Podiatry Billing Services in Long Island, NY

From our office in Melville, Long Island, Fast Billing Solutions gives podiatry practices a billing partner that speaks their language. We’re a Long Island podiatrist billing company serving offices across Nassau and Suffolk counties — and we understand the coverage rules, modifiers, and coding quirks that decide whether podiatry claims get paid or denied. From routine foot care and diabetic shoe programs to bunionectomy surgical coding, we handle the billing details so you can focus on patients.

Podiatry Billing Is Its Own Discipline — We Know the Details

Podiatry sits at a tricky intersection of Medicare coverage exclusions, DME rules, and surgical coding. Generalist billing teams miss what podiatry specialists know:

• Routine foot care coverage rules. Medicare covers nail debridement and callus paring only when tied to a systemic condition such as diabetes or peripheral vascular disease, documented with the right class findings and Q7/Q8/Q9 modifiers. We make sure the documentation supports the visit — and that ABNs are in place when coverage doesn’t apply.
• Diabetic shoe programs. The diabetic shoe benefit (A5500, A5512–A5514) requires a certifying physician’s statement, in-person evaluation notes, and proof of delivery. Missing paperwork means audit clawbacks; we keep DME claims compliant from day one.
• L codes and foot orthotics. L3000, L3010, L3020, and related L codes each carry their own coverage and pricing rules. We code orthotics correctly the first time instead of fighting denials later.
• Bunionectomy and podiatric surgical coding. Bunionectomy (28292–28299), hammertoe correction (28285), nail procedures (11730–11750), fracture care, and tendon work — with laterality modifiers (LT/RT), toe-specific modifiers (TA, T1–T9), global periods, and staged procedures handled properly.

Billing Pain Points We Solve for Podiatry Practices

• Routine foot care denials. Routine foot care is one of the most denied categories in podiatry billing. We verify eligibility before the visit, confirm qualifying diagnoses, and append the right modifiers — cutting routine-care denials at the source.
• Documentation gaps on L codes and diabetic shoes. Diabetic shoes and orthotics get paid only with complete documentation — physician certifications, fitting notes, and delivery confirmations. We review notes and chase missing paperwork before claims go out, not after denials come back.
• Under-coded visits and procedures. E/M levels that don’t match the work performed, debridement downcoding, and missing modifiers for multiple procedures quietly shrink revenue visit after visit. We review coding so your practice is paid for all the care it provides.
• Credentialing and payer enrollment. CAQH, NPI, Medicare (PECOS), NY Medicaid through eMedNY, plus commercial credentialing with Empire BlueCross BlueShield, UnitedHealthcare/Oxford, Aetna, Cigna, EmblemHealth (GHI/HIP), Healthfirst, and Fidelis Care. A single lapsed enrollment means denied claims — we keep every provider current. Learn about our credentialing services.
• Prior authorizations for surgery. Bunionectomy and other podiatric surgeries need authorizations backed by complete clinical documentation. We handle authorization requests and follow up so procedures aren’t delayed or denied.
• High-volume, low-dollar claim work. Podiatry runs on volume. Every claim gets clean submission, payment posting, and payer follow-up — so nothing slips through in the day-to-day rush.
• No visibility into your revenue cycle. Daily, weekly, and monthly reports plus customized reporting, so you always know what’s billed, paid, and outstanding.

Full-Cycle Podiatry Billing Services on Long Island

• Medical Billing & Coding — charge entry, clean claim submission, payment posting, and payer follow-up.
• Eligibility Verification & Pre-Authorization — benefits checked before the visit.
• Denial Management — every denial worked, appealed, and tracked, with root-cause fixes.
• AR Management — accounts receivable follow-up, EOB/ERA review, patient balance workflows.
• Credentialing & Enrollment — CAQH, NPI, Medicare and NY Medicaid enrollment, commercial payer credentialing, revalidation.
• Medical Transcription — accurate documentation support that keeps notes audit-ready.
• HIPAA Security Risk Analysis — protect patient data and stay compliant.

Serving Podiatry Practices Across Long Island

Our headquarters at 68 South Service Road, Melville, NY 11747 sits right off the Long Island Expressway near the Nassau–Suffolk border. We serve podiatry practices throughout Nassau County (Garden City, Mineola, Hempstead, Great Neck, Hicksville, Massapequa, Levittown, Rockville Centre, Valley Stream, Freeport, Long Beach, and the Five Towns) and Suffolk County (Melville, Huntington, Smithtown, Commack, Hauppauge, Bay Shore, Islip, Brentwood, Patchogue, Stony Brook, Riverhead, and the Hamptons).

Learn more about our medical billing services in Long Island, medical billing services in Nassau County, and medical billing services in Suffolk County.

Why Long Island Podiatrists Choose Fast Billing Solutions

• 98% average net collection rate
• $60M+ in claims billed annually
• 20+ physician specialties represented
• Google reviews from Long Island medical and podiatry practices

What Local Providers Say About Us

“I work with a podiatry office and we have a great experience working with Fast Billing Solutions. Their team is professional, responsive and easy to work with. They work with our credentialing and run daily report for us. They also verify benefits and eligibility.”

— Google review

Podiatry Billing FAQs

How do you handle Medicare’s routine foot care rules?

Medicare covers routine foot care — nail debridement, callus paring — only when the patient has a qualifying systemic condition such as diabetes or peripheral vascular disease, documented with the appropriate class findings. We review for correct use of the Q7/Q8/Q9 modifiers, confirm qualifying diagnoses before claims go out, and make sure ABNs are used when a service isn’t expected to be covered.

Can you bill diabetic shoes and inserts for our practice?

Yes. The diabetic shoe program (A5500, A5512–A5514) and foot orthotics (L codes) require complete documentation — a certifying physician’s statement, in-person evaluation notes, and proof of delivery. We check documentation completeness before submitting and follow DME MAC rules, reducing both denials and audit risk.

How do you code podiatric surgery like bunionectomy?

We code procedures such as bunionectomy (28292–28299), hammertoe correction (28285), and nail procedures (11730–11750) with correct laterality modifiers (LT/RT) and toe modifiers (TA, T1–T9), manage global surgical periods and staged or bilateral procedures, and obtain prior authorization when payers require it.

Which payers do you bill for New York podiatry practices?

Medicare, NY Medicaid (eMedNY), Empire BlueCross BlueShield, UnitedHealthcare/Oxford, Aetna, Cigna, EmblemHealth (GHI/HIP), Healthfirst, Fidelis Care, and other commercial plans — plus NY workers’ compensation and no-fault auto carriers for work- and accident-related foot and ankle injuries.

How long does it take to transition our billing to your team?

Most practices are fully onboarded within 2–4 weeks, starting with a free practice analysis and transitioning claims with no interruption to cash flow.

What does podiatry billing cost?

We price as a percentage of collections, varying by claim volume and payer mix. Request an instant quote for straightforward pricing based on your practice.

Get a Free Quote for Your Long Island Podiatry Practice

Whether your practice is in Nassau or Suffolk County, we’d like to show you what a local billing partner can do for your bottom line. Get a free, no-obligation quote, or contact us to talk through your revenue cycle.