02/23/2026    Kristin Happel

Podiatry Billing Company Recommendations (Chris Seuferling, DPM)

In your situation, I would be looking to hire an
in-house biller/insurance verification specialist,
with strong podiatry billing experience. But if
you absolutely feel you have to go with an outside
billing company, while I can’t make any
recommendations for one, I can tell you that you
really need to do your homework before you hire
any company that may be suggested to you.

You seem to be indicating in your post that you
may have a lot of denials right now? That should
never be the case with any practice…podiatric, or
otherwise. If demos/insurance info are being
entered correctly and verified beforehand by your
staff, and claims are being coded correctly by
your billing company, based on how you submit
them, you should have almost zero denials to deal
with. Because everyone in your office, you, and
your billing company are doing their work
correctly.

If that is not the case, you need to figure out
where the actual issue lies. Is it your staff? Is
it the billing company? Is it you? If it is your
staff/you, switching billing companies will not
solve the problem. If it is the billing company,
how well did you vet them? Podiatry is one of the
“supposed” hardest specialties to bill for a
biller/billing company, if they don’t have
experience in billing it. The billers have to be
on top of all LCDs for your MAC, as an example…but
so do you. That is where the “you” part comes in.

Every billing company is different. Some will
apply modifiers that you haven’t submitted on the
super bill because they know they should, and some
will not. If you have one that will not, then you
are going to have many denials, since podiatric
billing is modifier intensive. If you are
submitting super bills that are coded/modified
completely and correctly and you know they are,
you can remove yourself from the equation as being
an issue. Start looking at your staff/the billing
company as being the issue.

Regardless, you need to “vet” any new billing
company, so that you know they know how to bill
podiatry claims. The quickest way I have found is
to ask them who your MAC is, and what the MAC’s
LCD is on RFC, and have them cite examples. If
they can’t answer those questions immediately and
correctly, you move on. Because this is just basic
knowledge for a billing company dealing with
podiatry claims.

I know this isn’t what you were asking about per
se, but I just felt like I had to give you some
additional insight into what goes into hiring a
billing company, because they can make or break
your practice. I have seen too many who have
broken practices, because of false promises.

Kristin Happel, Biller

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