Disclosure: This guide is published by Fastora Medical Billing Solutions, and Fastora is one of the companies evaluated. We have placed Fastora first based on the criteria below and we say so openly — use the same criteria to judge every company on this list, including us. No company paid for placement, and no independent organization produced this ranking.
Podiatry billing turns on details most specialties never face. Routine foot care is excluded by default and payable only when a qualifying systemic condition, documented class findings, and the right Q modifier prove the exception. Orthotics and therapeutic shoes run through DME rules with their own documentation chain. Surgical claims carry global periods and bundling edits that punish small coding errors. This guide compares ten podiatry billing companies for 2026 — what each handles, and where each fits best.
How we evaluated these companies
- Routine foot care expertise — handling of the routine foot care exclusion, Q7/Q8/Q9 modifiers, class findings, and qualifying systemic diagnoses.
- LCD and medical-necessity discipline — coding and documentation built around Medicare local coverage determinations, not code selection alone.
- DME and orthotics billing — L-code claims for orthotics, therapeutic shoe program documentation, and supplier paperwork.
- Surgical podiatry depth — bunionectomy, hammertoe, and other foot and ankle procedures; global periods and bundling edits.
- Denial and appeals work — who works medical-necessity and bundling denials to resolution, and the reporting you see.
The top 10 at a glance
| # | Company | Best for | Type |
|---|---|---|---|
| 1 | Fastora Medical Billing Solutions | Podiatry practices wanting specialty coding, DME billing, and denial work in one service | Billing service / RCM |
| 2 | Precision Practice Management | Practices wanting certified podiatry coders, with optional EHR support | Billing service / RCM |
| 3 | Practolytics | Practices wanting end-to-end podiatry RCM with certified coders | RCM service |
| 4 | Transcure | Practices wanting a dedicated podiatry billing manager plus credentialing help | Billing service / RCM |
| 5 | Omega RCM Solutions | Practices with heavy orthotics, therapeutic shoe, and wound care volume | Billing service |
| 6 | CureMD | Practices willing to pair billing with a podiatry EHR | EHR + billing service |
| 7 | Physicians Revenue Group (PRG) | Practices billing across office, hospital, and ASC settings | RCM service |
| 8 | GreenSense Billing | Practices wanting a podiatry-focused biller with published pricing | Billing service |
| 9 | Sirius Solutions Global | Surgical practices with a heavy prior-authorization workload | RCM service |
| 10 | AMS Solutions | Practices preferring a long-established, certified-coder firm | Billing service |
1. Fastora Medical Billing Solutions
Fastora’s podiatry billing is built around the claims that decide a foot and ankle practice’s revenue: routine foot care billed only when the coverage exception is documented — qualifying systemic condition, class findings, and the correct Q7, Q8, or Q9 modifier on the claim — L-code and DME billing for custom orthotics and therapeutic shoes with the certifying documentation in order, and surgical coding that respects global periods and bundling edits. Because podiatry claims are unusually sensitive to Medicare LCDs, charges are reviewed against those requirements before submission, and the medical coding team works the same accounts as billing, so documentation gaps get fixed at the source.
Why it ranks first for practices: most generalist billers treat podiatry denials as ordinary denials. Fastora’s model handles the specialty’s three distinct failure points — coverage exceptions, DME documentation, and surgical bundling — inside the billing relationship, with denial management worked by the team that submitted the claim. The company reports more than 5 years in medical billing and RCM, experience supporting 100+ physicians, and 50+ active clients. Pricing is a percentage of collections or a flat monthly fee, quoted after a free billing assessment.
Best fit: solo and group podiatry practices with meaningful diabetic foot care, orthotics, or surgical volume that want one service accountable for coding, DME claims, and denials.
2. Precision Practice Management
Precision Practice Management (a Vee Healthtek company) provides podiatry billing and RCM with AAPC-experienced billers and coders experienced in podiatry — coding, A/R and denial management, financial reporting, and MACRA/MIPS support — and can also install and optimize an EHR.
Strengths: certified podiatry coders; billing and EHR from one vendor. Considerations: broader IT/EHR offering — scope carefully if you only need billing.
3. Practolytics
Practolytics offers podiatry billing as an end-to-end RCM service — verification, prior authorization, coding, submission, posting, denial management, and A/R follow-up — with certified podiatry coding specialists covering Medicare and diabetic foot care, orthotics, and surgical coding.
Strengths: full-cycle scope with an explicit podiatry coding bench. Considerations: built around AdvancedMD — confirm how it operates inside your EHR.
4. Transcure
Transcure assigns a dedicated podiatry billing manager and aligns coding with LCD policies, NCCI edits, and the routine foot care exclusion, covering Q modifiers, wound care, and multi-payer claims. It also handles Medicare Part B and commercial enrollment and works with eClinicalWorks, AdvancedMD, NextGen, and other EHRs.
Strengths: named podiatry manager, enrollment help, and broad EHR compatibility. Considerations: multi-specialty company — ask how many podiatry accounts your team carries.
