⚠ ENFORCEMENT ALERT: OIG released two podiatry billing audits in Dec 2025 — non-compliance rates of 44–49%. Is your practice exposed?
Active OIG Enforcement Window — 2026

Stop billing blind.
Start billing safe.

Independent podiatrists are Medicare's #1 audit target heading into 2026. Monthly AI-generated compliance reports tell you exactly what changed, what's at risk, and what to fix — before the audit letter arrives.

Start My Subscription See what's included →
✓ No compliance staff required
✓ Cancel anytime
✓ Delivered monthly to your inbox
Podiatrist healthcare professional reviewing Medicare billing compliance reports
OIG Finding — Dec 2025
49%
of podiatry claims non-compliant
Avg Penalty Per Claim
$15K
False Claims Act exposure
🏥
Built for Independent Practices
📋
Medicare & CMS Monitoring
🤖
AI-Powered Analysis
📬
Monthly Inbox Delivery
⚖️
OIG Enforcement Tracking
Monthly Deliverable

Everything inside your
monthly compliance report

Plain English throughout. No compliance degree required. Ready for your billing staff to act on immediately.

📡

LCD Updates for Podiatry

Every new or revised Local Coverage Determination affecting your specialty — summarized with the specific documentation change required from your practice.

🔢

CPT Code & RVU Changes

Annual and mid-year CPT updates relevant to podiatric billing — modifier requirements, bundling rules, and RVU adjustments that affect your reimbursement rate.

🎯

OIG Audit Priorities

Which codes and billing patterns OIG is actively targeting in podiatry this cycle. Know before they look — not after they find something in your records.

📝

Documentation Requirements

Exact documentation standards for your highest-risk codes: 11055–11057, 11720–11721, 28285, and 64455. What to chart, what to include, what auditors look for.

⚖️

Enforcement Actions

Settlements, exclusions, and audit results from other podiatry practices — learn exactly what triggered the investigation and how to avoid the same pattern.

✅

One Action Item Per Report

Every report ends with one plain-English task your front office can implement this month. Concrete, specific, and completely actionable without compliance expertise.

⚠ Enforcement Reality

The OIG isn't coming.
It's already here.

In December 2025, the OIG released two separate audit reports on Medicare payments for podiatric services. The findings were stark: nearly half of all podiatry claims reviewed did not meet documentation or medical necessity requirements.

Independent practices are the primary target — no in-house compliance staff, no early warning system, no legal team. Exactly the profile auditors find easiest to pursue.

  • LCD updates change coverage rules without notifying your practice directly
  • CPT documentation requirements evolve annually with the code cycle
  • False Claims Act exposure is personal — it follows you, not just your entity
  • Statistical outliers in billing patterns trigger automated MAC review
Protect My Practice →
Medicare billing audit documentation compliance review podiatry
📊
44% non-compliance rate OIG Report #1, December 2025
High-Risk Code Monitoring

The codes we watch so
you don't have to

These four CPT code families account for the majority of podiatry Medicare enforcement activity. Every report covers documentation and audit risk for each one.

11055–11057
High Risk

Routine Foot Care — Corn & Callus

Systemic condition (Class Finding) documentation required in every visit note — not just the problem list. Most common audit failure point in podiatry Medicare billing.

11720–11721
High Risk

Nail Debridement

Mycosis documentation, nail count accuracy per code, systemic condition linkage, and frequency limitations per MAC LCD. Nail count in chart note must match CPT billed.

28285
Medium Risk

Hammertoe Correction

Conservative treatment trial, surgical necessity criteria, and modifier selection for bilateral procedures. Cosmetic correction is explicitly excluded from Medicare coverage.

64455
Medium Risk

Plantar Fascia Injection

Conservative treatment failure documentation, imaging support requirements, and frequency limitations. Coverage criteria tightened in multiple MAC jurisdictions recently.

Monthly Intelligence

Your compliance briefing — before your billing cycle

On the 1st of every month, a comprehensive AI-generated intelligence brief lands in your inbox. Forward it to your biller. Review the action item. Done in under 20 minutes.

