Central for Podiatry

Denied on a technicality in the certifying physician's statement.

Diabetic shoes with documentation rules almost designed to fail, routine foot care gated on at-risk status, and orthotics that need their own approval. Central builds the paperwork the way the payer wants it.

Your data stays yours. Encrypted in transit & at rest, no training on your data.

Central for Podiatry

Denied on a technicality in the certifying physician's statement.

Diabetic shoes with documentation rules almost designed to fail, routine foot care gated on at-risk status, and orthotics that need their own approval. Central builds the paperwork the way the payer wants it.

Your data stays yours. Encrypted in transit & at rest, no training on your data.

YOUR WEEK

We already know where your week goes.

Three things every podiatry practice we speak to describes, usually in the first ten minutes.

  1. Diabetic shoes have a paperwork trap

The certifying statement has to come from the managing physician, not you, and the detailed written order has to match exactly. One mismatch and the claim dies.

  1. Routine foot care is only covered sometimes

Nail debridement and callus care are covered when at-risk status is documented with the right modifiers. Without it, it is a routine-care exclusion.

  1. Orthotics are a separate benefit

Custom orthotics frequently sit under a DME benefit with its own authorisation, its own limits and its own supplier.

A 24-hour expedited review only holds if someone is watching it. Otherwise it quietly becomes a standard 72-hour review and treatment slips a week.

HOW WE WORK IT

The whole chain, not the first link.

Every step says whether an agent or one of our specialists did it. Nothing clinical or contentious is left to software.

01

At-risk status documented

Vascular findings, neuropathy testing and diabetic status pulled into the note in the structure the payer requires.

Certifying Statement

02

Order & Auth

03

Supplier Coordinated

04

Denials Appealed

05

01

At-risk status documented

Vascular findings, neuropathy testing and diabetic status pulled into the note in the structure the payer requires.

Certifying Statement

02

Order & Auth

03

Supplier Coordinated

04

Denials Appealed

05

NOMENCLATURE

You will not be explaining podiatry to us.

Our specialists are trained on your work before they touch it. This is the starting point, not the finished training.

CODES WE ALREADY KNOW

A5500 diabetic shoe, custom preparation

A5500 diabetic shoe, custom preparation

A5512 / A5513 diabetic insert

A5512 / A5513 diabetic insert

11721 debridement of nails, six or more

11721 debridement of nails, six or more

11055 - 11057 paring of hyperkeratotic lesion

11055 - 11057 paring of hyperkeratotic lesion

L3000 custom foot orthotic

L3000 custom foot orthotic

Q7 / Q8 / Q9 class findings modifiers

Q7 / Q8 / Q9 class findings modifiers

WHERE IT GETS DENIED

Certifying statement not from the managing physician

Certifying statement not from the managing physician

Detailed written order mismatched to the claim

Detailed written order mismatched to the claim

Class findings modifier missing

Class findings modifier missing

Nail debridement inside the frequency interval

Nail debridement inside the frequency interval

Orthotic billed without DME authorisation

Orthotic billed without DME authorisation

SYSTEMS YOU PROBABLY RUN

ModMed Podiatry

ModMed Podiatry

eClinicalWorks

eClinicalWorks

athenahealth

athenahealth

TRAKnet

TRAKnet

Availity

Availity

DME supplier portals

DME supplier portals

PAYER FRICTION WE EXPECT

Certifying physician requirements

Certifying physician requirements

Routine foot care exclusions

Routine foot care exclusions

Frequency limits on debridement

Frequency limits on debridement

Separate DME benefit administration

Separate DME benefit administration

THE SPLIT

The agent does one half. Our people do the other.

Everything repetitive.
Everything repetitive.

Works payer portals and practice systems directly

Works payer portals and practice systems directly

Calls payers and navigates phone trees

Calls payers and navigates phone trees

Assembles documentation out of the chart

Assembles documentation out of the chart

Recovers when a vendor redesigns a page

Recovers when a vendor redesigns a page

Runs nights, weekends and holidays

Runs nights, weekends and holidays

Everything that needs judgment.

Approves every workflow before it runs

Handles denials, appeals and peer-to-peers

Signs in where a payer demands multi-factor

Takes the call that needs a human voice

Makes the cost conversation, never a bot

Everything that needs judgment.

Approves every workflow before it runs

Handles denials, appeals and peer-to-peers

Signs in where a payer demands multi-factor

Takes the call that needs a human voice

Makes the cost conversation, never a bot

Judgment & exceptions

Approves every workflow before it runs

Handles denials, appeals and peer-to-peers

Signs in where a payer demands multi-factor

Takes the call that needs a human voice

Makes the cost conversation, never a bot

PROOF

Most AI vendors have never worked a denial.

Wing has staffed the back office of 10,000 companies. Central is the agent layer built on top of people who already know what a peer-to-peer is.

Provida Family Medicine

Needed clinic operations streamlined

50% faster admin ops

35% fewer billing errors

25% faster claims

They have a robust platform that makes communicating with our VA incredibly easy. It also helps that they act quickly and are incredibly responsive.

Christine Mulvey

Director of Marketing, charlesgate.com

COMMON QUESTIONS

COMMON QUESTIONS

Questions, before you book.

Can you chase the certifying physician's statement?

Yes, and a person does it rather than an agent, because it means calling another practice and explaining what is needed. It is also the single most common reason diabetic shoe claims fail.

Most of our denials are technical rather than clinical. Does that help?

It helps a great deal. Technical documentation defects are predictable and preventable, which means they can largely be caught before submission rather than appealed afterwards.

How quickly can we start?

One call is your whole part of the setup. We watch how the work is done today, build the workflow, and your lead approves every step before anything runs. Typical time to go live is around 48 hours for the first service.

What happens to patient data?

A BAA is signed before a single patient record is touched. Central is SOC 2 certified, HIPAA compliant and ISO 27001, work runs on managed devices with a full audit trail, and credentials stay encrypted and are never shared.

Can you chase the certifying physician's statement?

Yes, and a person does it rather than an agent, because it means calling another practice and explaining what is needed. It is also the single most common reason diabetic shoe claims fail.

Most of our denials are technical rather than clinical. Does that help?

It helps a great deal. Technical documentation defects are predictable and preventable, which means they can largely be caught before submission rather than appealed afterwards.

How quickly can we start?

One call is your whole part of the setup. We watch how the work is done today, build the workflow, and your lead approves every step before anything runs. Typical time to go live is around 48 hours for the first service.

What happens to patient data?

A BAA is signed before a single patient record is touched. Central is SOC 2 certified, HIPAA compliant and ISO 27001, work runs on managed devices with a full audit trail, and credentials stay encrypted and are never shared.

GOVERNANCE

Built for PHI, and for audit.

Enterprise healthcare buyers need more than a badge. These are the controls that keep the operating model defensible to compliance, security and your payers.

BAA before access

Executed before any patient data is touched. Pilots run on test accounts until it is in place.

Workflow approval

No workflow runs in production until your named lead has reviewed and approved every step.

Credential protection

Credentials are stored encrypted, used inside controlled sessions and never shared between personnel.

Action history

Every action is attributable to an agent or a named specialist, with a full audit trail.

Controlled access

Managed devices, role-based access and least-privilege scoping to only the systems a workflow needs.

Defined escalation

The conditions under which an agent stops and a person takes over are configured with you, not inferred.

Central Get your hours back.

Tell us the job you cannot keep staffed.

Twenty minutes, no deck. Name it and we will work one in front of you, live, on a test account.

Central Get your hours back.

Tell us the job you cannot keep staffed.

Twenty minutes, no deck. Name it and we will work one in front of you, live, on a test account.