PEDIATRIC MEDICAL BILLING SERVICES
OUR SERVICES INCLUDE EVERYTHING REQUIRED TO OPTIMIZE YOUR REVENUE
Our Pediatric Billing Services Are Widespread
Recent advancements in pediatric medicine have improved treatment outcomes, yet they have also led to the emergence of novel and intricate pediatric medical coding and billing criteria.
How Remote Expert Solution Can Help in Pediatric Billing Services
Pediatric offices require heightened attention to patients, making outsourcing pediatric billing services particularly advantageous. Challenges in dealing with children, including the presence of siblings and the need for extra precautions due to susceptibility to contagious diseases, demand the focus of in-office staff.
In a bustling pediatric office, outsourcing pediatric medical coding and billing proves exceptionally beneficial. Staff must prioritize efficient patient care, leaving little room to navigate payer changes on the fly.
Pediatric practices face challenges in medical billing and coding.
Regardless of whether you’re part of an independent pediatric practice or a larger institution like a hospital, pediatric healthcare billing presents challenges due to various factors within the field.
Managing Seasonal Services
Pediatrics requires a heightened focus on vaccinations compared to other medical specialties, necessitating precise pediatric billing codes for accurate record-keeping. It’s crucial to monitor administered vaccines, differentiate those required for school from those recommended for health reasons, and assist parents in staying informed—a key service provided by pediatric practices.
Adhering to Government Mandates Regarding Offers and Incentives
The U.S. government places a higher emphasis on ensuring children and adolescents receive adequate medical care compared to adults. Consequently, there are more programs available and recommended for pediatric populations. However, it can be challenging for busy office staff to stay updated on fulfilling all the necessary requirements to document participation accurately. This documentation is essential for the office to receive any deserved remuneration from these programs.
Age Documentation Changes at Age 18
As adolescents transition into adulthood, some families choose to continue seeing their pediatrician through high school. This means that coding and billing staff must be vigilant about changes in CPT codes when patients reach the age of 18, even if there are no other changes in the patient’s circumstances.
Handling Denials and Rejections
Payers are quick to reject claims for even minor errors or discrepancies in information. Given the mobility of families and the possibility of changes in pediatricians, maintaining up-to-date patient charts can be challenging. However, any inconsistencies can lead to claim rejections. Outsourcing claim management to a dedicated team of certified specialists is the most effective approach, allowing medical professionals to prioritize patient care while ensuring that the practice receives payment for its services.
Outsource Pediatric Medical Billing
By outsourcing pediatric billing revenue cycle management (RCM) to Remote Expert Solution, you ensure that your revenue is managed by a team of certified specialists who can fully dedicate themselves to this aspect of your business. This allows you to concentrate on patient care. With experience across more than 40 specializations, including pediatric medicine, our billers are equipped to identify potential errors and areas of concern.
Claims Submission
With a thorough understanding of coverage, bundled procedures, and billing charges, our staff can meticulously review claims before submission, ensuring that only error-free claims are sent to payers. In case of any challenges, they are well-equipped to swiftly resolve them.
Our comprehensive pediatric billing revenue cycle management services cover all aspects needed to maximize your revenue, including compliance reviews, annual payer adjustments, payer credentialing, and more. Schedule a free demo today to witness how we can streamline your operations while boosting your earnings.