No software to log into. No dashboard to check. No webinars. Just clear, actionable compliance intelligence when you need it.

  • Covers all MACs affecting your jurisdiction, not just national policy
  • Action item written for a non-compliance-expert office manager to implement
  • Includes recent enforcement precedents from other podiatry practices
  • Plain English throughout — zero compliance jargon
Medical practice administrator reviewing monthly podiatry compliance report on laptop
📬
Delivered the 1st Every month, no exceptions
Simple Process

Four steps. Zero complexity.

Subscribe once. Receive compliance intelligence every month. No ongoing setup, no software to learn.

1

Subscribe

Secure Stripe checkout. Subscription activates immediately. Confirmation in minutes.

2

We Monitor

Our system continuously scans CMS, OIG, and MAC sources for podiatry-specific rule changes.

3

Report Delivered

On the 1st of each month, a comprehensive compliance brief arrives in your inbox — ready to share.

4

You Act

Review the action item. Forward to your biller. Update documentation. Takes under 20 minutes.

Trusted by Independent Podiatrists

What practices are saying

★★★★★

"After the December OIG reports, I realized I had no systematic way to track compliance changes. This service is exactly what a solo practice needs — actionable, not overwhelming."

👨‍⚕️
Dr. M. Ramos, DPM
Solo Practice, Texas
★★★★★

"The plain-English format is what sold me. I can hand this to my office manager and she knows exactly what to do. We fixed our 11055 documentation template in the first month."

👩‍⚕️
Dr. L. Chen, DPM
3-Physician Group, California
★★★★★

"We caught a LCD update to our nail debridement frequency requirements before submitting the next month's claims. That one catch alone paid for months of the subscription."

🧑‍⚕️
Dr. P. Okafor, DPM
2-Physician Practice, Ohio
Simple Pricing

One plan. Everything included.

No tiers, no upsells, no contracts. Cancel anytime in 30 seconds.

Professional Compliance Plan
$247
per month — cancel anytime, no questions asked
  • ✓ Monthly AI-generated Medicare compliance intelligence report
  • ✓ LCD update monitoring across all MACs affecting podiatry
  • ✓ CPT code and RVU change alerts for your specialty
  • ✓ OIG audit priority briefing each cycle
  • ✓ Documentation guidance: 11055–11057, 11720–11721, 28285, 64455
  • ✓ Recent enforcement actions and settlement summaries
  • ✓ One plain-English action item per report
  • ✓ Inbox delivery on the 1st of each month
  • ✓ No contracts, no setup fees, no compliance staff required
Subscribe Now — $247/Month
🔒 Secure checkout via Stripe · Cancel anytime · No hidden fees

Frequently asked questions

Is this legal advice?

No. PodiatryBillingClarity provides compliance intelligence and educational information only — not legal advice or attorney-client services. For legal advice specific to your situation, consult a healthcare attorney.

Who is this for?

Independent podiatrists and small group practices (1–5 physicians) who bill Medicare directly and have no in-house compliance staff. If your biller is your only compliance resource, this is for you.

How is this different from APMA resources?

APMA provides general association guidance. We deliver monthly, actionable intelligence specific to billing compliance — OIG priorities, LCD updates, documentation standards. The two complement each other.

What if nothing changed that month?

Something always changes. Even in quiet regulatory months, we cover ongoing OIG priorities, upcoming review cycles, and documentation best practices for your highest-risk codes.

When do I receive my first report?

Confirmation email immediately. First full report on the 1st of the following month. Subscribe after the 15th and we send a welcome edition within 48 hours.

Can I share this with my biller?

Absolutely — that's the intended workflow. Forward the monthly report to your billing staff. The action item is written so someone without a compliance background can implement it.

The audit window is open.
Don't wait for the letter.

Podiatrists who know what changed before their next billing cycle are fundamentally less exposed than those who don't. That's all this is.

Start My Subscription — $247/Month