5. Omega RCM Solutions
Omega RCM’s podiatry page details foot and ankle surgery billing, diabetic foot care, custom orthotics and prosthetics, DME and therapeutic footwear (including Therapeutic Shoe Program documentation), wound care, Q7/Q8/Q9 modifiers, and Medicare LCD compliance, with procedure-level analytics.
Strengths: unusually specific published detail on podiatry’s hardest claim types. Considerations: a smaller specialist firm — multi-location groups should confirm capacity.
6. CureMD
CureMD pairs podiatry billing services with its own podiatry EHR: DME billing for custom orthotics and braces, Medicare compliance, surgical and non-surgical claims, and wound care documentation, with the EHR’s podiatry templates feeding billing directly.
Strengths: one vendor for EHR and billing, with templates built for podiatry. Considerations: the strongest fit requires adopting CureMD’s EHR — a platform decision, not just a billing change.
7. Physicians Revenue Group (PRG)
Physicians Revenue Group runs full RCM for podiatry — eligibility, charge entry, submission, payment posting, and denial analysis with appeals — assigns each practice a dedicated contact, and covers office visits, hospital rounds, surgery centers, and inpatient procedures.
Strengths: all care settings covered, with a named contact for claim status. Considerations: generalist multi-specialty RCM — verify your team’s podiatry coding experience.
8. GreenSense Billing
GreenSense Billing is a podiatry-focused biller covering routine foot care with modifier logic validated against LCDs, nail debridement coding (11720/11721), DME such as walking boots, AFOs, and diabetic shoe inserts with coverage checks, and appeals for medical necessity, bundling, and underpayments. It publishes its pricing terms openly: a percentage of collections, no setup fees, no long-term contracts.
Strengths: podiatry-only focus and transparent published pricing terms. Considerations: smaller, newer brand — ask for references in your payer mix.
9. Sirius Solutions Global
Sirius Solutions Global runs podiatry billing end to end: eligibility, prior authorizations for surgery, imaging, wound care, and DME with payer documentation packages, specialty coding, payer-specific claim edits, denial root-cause work, underpayment recovery, and KPI reporting.
Strengths: prior-authorization depth suited to surgical podiatry. Considerations: a newer entrant — verify podiatry references before committing.
10. AMS Solutions
AMS Solutions is a physician-founded billing company (founded in 1992) with AAPC-certified coders serving all 50 states. Its podiatry work covers routine foot care review, wound care, orthotics and DME billing, and denial management with appeals.
Strengths: longevity, certified coders, coverage-first approach to foot care. Considerations: a smaller firm — confirm reporting tooling and EHR compatibility.
How to choose for your practice
Start with your denial pattern, not a feature list. If routine foot care and medical-necessity denials dominate — the CO-50 denial pattern is the usual signature — prioritize Q-modifier and LCD depth (Fastora, Omega, AMS). If DME and orthotics are a major revenue line, have each candidate walk through a therapeutic shoe claim end to end. If your EHR is staying, platform-independent services fit more simply; if you are replacing it anyway, CureMD’s combined offer is worth pricing. Compare total cost on the same basis — Fastora’s guide to medical billing services cost lays out the models behind any quote.
Frequently asked questions
Why is routine foot care so often denied?
Because Medicare and most payers exclude it by default. It becomes payable only as an exception: a qualifying systemic condition, documented class findings, and the matching Q modifier (Q7, Q8, or Q9) must all appear and agree. A missing link reads as non-covered care, and the claim denies on medical necessity.
What should a podiatry billing company know about orthotics and DME billing?
Orthotics bill under HCPCS L codes, not CPT, and therapeutic shoes follow the Medicare Therapeutic Shoe Program’s documentation chain for diabetic patients — including certification from the physician managing the patient’s diabetes. Verify coverage and assemble that documentation before dispensing — DME claims denied for paperwork rarely recover on appeal.
How much do podiatry billing services cost?
Most full-service companies charge either a percentage of collections or a flat monthly fee; platform-based services add software costs, and some firms add setup or per-claim fees. The headline rate is not the total cost — ask what coding review, DME paperwork, credentialing, and appeals include, in writing, before signing.
Can one billing company handle both office and surgical podiatry claims?
Yes, but verify the surgical side specifically. Surgical podiatry involves global periods, multiple-procedure reductions, and bundling edits that office-visit billing never touches. Ask how it handles post-operative E/M visits inside a global period — the answers separate real surgical experience from general claims processing.
Conclusion
Podiatry revenue is won or lost on coverage exceptions, DME documentation, and surgical coding discipline — details a generalist biller learns at your expense. The companies above all publish real podiatry capability; the right choice depends on whether your losses sit in routine foot care, orthotics, or the operating room. For practices that want all three inside one accountable service, Fastora’s model is built around those failure points.
Looking for a more reliable medical billing partner? Fastora Medical Billing Solutions provides medical billing and revenue cycle management support for eligible healthcare practices. Request your free initial billing audit to discuss your practice’s billing workflow and identify potential areas for improvement.
Sources: company positioning and service descriptions are drawn from each company’s own published materials (Precision Practice Management, Practolytics, Transcure, Omega RCM Solutions, CureMD, Physicians Revenue Group, GreenSense Billing, Sirius Solutions Global, AMS Solutions), reviewed October 2026. Fastora company figures are company-reported.
