Specialty billing
Pediatrics medical billing
Pediatric billing combines well-child schedules with vaccine administration rules and, usually, a heavy Medicaid mix.
Book a Free ConsultationWhat we handle for pediatrics practices
Well-child visits, vaccine administration and Medicaid plans billed correctly.
Well-child visits
Billed against the recommended periodicity schedule for each age.
Immunizations
Vaccine products and administration coded separately, including multi-component vaccines.
Screening instruments
Developmental, autism and behavioral screening billed where performed.
Medicaid and CHIP
State-specific program requirements applied.
Common pitfalls
Where pediatrics claims go wrong
These are the errors we look for first when reviewing a practice in this specialty. If any sound familiar, a billing review will tell you what they are costing.
- Administration codes under-billed on multi-component vaccines.
- A sick complaint addressed at a well visit but billed without modifier 25.
- State-supplied vaccine stock billed as though the practice had purchased it.
Other specialties we support
Not sure where your revenue is leaking?
Book a free review. We will look at your recent claims, denial patterns and A/R aging, and tell you what we find — whether or not you work with us.