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HIPAA and a BAA
We sign a Business Associate Agreement before we touch a single claim.
Podiatry RCM, start to finish
Every claim, worked until it's paid.
A free extension (early access now) takes the busywork out of every claim for your billers. Hand us any claim, or all of them, and our digital RCM labor works it start to finish.
Chrome, Edge and FirefoxSupervised by US billersPay per claim we work
ModMed EMA · Claim 88412
Availity Essentials
practice.modmed-ehr.example/billing/claims/88412
Claim 88412 · DOS 09/14Denied
Service11721 · nail debridement
PayerMedicare Part B
Billed$186.00
Paid$0.00
ReasonCO-4 · modifier missing
AnySense Anywhere● Connected
From the payer, just nowMedicare denied 11721 because the routine foot care modifier is missing. Class findings are documented in the 09/14 note.
Suggested next step BETAAdd Q8 to line 1 and request a reopening.
Pull EOBFill dispute formWrite AR note
Reopening window: 1 year from the denial
✦ Hand this claim to AnySense
Mockup modeled on the live product · sample data
How AnySense works
Same claims. Three speeds.
Every claim leaves your EHR and stalls somewhere on the way to paid. By hand, your biller crawls stop to stop. With AnySense Anywhere, each stop is one click. Any claim they'd rather not touch, one more click hands it to our digital RCM labor.
Same claims, three ways
Charge entryEligibilityStatusDenialRecordsAppealPayment
Your biller, by handTabs, portals, hold music
log in, searchre-key the EOBon hold
A few cleared
Your biller + AnywhereFREEClears some, hands off the rest
1 CLICK1 CLICK1 CLICK1 CLICK1 CLICK
More cleared
HAND TO ANYSENSE ↓
Digital RCM laborTakes every hand-off, 24/7
All of them
Illustrative. The one measured number: a portal dispute takes 8 to 10 minutes by hand, about 20 seconds with Anywhere (our own timing).
Never clocks out
Your team works 40 hours a week. We work all 168.
Watch the clock: yours stops at 5 pm and all weekend. Digital RCM labor keeps working your claims nights, weekends and holidays.
Hours worked this week
MonTueWedThuFriSatSun
Your team
0hrs
Digital RCM labor
0hrs
Watch a week go by. Your team's clock stops at 5 pm and all weekend. Ours never stops.
How AnySense works for you
Start free. Hand off as much as you want.
A few claims, one payer, one location or every claim. You pick, and you can change it any time.
STEP 1FREE
Your biller, faster
AnySense Anywhere does the trips:- Opens the right payer portal
- Pulls the claim status
- Reads the EOB and ERA
- Fills the payer form
- Writes the AR note
STEP 2 · A FEW CLAIMS
Hand off a few claims
AnySense works each one start to finish:- Checks it with the payer
- Fixes and resubmits it
- Appeals or calls the payer
- Posts the payment
STEP 3 · A PAYER OR LOCATION
We take a whole slice
Every claim for that payer or location:- Checked on a schedule
- Fixed, appealed, called
- Paid and posted
- A US biller signs off
STEP 4 · EVERYTHING
We work every claim
Your whole revenue cycle:- Eligibility and coding review
- Submission and follow-up
- Denials, appeals, payer calls
- Posting and patient balances
FREEAnySense Anywhere
Paid · AnySense digital RCM labor (AI agents + US billers), you pay per claim we work
One billerA practice billing teamA multi-location groupAn MSO or ACOSame steps at every size.
Built for Podiatry
We know where claims go wrong.
Podiatry claim · MedicareCMS-1500 · sample
CODESERVICEMOD
111721Nail debridement, 6+ nailsQ8
299213Office visit25
311042Wound debridementnone
4L3000Custom orthoticsGY
1When coverage rests on a systemic condition, routine foot care needs a Q7, Q8 or Q9 backed by class findings in the note. Rules vary by MAC.
2Modifier 25 only when the visit is separate from the procedure, and the note has to show it.
3Depth and size drive the code, and some MACs’ wound care LCDs limit how often. We check them before the claim goes out.
4Medicare excludes it unless it’s part of a leg brace, so it goes out with GY and an ABN. Commercial payers want the casting note, prescription and proof of delivery.
Podiatry, this year
The rules keep moving. We track every one.
Podiatry billing changes every few months: new payment rates, new prior auth, new audits. Here's what's changed lately and what we do about each one.
In effectJan 1, 2026
$127.14/cm²
Skin substitutes, repriced
Medicare now pays grafts as supplies at a flat rate per square centimeter. The application is billed separately.
We check the product, size and units before the claim goes out.
In effectJan 2026
4 states
Prior auth for grafts
Under the WISeR model, skin and tissue substitutes in traditional Medicare get prior auth or prepayment review in NJ, OH, OK and TX.
We get the prior auth before the visit, so the graft isn’t held up in review.
