Pediatric Billing & Coding Services

Optimize Pediatric Billing & Coding Services for Enhanced Practice Efficiency

Pediatrics, a specialized branch of medicine, caters to the health needs of infants, children, and adolescents, encompassing care for individuals up to 21 years old according to the American Academy of Pediatrics. The domain of pediatric care involves diverse conditions, treatments, preventive healthcare, and intricate procedures, making pediatric billing and coding a distinctive and demanding task.

Pediatric billing and coding significantly differ from other medical specialties due to unique elements such as vaccines. Accurate coding is paramount, particularly concerning vaccination records, ensuring proper reimbursement for the provided services. The complexity amplifies due to the myriad of modifiers and bundling requirements inherent in pediatric care.

Handling pediatric practices demands an in-house team with a multifaceted workload compared to other specialties. The front-office staff shoulders the responsibility of minimizing waiting times, recognizing the vulnerability of children to contagious diseases and their propensity for restlessness. Additionally, they manage crucial documents such as vaccination records, age verification, and compliance with governmental regulations. Specialized coding and billing professionals are indispensable to maintain accuracy in processing and prevent any compromise in patient care.

Irrespective of the size of your pediatric practice, outsourcing billing and coding requirements to an experienced service provider like Medical Billing Wholesalers can yield cost savings and inject renewed efficiency into your revenue cycle. Services encompass prior authorizations, claim submissions, accounts receivable management, denials handling, and credentialing. Our adept team of pediatric billing specialists is geared to fortify your practice’s revenue cycle, ensuring a leak-free financial workflow.

Expertise in Pediatric Medical Billing & Coding Services

At ,SPECIALIZED BILLING, our clientele spans across all 50 states, comprising various hospitals, physician practices (including pediatric facilities), and medical billing entities. Our certified coders proficiently navigate ICD-9/10, CPT, and HCPCS coding guidelines outlined by CMS and AMA. With a decade of experience, we specialize in pediatric billing and coding, guaranteeing precision and compliance.

Implementing Best Practices in Pediatric Billing & Coding

Efficiency is our hallmark. We expedite the conversion of super bills into claims, ensuring the submission of clean claims to the clearinghouse to forestall rejections. Our proactive approach involves prior authorizations and benefit verification before patient visits. Leveraging our extensive knowledge, our coding team employs appropriate modifiers to forestall denials, adhering rigorously to payer policies and regulations.

• General Pediatrics
• Pediatric Endocrinology
• Pediatric Diabetes
• Pediatric Gastroenterology
• Pediatric Cardiology
• Pediatric Pulmonology
• Pediatric Nephrology
• Nutrition Services
• Pediatric Infectious Diseases
• Clinical Genetics
• Behavioral Psychology
• Pediatric Neurology
• Pediatric Oncology
• Child Life Program

Diverse Pediatric Expertise

Our expertise spans a wide spectrum, covering General Pediatrics, Pediatric Endocrinology, Pediatric Diabetes, Pediatric Gastroenterology, Pediatric Cardiology, Pediatric Pulmonology, Pediatric Nephrology, Nutrition Services, Pediatric Infectious Diseases, Clinical Genetics, Behavioral Psychology, Pediatric Neurology, Pediatric Oncology, and Child Life Program services.

Benefits of Partnering with Our Pediatric Billing & Coding Services

We pride ourselves on delivering excellence, precision, and proficiency in pediatric billing and coding, establishing a flawlessly operating revenue cycle for your practice. Our persistent accounts receivable follow-ups and prior authorizations aim to avert claim denials. By shifting the focus from denial management to prevention, we enable pediatricians to concentrate on providing stellar care to their young patients.

Our certified specialists, trained in common Medical Coding Software, excel in processing medical claims with major commercial insurance companies and government payers like Medicare and Medicaid. By leveraging our expertise, our clients typically witness a revenue increase of over 20% and a minimum reduction of 15% in claim denials, achieving improved clinical and operational efficiency.

Medical Billing Wholesalers is your partner in optimizing pediatric billing and coding services, streamlining processes, reducing costs, and ensuring operational excellence for pediatric practices.