We Handle the Billing. You Handle the Healing
Pediatrics involves vaccine administration, developmental screenings, and age-dependent CPT and ICD-10 usage. Errors directly affect reimbursement and compliance. Pediatric billing is governed by strict payer rules from CMS, Medicaid, and commercial insurers as well. Our workflows align with CPT, ICD-10, HCPCS vaccine coding, and HIPAA compliance to ensure every pediatric claim is billed instantly.
We eliminate these issues using pediatric-specific coders and workflows built specifically for children’s healthcare encounters.
New and established patient visits
Well-child visits
Sick visits
Follow-ups for chronic conditions
Vaccine administration (90460–90474)
Vaccine product coding
Immunization counseling
Flu, MMR, DTaP, HPV coding
Autism screenings
Developmental delay screening
Behavioral assessments
Mental health screenings
Hearing and vision tests
Lab billing coordination
Growth monitoring tests
Documentation support
ADHD management
Asthma management
Pediatric obesity care
Allergy care
Virtual sick visits
Telehealth consults
Remote follow-ups
E/M telehealth coding
Every pediatric claim goes through a structured process
Documentation quality review
Accurate ICD-10 and CPT mapping
Specified coding for age and visit type
NCCI edit checks for vaccines and screenings
Modifier accuracy review
Eligibility Check before putting claims
Prior authorization confirmation
Payer guideline and compliance validation
Our fix: Automated depth logic with coder confirmation
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
CO-50
CO-16
CO-97
CO-151
PR-1
CO-109
Not medically necessary
Missing info
Bundled service
Frequency limit
Deductible
Not covered
Screening without proper diagnosis
Well/sick visit documentation gaps
Vaccine with visit conflict
Repeated preventive visits
Commercial pediatric plans
Certain screening tests
Correct ICD-10 + notes
Add clinical notes
Apply correct modifiers
Verify eligibility
Collect upfront
Verify benefits
Work with our pediatric billing specialists who understand vaccines,
sick visits, developmental screenings, Medicaid rules, and
telehealth coding.
Pediatric medical billing is specialized coding, billing, and claims management for pediatric care.
Because reimbursement depends on depth measurements, frequency rules and medical necessity documentation.
Yes ,including selective excisional and product-specific graft billing.
Yes, most practices see measurable improvement within 30 to 60 days.
Yes, including hospital-based and outpatient wound programs.
