AI-Powered Podiatry Billing Services in California
Our podiatry billing company in California helps your practice:
- AI-Agentic Podiatry Billing Services, from Patient Scheduling to Collections
- Compliance with AB 72, Medicare Guidelines, and Medi-Cal Podiatry Policies
- Integration with 40+ Podiatry EHRs, including Athenahealth, EPIC, & NextGen
- Payer Pre-Authorizations for Foot & Ankle Treatments and Custom Orthotics
- ICD-10 Updates & Payer Policy Monitoring for California Podiatry Plans
What Billing Challenges do Podiatry Practices in California Commonly Face?
California podiatrists face billing challenges, including:
- Routine Foot Care Coverage Issues: Medicare and Medi-Cal often exclude routine foot care, requiring strict documentation of medical necessity.
- Out-of-Network & Balance Billing Compliance: AB 72 and the No Surprises Act limit out-of-network billing, necessitating patient consent and proper disclosures.
- Denials from Improper Coding or Modifiers: Incorrect CPT, HCPCS, or ICD-10 coding for foot surgeries, orthotics, or diabetic care leads to claim rejections.
- Delayed Pre-Authorizations for Surgical Procedures: Foot and ankle surgeries or custom orthotics often require complex prior authorizations that slow reimbursement.
How Transcure Solves Billing Problems with their Expert Podiatry Medical Billing Services?
Our podiatry billing company in California helps practices overcome every revenue cycle management challenge. We provide the following comprehensive services to California podiatry clinics:
Insurance Verification & Prior Authorization
With our California podiatry billing services, we verify patient coverage in real time and secure authorizations for all podiatric procedures, surgeries, and orthotics.
Podiatry Specific Coding & Charge Capture
Our AAPC-certified podiatry coders apply CPT, ICD-10, and HCPCS codes accurately for foot and ankle procedures, such as 11720, 28285, and L4396, to prevent underpayments.
Claim Submission & Denial Management
We submit 99.99% clean podiatry claims, dispute underpayments, and use California’s AB 72 IDRP to appeal payer‑rate denials.
AR Follow Up & Financial Reporting
Our California podiatry billing company monitors AR aging and provides billing reports to analyze your practice’s collection rates, denial patterns, and A/R days.
Podiatric Credentialing and Payer Enrollment
Transcure manages podiatric credentialing and payer enrollment for Medi-Cal, Medicare, and commercial insurers, complimentary to our RCM services package.
Experienced with Major CA Podiatry Insurers
We work with Medi-Cal, Medicare, PPOs, HMOs, and IPA networks across California to ensure timely reimbursements for podiatry procedures.
Our Success in Numbers
Which Cities in California Does Transcure Serve with Their Podiatry Medical Billing Services?
Los Angeles, California
San Diego, California
San Jose, California
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San Fransisco, California
Fresno, California
Sacramento, California
Long Beach, California
Bakersfield, California
Oakland, California
How Outsourcing Podiatry Billing to Transcure Benefits California Practices Financially?
According to Glassdoor, a California podiatry medical billing specialist typically earns around $60,000 annually. Managing podiatry billing in-house can therefore be expensive, with salaries, recruitment costs, and administrative overhead adding up quickly. By outsourcing to Transcure, California practices only pay 5% of collected revenue.
For example, a practice generating $250,000 in annual collections would pay Transcure just $12,500 in fees, compared to approximately $60,000 for an in-house biller. This results in potential savings of over $47,500 annually.
Which California Counties Are Served by Transcure for Podiatry Billing Solutions?
Los Angeles County
San Diego County
Orange County
Riverside County
San Bernardino County
Santa Clara County
Which Podiatry Procedures Can Transcure Help You Bill Accurately For?
CA Podiatry clinics deal with patients coming for different procedures, having complex CPT and ICD codes. Transcure covers all essential podiatry procedures to help reduce claim denials and maximize revenue, including:
Toenail Avulsion Billing
We code and bill partial or complete toenail removal, specify the affected toe, document medical necessity, and ensure proper payer reimbursement.
Debridement of Skin and Wounds Billing
Our California podiatry billing experts ensure accurate coding for chronic ulcers, calluses, or diabetic wounds, along with documentation meeting all payer requirements.
Foot and Ankle Fracture Care Billing
Transcure’s podiatry billing team codes fracture reduction, immobilization, and follow-up care accurately, applies correct CPT, ICD-10, and modifiers for full reimbursement.
Hammertoe Procedure Billing
We handle the coding for hammertoe surgeries, including PIP joint arthroplasty, tendon release, and joint fusion.
Flatfoot Correction Surgeries Billing
Transcure supports flatfoot surgery coding for osteotomies, tendon transfers, and arthrodesis, and secures full insurance reimbursement for California podiatry practices.
Excision of Corns and Calluses Billing
Our podiatry billing specialists handle coding for corn and callus removal, including paring or surgical excision.
Why Choose Transcure For Outsourcing Podiatry Medical Billing Services in California?
With many billing companies available, Transcure stands out due to its strong California podiatry billing and coding expertise. Here’s what you gain by partnering with us:
Certified Coders for Podiatry
Our 1,100+ AAPC/AHMA certified coders are proficient in podiatry procedures, surgical coding, and modifier usage.
Compliance with HIPAA Regulations
Transcure is IS027001 certified and strictly follows HIPAA rules to protect your patients’ health data throughout the billing cycle
Dedicated California Account Manager
You’ll have a 24/7 dedicated team specializing in California billing, including DMHC compliance, state-specific payer rules, and reporting requirements.
Complimentary Practice Audit
We provide a complimentary practice audit to identify revenue leaks, coding errors, and compliance gaps, then deliver an action plan. performance.
Automated Podiatry Billing Services That Reduce Manual Errors
At Transcure, we use specialized AI agents to automate every step of the RCM process, from pre-authorization to accurate coding and claim submission. This automation achieves 99.99% clean claim accuracy and reduces claim errors to less than 1%.
For instance, the ELIXA AI Agent verifies patient eligibility in just four seconds, while CODIN reads clinical notes, extracts podiatry diagnoses and procedures, and applies precise coding automatically.
Additionally, PRIA handles case detection and payer follow-ups with over 97% accuracy. Our partnered Podiatry practices experience up to a 20% revenue boost while reducing manual effort by as much as 70%.
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 Transucre Supports California Podiatry Practices With Medical Billing Services?
Read our partners’ success stories to see how Transcure’s California podiatry medical billing services drive financial growth and efficiency.
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)
Does Medicare Part B cover routine foot care?
No, Medicare Part B generally does not cover routine foot care like nail trimming or corn removal. It only covers medically necessary treatment for foot injuries, diseases, or diabetes-related nerve damage.
What is the pricing structure for Transcure’s podiatry billing services?
Transcure charges 5% of collected revenue. However, the price is negotiable depending on your practice size, claim volume, and specific service needs.
Can you integrate with our existing EMR/EHR system?
Yes, Transcure offers integration with 40+ major Podiatry EMR/EHR software. This means practices can continue using their existing system without disrupting workflows.
What if I shift my practice from California to another state?
Transcure provides nationwide podiatry medical billing services, so your billing operations can continue even if you relocate. Our team ensures compliance with the new state’s regulations while maintaining accurate coding, claim submissions, and revenue cycle management.