We Are Podiatry RCM Specialists
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Let us show you where your practice is losing collections.
We are Podiatry RCM Specialists. We recover the revenue others miss on bunionectomies, orthotics, and routine foot care — with our AI engine trained on millions of podiatry claims and 1,047 (and growing) specialty rules.
HIPAA CompliantWhat is the Revenue Leakage Report?
We build your Revenue Leakage Report from your own billing exports — then show you exactly where the money is going, code by code and payer by payer. Here’s the kind of thing practices find:
A third of one practice’s A/R was parked in internal HOLD / manager-review — never reaching the payer, quietly aging toward timely-filing limits. Not the payer’s fault. Theirs to unstick.
Claims either resolve in 90 days — or never. We surface the tail sitting past 180 days that nobody circles back to, with a payer-by-payer recovery worklist.
Half of every charged dollar gets adjusted away. We separate the structural (contractual) from the avoidable — timely-filing, no-auth, and registration errors worth a line-by-line look.
Which payer denies you most — and why. Medicare routine-foot-care denials are almost always preventable with Q-modifiers, class findings, and LCD checks at scrub time.
Your real gross collection rate vs. benchmark, your full payer mix, and exactly which payers are dragging the number down.
A conservative recovery floor built on your numbers — what most practices see in Year 1 before we even touch denial prevention.
Every number above came from a real podiatry practice’s report. Yours will have your name on it — and your dollars.
Get Your Free Revenue Leakage Report →The same dedicated billers you’d trust with your practice — now backed by AI that never sleeps.
100% USA Staff
Every claim is handled by our U.S.-based billing team — no offshoring, no call-center runaround. The same people who learn your practice by name.
AI Does the Heavy Lifting
Document intake, code validation, denial classification, appeal drafting. 1.2 seconds per document. 72% appeal win rate.
Your Biller Perfects the Revenue
Same US-based point of contact who knows your practice by name. They stopped doing data entry — they’re focused on what AI can’t do.
Beat Your Current Rate. Guaranteed.
AI handles the volume. We pass the savings to you — better results at a lower price. Guaranteed.
An “All-Hands-On-Deck” approach. Now supercharged by AI.
We’re still privately owned. Still 100% US-based. Same dedicated biller, same cloud access, same accountability that’s kept clients with us for 15+ years.
What’s new: every claim that flows through our team is now reviewed, scrubbed, and tracked by our specialty-trained AI billing engine. It learns from every payer outcome. Your rules, your patterns, your revenue — getting smarter every day.
CPB
Your practice. Real‑time. 24/7.
Every doctor gets a live dashboard — and an AI agent that knows your data.
From document to payment. One pipeline.
Five stages, fully automated, fully transparent. Your biller oversees the exceptions — AI handles everything else.
Document Intake
- OCR processing
- AI extraction
- Encounter parsing
Validate & Fix
- Code validation
- Modifier rules
- LCD compliance
Match & Reconcile
- ERA / 835 matching
- Apply to ledger
- Reconciliation
Denials & Appeals
- Classify denial
- Draft appeal
- Submit to payer
Aged AR Cleanup
- Identify aged claims
- Re-work & resubmit
- Automated appeals
From millions of podiatry claims, we know exactly where practices lose money.
Our scrub engine catches these before submission — not after the denial.
Debridement of nails (6+) 22% of claims
- Wrong nail count — 11720 vs 11721 mismatch. Documentation says 5 nails but billed 6+. 1 in 7 claims affected
- Bundled with 11730 — debridement included in avulsion same digit. 1 in 10 claims affected
- Missing modifier 25 on same-day E/M. 1 in 5 claims affected
Paring/cutting of benign lesion 18% of claims
- Wrong lesion count — undercoded as 11055 when 11056/11057 applies. 1 in 6 claims affected
- Bundled with debridement — overlapping procedure area, same site. 1 in 8 claims affected
Hammertoe correction 8% of claims
- Missing laterality (T5–T9 / LT / RT) — payer requires digit identification. 1 in 4 claims affected
- Bundled with bunionectomy (28292) without modifier 59. 1 in 6 claims affected
DME foot insert / orthotic 5% of claims
- Missing KX modifier — payer requires attestation of medical necessity. 1 in 3 claims affected
- Missing qualifying ICD-10 — DME requires specific diagnosis support. 1 in 5 claims affected
If your biller treats a bunionectomy like a simple soft tissue excision, you get denied.
Surgical Modifier Errors
Missing -59 or -LT/-RT modifiers on bilateral procedures is the #1 cause of avoidable denials. We also handle full ASC & Surgery Center billing.
Caught by 312 modifier rules → <1%Routine Foot Care
Generalists fail to document Class Findings (Q7/Q8/Q9) correctly, leading to Medicare rejections.
100% LCD ComplianceDME Pre-Auths
Dispensing orthotics or diabetic shoes without proper auth? That’s free inventory you just gave away.
Auto-flagged before submissionFrom solo startups to multi-doctor surgical groups.
I have been working with SMB for over 15 years. They have always done a good job with claim entry, follow-up and collections. Their accounts portal is the best I have used and gives you instant provider access.
They stepped in at a critical time… It truly felt like we gained not just a billing company, but a strategic partner who is fully invested in our success. I only wish we had made the switch sooner.
I have been working with SMB for many years and still believe it was one of the best decisions I have ever made. My patients have informed me they have positive experiences as well.
What practices ask before switching.
Do I have to switch my EHR software?
No. We log directly into your existing instance of TRAKnet, SAMMY, ModMed, or Athena. We work as an extension of your office, so there’s no data migration headache for your daily charting.
How do you handle Old AR (clean-up projects)?
We often recover $20K–$50K in abandoned revenue within the first 60 days by auditing your previous biller’s unprocessed denials — now AI-augmented with pattern recognition across millions of claims.
What is your average denial rate for podiatry?
Our clients now run a 3.2% denial rate, vs the 5–10% industry standard. Our AI scrub engine is trained on millions of podiatry claims and 1,047 (and growing) specialty rules.
Is this just software I have to learn?
No. We’re a full-service billing company powered by AI. Your dedicated biller is still your single point of contact. The platform is in the background — your relationship is in the foreground.
Will AI replace my biller?
No. AI does the data entry and pattern recognition. Your biller does the relationship work, edge cases, and revenue strategy. The combination is what produces the results.
What about pricing?
We will beat your current rate. Guaranteed. AI handles the volume — we pass the savings to you. Better results at a lower price.
Ready to recover your lost revenue?
Stop leaving money on the table. We’ll analyze your last 12 months of claims and show you exactly what our AI scrub engine would have caught — and how much it’s worth.