AgentAI for Podiatry
Podiatry billing that knows Q8 from Q7.
We bill for hundreds of podiatry practices — roughly a million podiatry claims a year — built on a 20+ year podiatry billing company we acquired and rebuilt around AI agents. This is what that looks like in your codes.
We’ve seen your denials before
Podiatry doesn’t leak like other specialties. It leaks in Q codes, class findings, and missing modifiers.
Measured across the podiatry practices we bill — 90 days of real payer responses, spring 2026. These are the denials our agents are built to prevent:
Routine foot care bundled to $0
11719, 11720/11721, 11055–11057, and G0127 billed together without the right NCCI pairing — G0127 alone was denied 1,250 times. The work was done; the payer paid nothing.
NCCI rules apply the XU/59 pairing before the claim ever leaves.
“Missing or invalid information”
The catch-all denial — and podiatry’s biggest. Nail debridement (11721, 11720), calluses (11056), and E/M visits lead the list. Almost always a fixable claim detail.
Every line validated field-by-field before transmission.
Wrong payer, wrong order
Medicare Advantage plans, secondaries, and coordination-of-benefits confusion — the claim went to a payer that was never going to pay it.
Eligibility and payer routing checked on every claim.
Medical necessity on routine foot care
RFC billed without the systemic diagnosis, class findings (Q7/Q8/Q9), or date-last-seen the Medicare LCD demands. Denied as “not medically necessary” — even when it was.
RFC rules require the systemic DX and class findings up front.
Wound care’s five-figure lines
J7336 and Q-code skin substitutes carry surgical-size dollars — one denied line can outweigh a month of office visits. These can’t wait in a queue.
High-dollar lines get extra validation and human review.
Clearinghouse rejections that sit
Subscriber ID, member number, DOB, eligibility dates. Rejections aren’t hard to fix — they’re easy to ignore, and every day they sit is a day unpaid.
Rejections corrected and resubmitted the same day.
The before and after
Median time from payer rejection to corrected resubmission. 13.5 days is what we measured on our own podiatry book under the old human workflow — 2,906 rejected claims eventually made it back. 23 minutes is the same job on the AgentAI platform.
Legacy book: 3,793 rejected claims, Apr–Jul 2026 · Platform: measured cohort, June 2026
What we handle
Where we’ve acquired elite billing companies, their veteran billers oversee the agents — and the agents learn your specialty from millions of real paid claims. Routine foot-care coverage, nail debridement, L-code DME — coded to survive the LCD.
See what you’d keepThe rule library
1,047 podiatry rules run on every claim — 312 for modifiers alone.
Real rule names from the production rules engine — each exists because a payer denied a podiatry claim this way before:
Rules aren’t generic — they’re regional and practice-specific. The same routine-foot-care claim needs different handling under Noridian in California than under NGS in New York. Our library carries payer-specific and practice-specific variants, and every new denial pattern becomes a new rule for every practice on the platform.
Measured on podiatry claims
The numbers on our homepage are podiatry numbers.
Who runs it
Your billers are podiatry billers. In 2025 we acquired one of the nation’s largest independent podiatry billing companies — a 20+ year firm processing roughly a million claims a year across routine foot care, wound care, podiatric surgery, and ASC billing. Their veteran billers oversee and QA the agents; the agents do the typing.
A US-led team of privately grown, CPPM/CPB certified coders — 25+ experts with 10+ years of tenure, and clients who have stayed for 15+.
“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.”
Meet your billers
Decades deep in podiatry billing — on a first-name basis with your practice.
Not a call center. The AgentAI Podiatry team has billed foot and ankle for twenty years — the agents just took the typing off their desks.
With the team since 2008. Works with doctors daily on improving the practice — because knowing your bottom line is the job.
Since 2009. Trains every new biller, keeps the team current on ever-changing billing rules, and runs HIPAA training for the staff.
Since 2016. Runs your transition end to end — contracting and credentialing with government and commercial payers, so switching is painless.
Questions podiatry practices ask
My routine foot care keeps getting denied. Can you actually fix that?
Usually, yes — RFC denials are mostly preventable: the systemic diagnosis, class findings (Q7/Q8/Q9), and date-last-seen have to be right before submission. Our rules enforce exactly that, per payer and per region, and denials that do land get worked within a day.
Do you handle DME and wound care too?
Yes — L-code DME (AFOs, boots) and skin substitutes are part of the same book. High-dollar wound-care lines get extra validation because one denied Q-code line can outweigh a month of visits.
We bill through an ASC. Is that separate?
No — the podiatry company we acquired came with ambulatory surgery center billing, so facility and professional claims run under one roof and stay in sync.
See what your podiatry billing is leaking.
Free Revenue Leak Scan — your last 90 days, read-only, in plain English. We’ll show you your own Q codes.
Run a Free Revenue Leak ScanWhere these numbers come from: rule counts (1,047 podiatry rules, 312 modifier rules) are the podiatry-specific subset of the production scrub engine. Denial and rejection figures are measured across the podiatry practices we bill (70 practices), payer 835/277 activity April 15 – July 14, 2026, from our system of record. CARC dollar figures are payer adjustment amounts and exclude contractual write-downs (CO-45) and patient responsibility (PR-1/2/3). “13.5 days” is the median rejection-to-acceptance time on our own legacy-workflow book (2,906 of 3,793 rejected claims later accepted); “23 minutes” is the platform cohort, June 2026. Rule names are actual production rules, lightly shortened for readability. None of this is a guarantee of your results — that’s what the Leak Scan is for.