ProposedFor 2027
50% cut
The modifier 25 cut
CMS proposes paying every lower-valued service at half when an office E/M with modifier 25 lands on a procedure day.
We show which of your visits it would hit, before it lands.
AuditOIG, Dec 2025
49 of 100
Routine foot care, audited
Sampled 2019 to 2020 claims that didn’t meet Medicare rules. OIG estimates $4.4M of the $18.2M paid on those claims was improper.
Class findings, Q modifier and last-seen date checked on every claim.
CMS data2025
52.8%
Diabetic shoes
Improper payment rate on diabetic shoes. 94.6% of it was missing paperwork.
Certifying statement and visit notes attached before it goes out.
Every claimMAC rules
CO-4
Toe modifiers and frequency
On toe-specific codes, a missing T1 to T9 or TA modifier can get a CO-4. Routine foot care sooner than 60 days gets a frequency denial.
Caught before it’s billed, not after the denial.
We speak podiatry billing
Q7 · Q8 · Q9class findings metClass A, B, Cfindings that justify RFCT1 to T9, TAtoe modifiersCO-4wrong or missing modifierCO-50not medically necessaryCO-151frequency60-dayRFC frequencyLast seen + NPIfor some conditions11721nail debridement, 6+11055 to 11057paring of lesions11042wound debridementL3000custom orthoticsA5500 to A5514diabetic shoes and insertsKXrequirements metMod 25separate E/MCTPsskin substitutes
Sources: CMS CY 2026 Physician Fee Schedule final rule and correction notice (Nov 28, 2025); CMS WISeR Model; CMS CY 2027 PFS proposed rule; HHS OIG report A-09-22-03011 (Dec 2025); CMS 2025 Medicare FFS supplemental improper payment data (Nov 2025); MAC routine foot care LCDs and billing articles; DME MAC orthopedic footwear and therapeutic shoe policies; X12 CARC list.
Why digital RCM labor
More hands, without hiring them.
Digital RCM labor is billing work done by AI agents and supervised by US billers. It works every claim, every day, and you pay for the claims it works.
| Hire more billersHire | Offshore billing companyOffshore | More billing softwareSoftware | AnySense digital RCM laborAnySense | |
|---|---|---|---|---|
| Does the work for you | ||||
| Every open claim checked, every day | ||||
| US-based and accountable | ||||
| No hiring, training or turnover | ||||
| Pay only for claims actually worked | ||||
| Works inside your EHR and payer portals |
YesPartlyNoTypical setups, not a specific vendor
When digital RCM labor takes over
The whole claim. Not just the leftovers.
From the eligibility check before the visit to the last payment posted.
1Eligibility2Coding review3Submission4Follow-up5Denials and appeals6Payment posting7Patient balances
FREEEARLY ACCESS · CHROME, EDGE, FIREFOX
Meet AnySense Anywhere.
The free extension for every trip outside your EHR. It sits next to the claim and does the portal, the EOB, the form and the note, so your billers stop copying between tabs. Claim summaries and next steps are in beta.
Go to the payer portalThe right portal, on the right claim, in one click.
Check claim statusPulled from the payer without logging in.
Read the EOB and ERAOpened, read and matched to the claim.
Fill the payer formDisputes, reconsiderations, corrected claims.
Your EHR · Claim 88412
Claim 88412DENIED · CO-4
AnySense Anywhere● Connected
Done in one clickOpening the Availity claim page
Next step BETAAdd Q8 to line 1 and request a reopening.
✦ Hand this claim to AnySense
Write the AR noteDrafted from what just happened.
Catch insurance mismatchesCard vs. EHR, flagged before it denies.
Find similar claimsSame problem, every claim that has it.
Hand it to AnySenseSend the claim to our digital RCM labor.
FREEFor billers · Chrome, Edge, FirefoxJoin the waitlist
Invites go out in waves. Early billers help shape what it does next.
Anything it can't finish, one click hands it to digital RCM labor.
Security and privacy
Patient data stays locked down.
We work inside your EHR and payer portals every day, so protecting what we see there isn't a feature. It's the job.
Maria R. · DOB 03/14/1951x9#Kq!2vT$0p&Lm4Rz8@Wd
Encrypted end to end
Patient data is encrypted in transit and at rest.
AI draftReopening · add Q8
Approve
US billers sign off
Our billers are US-based, and a person approves every action the AI drafts.
Your practiceYour claims
Another practiceTheirs
Your data stays yours
We never sell it, and one practice’s data never serves another.
Never on your claimsOffshore staffShared passwordsSelling your data
How we protect patient dataTry it on your own claims.
See what gets paid.
For practice owners and RCM leads
Hand us 20 claims. We'll work them free.
New claims, denials or old AR. We work all 20 end to end, from submission to paid, and you pay nothing for them. Then decide if you want us on more.
Hand us 20 claimsFor billersFREE
Get early access to AnySense Anywhere.
Free for billers on Chrome, Edge and Firefox. We're letting billers in by wave. Join the waitlist and we'll email your invite.
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