Which component of this are you questioning
-The fact they are non-diabetic or
-The fact that they are coming "every 60 days)
1. This is the language concerning frequency in my MAC's online documentation.
Routine foot care services performed more often than every 60 days will be denied unless documentation is submitted with the claim to substantiate the increased frequency. This evidence should include office records or physician notes and diagnoses characterizing the patient's physical status as being of such an acute or severe nature that more frequent services are appropriate.
2. There's actually a huge list of qualifying conditions
Use this page to view details for the Local Coverage Determination for Routine Foot Care.
www.cms.gov
3. And there's also just plain old mycotic nails + pain + infection + limitation to ambulation etc.
Not knowing whether you are getting paid or not is a problem to me. You can't grow into your billing knowledge if you don't know how claims are being processed.
Additionally - some of these patients likely should be being told that they are self-pay. Now - here's the fun question. What do you think you deserve for cutting 10 toenails? What do you think a patient would be willing to pay for it. If you go over to IPED some of the people are accepting cash payments for trivial amounts - amounts in line with Medicare. Its been joked about on here before by Natch that he wouldn't do it for any amount of money, but I've met others who said they'd happily bust a crumbly for $100.
