By having an understanding of what is covered, procedures that are performed together, and bundled billing charges, our staff can “scrub” claims prior to submitting them.

Pediatric Medical Billing Services

Pediatric offices need for their staffs to be especially attentive to patients so outsourcing pediatric medical billing services can be particularly beneficial. Not only are there unique challenges to dealing with children, there are often siblings present and since children are so vulnerable to contagious diseases, extra precautions and short wait times are necessary, all of which require the attention of in-office staff.

Medical Billing Is a Challenge for Pediatric Practices

Whether you are in independent practice or part of a hospital or other larger institution, there are aspects of the field which make pediatric healthcare billing difficult.


Managing Seasonal Services

Vaccinations are required more in pediatrics than any other specialization and careful pediatric billing codes to assure accurate record-keeping is essential. Keeping track of which vaccines have been administered and which are required for school versus which are recommended for health purposes and helping parents stay informed—are also important services of pediatric practices.

Compliance with Government Requirements for Offers and Incentives

The US government is typically more sensitive to assuring medical care is received by children and youth than adults, so more programs are available and recommended for pediatric populations. It is extremely difficult for busy office staff to keep up with making sure all the requirements are followed to document participation so that the office can receive any remuneration it deserves from these programs.

Age Documentation Changes at Age 18

As youth become adults, they will be transitioning to adult care, but many families will keep their children with their pediatrician through high school so coding and billing staff must be aware of CPT codes changing for everything when the patient turns 18, even though nothing else has changed in the patient’s life.


Outsource Pediatric Medical Billing

The reason this relationship works so well is we have an innovative team of certified, experienced medical billers, with specialists in all areas of medicine, including endocrinology. We handle revenue cycle management (RCM) from beginning to end, starting with scheduling, carrying through coding, billing and swiftly addressing rejections and denials, and even taking care of bill collection when necessary.


Claims Submission

In addition to the routine endocrinology billing process, we provide an innovative proprietary software that we keep up to date, so you don’t have to worry about changes to the codes. Our services also include managing annual payer adjustments, payer credentialing, compliance reviews—and you can customize which services you need. Get a free demo today to see how we can protect your bottom line while giving you back the time you need to focus on your patients.
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