Maximize Your Revenue Potential with Our Comprehensive Pediatric Billing Services
- Ensure accurate, timely billing and reduce claim denials, enhancing your financial performance.
- Focus on patient care while we streamline your billing process.
Rapid Revenue Recovery
Revenue Increase
Denial & Rejection
Short Turnaround Time
Electronic Claim
Electronic Payment
Client Retention
First-Pass Resolution
We're here to help
Enhance Your Pediatric Medical Billing Services with Cutting-Edge Solutions
Telehealth Services
Appropriate special modifiers, such as Modifier 95, GT, and GQ, are used to bill pediatric telehealth consults.
Compliant Billing
Timely ail from insurance payers, coding standards, constant audits, and compliance with the present regulations are indispensable.
Claim Denial Management
Comprehensive reviews and corrections of denied claims should be provided so that they can be resubmitted without the same issues
Record Keeping
Proper documentation supports the justification of treatment necessity and the listing of provided services and is an essential criterion for receiving insurance
Outsource Pediatric Billing Services to Optimize Revenue through our Pediatric Revenue Cycle Management in the U.S.
From Pediatric Billing Solutions to Pediatric Denial Management, Pro Medical Billing Solutions offers affordable Pediatric Billing Services to healthcare providers in the U.S.
Pediatric Medical Billing- At a Glance.
Why Outsource Pediatric Medical Billing
- Specialized Expertise: We have expertise in handling Pediatric Practice Management. Our skilled professionals have experience in pediatric procedures, vaccine coding, growth and development screenings, and age-specific modifiers.
- Compliance and Regular Update: We are updated on ICD-9, ICD-10, CPT, and HCPCS coding updates, as well as CMS and AMA guidelines updates. The coders are skilled in using different EMR and PMS software to ensure that the submission is compliant in every respect.
- Comprehensive Services: We look after all the administration and non-core activities so that the healthcare providers can pay more attention to delivering quality care. Our services include filing claims at the major insurance companies as well as government payers and Medicare in adherence with the Medicaid policies of the state.
- Revenue Results: : Due to a strong team and stringent processes, our clients have witnessed a revenue increase of over 20% and a drop in pay denial by at least 10%.
Top-tier Revenue Cycle Management for Pediatric Practices Across The U.S.
We realize that the internal team for a pediatric practice faces greater challenges than
other specialties due to the complexities of working with children. It is important for them to minimize waiting time for patients as children are prone to contagious diseases and can easily become restless. For such practices it becomes hard to ensure good patient care and to maintain accuracy without the help of specialized coding and billing experts.
Entrusting your billing and coding needs to an experienced pediatric billing service provider such as Pro Medical Billing Solutions can help you reduce costs and revitalize your revenue cycle. We realize that pediatric billing and coding services differ from other medical services as they require billers and coders to have knowledge of specific aspects like pediatric procedures, vaccine coding, growth and development screenings, and modifiers specified to different age groups. We count upon the experience that we have gained over the years of working with top pediatric providers and hospitals, seamlessly transitioning this expertise to improve your revenue cycle.
Statistics That Define Our Company
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Claim Acceptance rate
Compliance
What makes our Pediatric Billing service unique?
Our group consists of certified and trained coders and billers who are familiar with pediatric billing. Our specialization lies in billing and coding for General pediatrics, Pediatric Orthopedics, Pediatric Rheumatology, Pediatric Dermatology, Developmental-Behavioral Pediatrics, Neonatology, Pediatric Cardiology and other sub-pediatric fields. We are aware of the subtleties in the pediatric billing process therefore our strategic approach and process rigor results in enhanced revenue and reduced denial rates for your practice. We serve a diverse clientele across 32 states, including hospitals, physician practices, and ambulatory surgical centers. Our coders are skilled in ICD-9, ICD-10, CPT, and HCPCS coding. We comply with CMS and AMA guidelines and are proficient in EMR and PMS software. We understand that your financial health is coupled with the submission of accurately coded claims. Our team of coders is proficient with EMR software, which allows us to seamlessly integrate with your existing software or provide customized solutions addressing your practice's needs.
We value our clients and help with administrative and non-core activities so that they can focus on providing the best patient care. Our team of specialists includes professional coders certified by AAPC. We are experienced in processing claims with well-known insurance companies and government payers such as Medicare. Our team understands state-specific Medicaid policies and files claims in compliance with the regulatory authorities. Our clients generally experience a revenue increase of more than 20% and a decrease in denials of at least 10%. We accomplish this by applying our expertise, process rigor, and utilizing a highly trained and skilled team.
