Revenue Intelligence for Podiatry
ClaimScope learns every payer's unwritten rules from your own claims history — catches them quietly cutting rates, verifies payments against their own EOBs, and scrubs your claims before submission. Built specifically for podiatry practices — works with your EHR.
The problem
Payers reduce what they pay for a code by a few dollars and never announce it. Across thousands of claims a year, one silent cut costs $10K+. No one catches it manually.
Every payer has patterns they never publish: combinations they bundle, modifiers they require, frequency windows they enforce. You learn them one denial at a time — expensively.
Sometimes payers pay less than the allowed amount on their own EOB. Money they admit they owe, written off because nobody reconciles line by line.
How it works
Charge List and Ledger List — 5 minutes, no PHI (identifiers are hashed in your browser before analysis). Optionally add your ERA/.rmt remittance files for EOB-level verification.
Works with exports from any EHR — optimized for Practice EHR (including .rmt remittance files). Generic CSV imports supported.
28 leak-detection rules, 6 payer-rule engines, and EOB reconciliation — all computed from your own history, in your browser. No industry assumptions, no data sent to a server.
Typical practice: 500+ payer rules discovered.
Work the prioritized playbook, scrub claims before submission, and re-upload monthly to see verified recovery — dollars conservatively attributed to plays whose target metric actually moved.
Includes a downloadable Executive Brief for your billing team.
47 claims billed without modifier 50. Re-bill with documentation supporting bilateral.
What ClaimScope does
Reverse-engineers each payer's actual behavior from your claims history: which code combinations they underpay, which modifiers change payment, their real fee schedule per code — no contract required.
Typical practice: 500+ rules discovered.
Catches rate step-downs and gradual erosion with dates and annualized cost. Grades every payer A–F against peers on payment rate, denial rate, and days-to-pay.
Every finding becomes a play: which claims to pull, what to verify in the chart, the filing deadline, who does it, and the dollar impact. Ranked by payback.
47 claims billed without modifier 50. Re-bill with documentation supporting bilateral.
Upload pending charges before submission. Every claim is checked against the discovered payer rules, podiatry LCD requirements, and your own custom rules — flags with specific edits before the money is lost. Every scrub enforces both the learned payer rules and your own custom rules.
ClaimScope learns billing rules from your own payment history — which modifiers each payer requires, which combinations they bundle, which frequency windows they enforce — and turns them into checks that run on every future claim. Add your own rules too: anything your biller knows becomes software in minutes, enforced before submission so the same revenue is never lost twice.
Drop in your electronic remittance files and ClaimScope reconciles every line against the payer's own allowed amounts — surfacing claims where they paid less than they said they owed, plus a breakdown of every adjustment reason code by payer.
Re-upload monthly. ClaimScope diffs everything: what improved, what payers changed since last month, and the verified dollars your completed plays actually recovered — conservatively attributed, never inflated.
Built for podiatry
Podiatry billing has unique complexity — class findings for routine foot care, Q-modifiers for at-risk patients, bilateral procedures across multiple codes, LCD requirements for nail debridement and wound care. Generic billing analytics tools don't know any of this. ClaimScope is built specifically around podiatry workflows and codes.
Compare
Pricing
For solo podiatrists
For multi-provider practices
For larger practices
All plans include a free analysis of your first 90 days of data. No commitment.
Have a billing service? Ask about partner pricing — claimscope.io/partners
About
Most billing analytics tools were built for hospital systems or generic medical practices. They don't understand the specific revenue patterns of podiatry — class findings, bilateral procedures, frequency limits, modifier requirements. ClaimScope was built from the ground up using real Practice EHR data from a working podiatry practice. Every detection rule was validated against actual claims, not theoretical examples.
We're a small team focused entirely on making podiatry practices more profitable. If you have feedback, requests, or just want to talk billing — email hello@claimscope.io.
FAQ
Free analysis
Upload your data. Get a personalized analysis. Decide if it's worth your time. No commitment.
Or email hello@claimscope.io to schedule a 15-minute walkthrough.