Best Podiatry Billing Services in Texas with Local Compliance
With our podiatry billing company in Texas, your practice can:
- Manage Texas-specific balance billing restrictions for facility-based podiatry care
- Accurately bill high-volume podiatry CPT codes, including 11721 and 11750
- Prevent denials tied to medical necessity documentation for foot and ankle services
- Manage Medicare podiatry coverage rules correctly for routine and surgical claims
- Apply correct modifiers, laterality, and place of service for podiatry claims
- Support diabetic foot care billing under Texas Medicaid and Medicare guidelines
What Common Podiatry Billing Challenges Do Practices Face in Texas?
Podiatry practices in Texas face several revenue-impacting billing challenges, including:
- Strict Timely Filing and Patient Billing Deadlines: Texas law limits how long providers have to bill patients after services are rendered, increasing revenue loss risk if deadlines are missed.
- Strict Timely Filing Limits: New Texas laws require providers to send bills to patients within an 11-month window after service. If they don’t, they may forfeit the right to collect certain charges.
- High Denial Rates for Podiatry Codes: Common CPT codes like 11721 and 11055 to 11057 face denials due to frequency limits and incomplete medical necessity support.
- Orthotics and DME Billing Compliance Challenges: Diabetic shoes and custom orthotics require prior authorization, detailed records, and strict adherence to Texas payer policies.
How Transcure Helps Practices With Their Podiatry Billing Services in Texas?
Transcure delivers specialized podiatry billing services to help Texas podiatry practices reduce denials and improve reimbursement accuracy. Our podiatry billing company in Texas supports podiatrists through the following services:
Insurance Eligibility Verification
Using our ELIXA AI agent, we verify Medicare, Texas Medicaid, and commercial payer coverage for podiatric office visits, DME, and surgical services to prevent eligibility-related denials.
Prior Authorization and Treatment Validation
Our Texas podiatry billing team manages authorizations for foot and ankle surgeries, wound care, diabetic foot care, and imaging to avoid treatment delays and claim rejections.
Podiatry Coding and Charge Capture
With our AAPC-certified coders, we perform accurate CPT, ICD-10, and HCPCS coding for high-volume podiatry services such as 11721, 11042, 20550, and L3000.
DME and Orthotics Billing Management
We handle complex DMEPOS billing for custom orthotics, diabetic shoes, and braces, ensuring compliance with Medicare documentation and proof-of-delivery requirements in Texas
Denial Management and Appeals
Supported by our DEXA AI agent, Transcure identifies payer-specific denial patterns and aggressively appeals underpaid or denied podiatry claims to recover lost revenue.
Texas Medicaid and Medicare Compliance
Our podiatry billing services align claims with Texas Medicaid policies, Medicare LCDs, and NCDs to minimize audit risk and prevent recoupments.
Which Cities Does Transcure Support with their Podiatry Billing Services in Texas?
Houston, Texas
San Antonio, Texas
Dallas, Texas
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Austin, Texas
Fort Worth, Texas
Abbott, Texas
Corpus Christi, Texas
El Paso, Texas
Plano, Texas
Irving, Texas
Our Success in Numbers
How Much Will Texas Practices Save with Transcure’s Podiatry Billing Services?
According to ZipRecruiter, the average podiatry medical biller in Texas earns approximately $39,756 per year, depending on experience. A mid-sized podiatry practice generating $500,000 annually typically requires at least two billers to manage claim submission and denials. This results in an estimated $79,512 per year in direct salary costs alone.
By outsourcing Texas podiatry billing to Transcure, your practice pays only 5% of the revenue collected, which equals $25,000 annually on $500,000 in collections. This shift eliminates fixed staffing expenses and delivers an estimated annual savings of over $54,512.
In Which Counties Does Transcure Provide Podiatry Billing Services in Texas?
Andrews County, Texas
Aransas County, Texas
Bexar County, Texas
Tarrant County, Texas
Collin County, Texas
Travis County, Texas
What Types of Procedures Does Transcure Handle With Their Podiatry Billing Services?
Texas podiatry clinics manage a wide range of procedures with complex CPT, ICD-10, and modifier rules. Transcure supports accurate billing for essential podiatry services, including:
Toenail Avulsion Billing
We code partial or complete toenail removals, identify the exact toe, document infection or pain, and align claims with Medicare and Texas payer medical necessity rules.
