Why Outsource Your Pediatric Billing and Coding?
Give Your Staff More Meaningful Work
When your front desk team isn’t tied up with confusing billing questions or chasing down payments, they can create a more welcoming and supportive environment, which builds loyalty.
Tap Into Deep Pediatric Coding Knowledge
Our team understands pediatric coding – from the Vaccines for Children (VFC) program to the correct modifiers for multiple immunizations in a single visit.
Grow Your Practice
As you bring on more providers or see more pediatric patients, your billing complexity grows. Our pediatrics billing services are built to scale with you instantly.
Create a Healthier, More Predictable Cash Flow
We work tirelessly to ensure your claims are submitted cleanly the first time, which leads to faster payments.
Make Your Practice’s Budget Work Smarter
Say goodbye to expensive annual subscriptions for advanced billing software and the costs associated with dedicated billing staff.
Get Financial Reports You Can Actually Understand
You shouldn’t need a degree in finance to understand your practice’s performance. Our straightforward reports show you exactly where your money is coming from, which helps you keep your practice financially strong.
Billing Solutions Designed for Pediatric Practices
Pediatric practices work in a fast and emotional environment. Between child checkups and routine immunizations, your team’s focus should be entirely on the health of children and the peace of mind of their parents.
Reimbursement challenges can easily distract you from that mission. Our team designs a billing process that integrates with your clinical operations. We tailor our pediatrics medical billing services to the specific needs of:
– General pediatric clinics
– Specialized newborn care centers
– Adolescent health practices
Data That Helps Your Pediatric Practice Thrive
Our reporting and analytics tools give you information on the metrics that matter most to pediatric practices. You can clearly see your reimbursement averages for different levels of sick visits or track the profitability of administering specific vaccines.
This level of insight means you can spot negative trends in your cash flow before they become a problem. It also provides you with powerful data to take into your negotiations for better fee schedules with insurance companies.
Connect with Our Pediatric Billing Experts Today!
Let our team help you find revenue that your practice has earned but may currently be overlooking due to complex coding or missed follow-ups. You can then reinvest that money where it delivers the most value
Why Pediatric Specialists Partner With Us
Effortless Provider Enrollment
We handle the entire credentialing process for you. We work quickly to get your new pediatricians and healthcare providers approved with all the necessary commercial insurance and state Medicaid plans.
Complete Revenue Cycle Management
From the moment a patient is checked in until the final payment is posted, our revenue cycle management ensures no detail is missed.
Stay Ahead of Compliance and Regulations
We help your practice stay compliant with the latest billing regulations, including all federal and state rules.
A Simple Billing Experience for Parents
We make the payment process easier for families. Parents can easily understand and settle their balances, which reduces bad debt.
Expert Coding to Eliminate Billing Errors
Our certified coders are experts in pediatric medical billing services. They perform regular reviews to catch and correct common billing errors before claims are submitted.
See How Your Practice Compares
We provide performance reports that benchmark your practice against national and regional averages for other pediatric practices.
Frequently Asked Questions
The best pediatric billing companies create tailored billing processes that integrate with your clinical operations, whether you’re a general pediatric clinic, specialized newborn care center, or an adolescent health practice. This gives your team time to focus entirely on your young patients’ health. They also have expert knowledge of pediatric coding and immunization billing, from the Vaccines for Children program to the correct modifiers to multiple immunizations in a single visit.
Pediatric billing services generally cost between 5% and 9% of your collections, covering Medicaid credentialing support, Vaccines for Children program compliance, immunization billing, and more. However, specialist companies like PMN offer rates starting from just 3% for qualifying pediatric practices seeking full revenue cycle management.
One of the top ways pediatric billing services improve patient collections is by ensuring all immunization codes and well-child services are are applied accurately. This ensures all eligible codes are captured on every visit to help practices recover significant revenue. They also verify Medicaid and CHIP coverage before every visit and send timely patient statements afterwards to encourage faster payments.
Hire a pediatric billing service for your clinic, center, or practice by prioritizing companies with extensive Medicaid billing experience. They should also be familiar with age-specific CPT codes. With 20+ years of medical billing and coding experience, PMN serves all pediatrict practice settings with dedicated account managers and free onboarding.
Yes, medical billing services can handle Medicaid credentialing across state-specific managed care plans. They also handle commerical payer credentialing for pediatricians and pediatric APPs. At PMN, our specialist coders manage the full pediatric credentialing process, from PECOS enrollment for Medicare-eligible services to ongoing revalidation.
