
Industry Avg Collection
72%
Sirius Collection Rate
96%
Industry Avg AR Days
45d
Sirius AR Days
18d

Our podiatry clients recover an average of 15-20% more revenue within the first 90 days of going live.

What We Do

Everything Your Podiatry Practice Needs to Get Paid Right

From class-finding documentation to the last dollar collected, we handle your entire podiatry revenue cycle so you can focus on foot and ankle care.

Routine Foot Care & Class Findings

Routine Foot Care & Class Findings

We track class-finding documentation for every routine foot care visit and confirm the correct Q modifier (Q7, Q8, Q9) matches the chart before the claim goes out.

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Prior Authorization & Surgical Scheduling

Prior Authorization & Surgical Scheduling

Surgical procedures, advanced imaging, and select DME require pre-authorization. We manage every auth from submission to renewal, track expiry windows, and coordinate scheduling.

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Wound Care & Debridement Coding

Wound Care & Debridement Coding

Certified coders handle debridement depth, ulcer diagnosis linkage, and biologics. Every wound claim is tracked against the exact documentation payers actually require.

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Podiatry Coding & Charge Entry

Podiatry Coding & Charge Entry

Accurate CPT/HCPCS/ICD-10 selection with correct laterality (LT/RT), toe modifiers (TA, T1–T9), and units by site. We eliminate unspecified or mismatched coding before submission.

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Denial Management & Appeals

Denial Management & Appeals

Q-modifier mismatches, bundling conflicts, DME documentation gaps — we investigate every denial, correct the actual problem, and resubmit or appeal with the right documentation.

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A/R Follow-Up & Collections

A/R Follow-Up & Collections

Systematic follow-up across Medicare, Medicaid, and commercial payers. Every claim tracked against timely filing windows so aging balances don't quietly turn into permanent write-offs.

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Our Process

The Podiatry Billing Workflow,
Start to Finish.

A weakness at any stage of this chain can create downstream reimbursement problems. We manage the entire flow.

Step Why It Matters
Eligibility VerificationConfirms coverage, copay, and frequency limits before the visit happens. (Common error: Routine foot care frequency limits not checked against prior claims).
Authorization CheckSurgery, imaging, and select DME require prior authorization on many plans.
Documentation ReviewClass findings, laterality, wound measurements, and medical necessity must all be captured in the note.
Coding & ModifiersCPT/HCPCS/ICD-10 selection plus Q modifiers and toe/location modifiers determine payability.
Charge EntryEvery documented service needs to make it onto the claim — nothing left on the table.
Claim ScrubbingPayer-specific edits catch bundling conflicts and missing modifiers before submission.
Claim SubmissionTimely, accurate submission starts the clock on faster reimbursement.
Payment PostingAccurate posting keeps A/R clean and flags underpayments early.
Denial ManagementRoot-cause analysis prevents the same denial from recurring across the panel.
A/R Follow-UpConsistent follow-up prevents claims from aging past timely filing.
Who We Support

Every Practice Type. Billed Right.

Why Choose Us

The Sirius Difference for Podiatry

Your team should be focused on patient care, not chasing Q-modifiers. Here is why more podiatry practices choose to outsource to us.

Why choose Sirius for podiatry billing
+20%
Revenue Uplift
6+ Years
Specializing in podiatry RCM across all practice types

AI + Human

Every claim processed by AI, reviewed by a certified podiatry billing specialist. Speed and accuracy - not one or the other.

24 hrs
Claim submission turnaround
2.99%
Starting rate - no hidden fees
40+
States served across the US

Fully HIPAA Compliant

256-bit AES encryption, zero data breaches in 6+ years, PCI-DSS Level 1 certified. Your patient data is treated like our own.

Real-Time Visibility

Live dashboard showing every claim, payment, and denial. Know exactly where your revenue stands - at any moment, from anywhere.

How Healthy Is Your Podiatry Revenue Cycle?

Answer honestly, not aspirationally. A few "no" answers usually point to specific, fixable gaps in your revenue cycle.

If any of these are missing, it may be time for a professional billing review.

Podiatry Revenue Cycle KPIs Worth Tracking

You can't fix what you can't see. These are the metrics we watch most closely for podiatry clients.

Clean Claim Rate

Helps identify preventable errors before they reach the payer.

Denial Rate

Reveals recurring, fixable issues in coding or documentation.

Days in A/R

Indicates cash-flow efficiency and collection speed.

A/R Aging

Identifies collection risk before it becomes a permanent write-off.

Payment Posting Accuracy

Protects account accuracy and catches hidden underpayments.

First-Pass Resolution

Shows overall workflow efficiency without repeated appeal work.

Questions

Frequently Asked Questions

They're Medicare modifiers documenting class findings that support medical necessity for routine foot care: Q7 for one Class A finding, Q8 for two Class B findings, and Q9 for one Class B plus two Class C findings.
TA and T1–T9 identify the specific toe treated (left great toe through right fifth toe), used alongside LT/RT for foot-level laterality on digit-specific procedures.
Routine foot care is generally excluded by Medicare unless a qualifying systemic condition and a documented class finding support medical necessity, reported with the matching Q modifier.
Common causes include missing or mismatched modifiers, insufficient documentation of class findings or wound detail, eligibility issues, and missed prior authorization.
Consistent eligibility verification, documentation that matches the billed modifier, pre-submission claim scrubbing, and structured denial root-cause tracking all reduce preventable denials.
Medical necessity, laterality and exact site, class findings for routine foot care, wound measurements and tissue type for wound care, and DME order/certification detail.
Accurate documentation of wound location, size, depth, and tissue involvement, matched to the correct debridement code and linked diagnosis.
Yes — the Medicare diabetic therapeutic shoe benefit is a distinct Part B category with its own certification and documentation requirements, separate from general DME.
Get your free podiatry billing audit
Ready to Recover Revenue?

Talk to a Podiatry Billing Expert

From eligibility and coding to claims, denials, and A/R follow-up, Sirius Solutions Global helps podiatry practices build a more organized and accountable revenue cycle.

(682) 403-6805