Pediatric Services

Enhance your pediatric billing efficiency and maximize reimbursements with's expert solutions.


Pediatric billing is a complex endeavor, necessitated by the fact that pediatricians cater to a broad age range—from infants to young adults—offering a wide spectrum of services from routine care to specialized procedures. This complexity requires a sophisticated skill set in pediatric billing and coding to ensure accurate reimbursements. The

changing regulations in healthcare make in-house pediatric billing challenging. To boost patient engagement and strengthen financial health, many providers are now outsourcing their pediatric revenue cycle management to specialized services like ours.

At, we leverage our deep expertise in pediatric care to optimize your revenue cycle management, alleviating the administrative load and allowing you to dedicate more time to patient care, thereby enhancing your financial outcomes.

Discover how we can assist you

Our Pediatric Revenue Cycle Management Services

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Eligibility Verification &
Prior Authorization

We meticulously verify service eligibility, secure necessary referrals/authorizations, and calculate deductibles and co-payments.

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Pediatric Coding

Our services convert clinical documentation into precise ICD-10 and CPT codes, ensuring the assignment of correct modifiers.

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Pediatric Billing

We guarantee accurate and prompt claim submissions, adherence to evolving guidelines, and high collection rates.

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A/R & Denial Management

Our strategies aim to decrease A/R days, effectively manage denials, and resubmit corrected claims to boost cash flow.

Pediatric Billing Expertise Areas

  • Adolescent Medicine
  • Behavioral Psychology
  • Child Life Program
  • Clinical Genetics
  • Neonatology
  • Nutrition Services
  • Pediatric Cardiology
  • Pediatric Diabetes
  • Pediatric Endocrinology
  • Pediatric Gastroenterology
  • Pediatric Infectious Diseases
  • Pediatric Nephrology
  • Pediatric Neurology
  • Pediatric Oncology
  • Pediatric Orthopedics
  • Pediatric Pathology
  • Pediatric Pulmonology
  • Pediatric Surgery Insights

Effective pediatric revenue cycle management starts at patient registration and continues until full reimbursement is secured. Each step is crucial, offering multiple opportunities for billing and coding errors that can lead to claim rejections or increased compliance risks. From our extensive experience, we’ve identified common pediatric billing and coding errors which are preventable and, when corrected, can significantly increase reimbursement efficiency. Common pitfalls include:

  • Incomplete Patient Information
  • Lack of Prior Authorization
  • Inaccurate Pediatric Coding
  • Incorrect Use of Modifiers
  • Overlooked Vaccine Billing

Enhance your pediatric care services with, where we combine expertise with efficiency to ensure your financial health and patient satisfaction.

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