Enhancing Efficiency in Pediatric Medical Billing
Pediatric medical billing services are facing their own set of unique challenges for the fact that children require special care and treatment. Provisions should be made that minimal waiting time is ensured and that such error-free maintenance is also done. Since the vulnerability of getting infected with diseases is high among children, they tend to get restless soon. Efficient billing processes are crucial to support the timely and specialized care that pediatric patients need.
FAQ’s
Frequently Asked Questions
We’ve have compiled a list of commonly asked questions to provide you with quick and informative anwers.
Vaccines and immunizations have distinct codes for each category of vaccine along with administration codes. The use of the correct code is essential to ensure reimbursements. In case of multiple vaccines, each vaccine is billed individually with its CPT code. Administrative codes can be billed under one code, or two different administrative codes based on the policy of the payer.
- Keeping up with vaccine and administrative codes in the face of frequent updates
- Application of age-specific billing practices as the same procedure may have a different CPT code depending upon the age of the patient
- Managing billing for multiple procedures performed during a single visit
- Understanding the Vaccine for Children program and billing under the VFC program
Pediatric billing involves the use of specific modifiers for billing telehealth services to ensure accurate representation and payments for virtual consultations. Modifier 95, Modifier GT or GQ, and Place of Service (POS) Code are commonly used modifiers for telehealth in pediatric setting
Our Solutions
Our advanced Infrastructure and Strategies are designed to determine issues in your Revenue Cycle Management and improve them with precisely streamlined processes. We recognize that healthcare providers face a variety of challenges, including missed charges, under pricing, non-reimbursed errors, coding errors, and more, which can lead to significant revenue loss each year.
Therefore, we have designed our Medical Billing & Coding Services as well as Physician Credentialing to prevent any discrepancies and provide accurate deliverables, ultimately helping healthcare providers achieve optimal Revenue generation
Medical Billing & Coding Services
Physicians Credentialing Services
Revenue Cycle Management
AR & Denial Management Services
Medical Billing and Coding Audit
Verification & Prior Authorization
Ambulatory Surgical Center Billing
Contact Center & Patient Scheduling
Our Expertise in RCM and EHR Software.
We specialize in more than 30 Software used in the Revenue Cycle Management. Our thorough integration of technology allows for fast implementation, leading to improved cash flow for your healthcare facility.
Our Esteemed Clients' Testimonials
Pro Medical Billing Solutions is doing an incredible job of boosting our revenue and improving our cash flow. They are excellent at communicating with the insurance providers and are prompt in addressing issues. We're immensely grateful for their wonderful efforts, and we give a thumbs-up to their entire team.
For the past 15 months, Pro Medical Billing Solutions has consistently delivered incredible collection results, with first-pass rates surpassing industry standards. Their high responsiveness and effective Revenue Cycle Management services make them the go-to choose for any practice looking to take control of their billing.
Thanks to Pro Medical Billing Solutions, our practice has seen a significant improvement in our billing and collection processes. Their team is always up-to-date with the latest industry changes, and they have provided excellent support to our staff. We would highly recommend their services to any healthcare provider.
We have been using Pro Medical Billing Solutions for several months, and we have been extremely satisfied with their services. They have helped us to optimize our billing and coding practices, resulting in improved cash flow for our practice. We highly recommend them to other healthcare providers.
Pro MBS has provided excellent satisfaction for our Medical Billing and Coding operations. We conduct regular meetings with their team. They are updated with current industry trends and keep very high standards for quality service. We consider them as an extension of our business office.
Pro Medical billing Solutions has numerous strengths. One of many is effective communication, which kept me aware of billing updates and claim processes. I am impressed with the swift claim processing and the turnaround time for claims. appreciate Pro Medical Billing Solutions for providing constant support.
As the CEO of Big Dog Pharma, I would highly recommend Pro Medical Billing Solutions for your Medical Billing and Coding processes. Over the past four years of collaboration, I have found them responsive, prompt, and helpful. Through our extension, we reduced our staff requirements and significantly improved our revenue stream.
I look back over the past five years of our relationship, and I can predict what the coming five years would look like. I can see immense growth opportunities for both of our organizations with the partnership that we have been able to develop. I absolutely recommend Pro Medical Billing Solutions.
Let's Outsource Medical Billing Services To Us
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Quick Turnaround Times
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Monthly Coding Audit
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Timely AR Follow-Up
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Revenue Cycle Optimization
Quick Turnaround Times-
24/7 Helpdesk Support
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Expert Medical Billers
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Advance Cash Flow
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Reasonable Pricing
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Qualified Coding Auditors
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Real-Time Insurance Verification
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Auditing Complex Denials
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Unlimited Physician Credentialing
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30 Days Free Trial
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Denial Management
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Healthcare Analytics
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Medical Billing Consultation
Years of Experience
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Specialities
Years of Experience
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