Debridement of Skin and Wounds Billing
Our Texas podiatry billing experts ensure correct coding for ulcer depth, tissue type, wound size, and frequency, meeting strict documentation and LCD requirements.
Foot and Ankle Fracture Care Billing
Transcure accurately codes fracture management, casting, and global follow-ups, applying proper CPT, ICD-10, and modifiers for full reimbursement.
Diabetic Foot Care Billing
We manage billing for major cancer surgeries, such as mastectomies, colectomies, lung resections, and tumor excisions. Through correct modifier usage and global period management, Transcure helps practices capture full allowable revenue.
Excision of Corns and Calluses Billing
Our podiatry billing services code paring versus surgical excision correctly, document medical necessity, and apply modifiers to avoid routine-care denials.
Orthotics and DME Billing
With Texas podiatry billing expertise, our team handles HCPCS coding, modifiers, proof-of-delivery, and medical necessity for custom orthotics, diabetic shoes, and braces.
What are the Benefits of Picking Transcure for Podiatry Billing Services in Texas?
With countless podiatry billing companies out there, what sets Transcure apart is our familiarity with Texas-specific laws. Here’s what you gain with us
Dedicated Texas Account Manager
You’ll work directly with a billing expert who understands Texas’s payer requirements, such as the No Surprise Act, to help you resolve issues faster.
Transparent Reporting
Our experts track KPIs like first-pass resolution rate, denial trends, and A/R aging through our real-time dashboards for podiatry practices in Texas.
Specialty-Focused Billing
We provide services fit exclusively for podiatrists, factoring in seasonal volume trends and documentation needs unique to Texas’s patient populations.
Integration with EHR and PM Systems
No matter if you use eClinicalWorks or any podiatry-specific platform, our Texas podiatry billing team syncs with your tech stack to facilitate minimal disruption.
Keep Your Texas Podiatry Billing Aligned with 2025 Updates and Payer Rules
2026 billing changes are already reshaping podiatry reimbursement in Texas. Medicare’s CY-2026 PFS final rule alters RVUs, conversion factors, and supply payment treatment. CPT 2026 updates change how injections, wound care, and remote monitoring must be reported. ICD-10-CM FY-2026 revisions impact diagnosis selection, medical necessity, and bundling, especially for diabetes and foot ulcers.
On top of that, CMS skin-substitute reclassifications are reducing payments and triggering stricter payer scrutiny. One missed update can mean denials, underpayments, or compliance risk. Our Texas podiatry billing experts proactively update fee schedules, coding logic, and payer rules so your claims stay clean and profitable.
Which Podiatry EHR Platforms Does Transcure Work With?
Our team is trained in all major podiatry EHR platforms, so you never have to switch systems or disrupt your workflow. Here are the podiatry systems we support:
How Practices Benefit from Our Texas Podiatry Medical Billing Services?
Explore real success stories from practices we support to see how our podiatry billing services in Texas support long-term financial stability.
Jackie Judd
Practice Manager
Wilson Creek Internal Medicine
As a practice manager, I was looking to streamline the medical billing process. I tried other companies, but they were all complicated and took too much of my time. Fortunately, I found Transcure. They excel in tailoring solutions to fit my requirements.
Amber Vaughan
Office Manager
Idaho Kidney & Hypertension Institute
We are a large practice with 15 providers. Transcure has been working with us for the last 5 years. This billing company has been a great asset to us. I work with Transcure and they provide everything I ask for. The team is friendly and very pleasant to work with.
Ashlee Rose
Practice Manager
Harding Memorial Healthcare
We’ve been working with Transcure for 8 years now and I just wanted to say how happy we are with their services. They always get back to us quickly and are very easy to work with. They get my bills paid in record time and help us to generate millions in revenue.
Frequently Asked Questions (FAQs)
What makes podiatry billing different from general medical billing?
Podiatry billing involves more specialized coding and stricter documentation, especially for services like nail care and diabetic foot treatments. Unlike general billing, it often requires the use of specific modifiers (Q7 or RT/LT) and pre-authorization for surgeries.
What is the No Surprise Act in Texas?
The Texas No Surprise Act protects patients from unexpected charges when they unknowingly receive care from out-of-network providers. Under this law, patients are only responsible for in-network rates, even if the provider isn’t in their insurance network.
How much do Texas podiatry billing services typically cost?
Most billing companies charge between 8 to 10% of collected revenue. However, Transcure charges only around 5% of the collected revenue from the practices in Texas.