Physician Led Pediatric Billing & Coding Solutions
Get our help in pediatric coding and billing and enhance your revenue cycle results.
Physician-Led Pediatric Coding and Billing Services
The field of pediatrics is a specialty that is based on the diagnosis, treatment, and prevention of illness and health conditions in newborns, toddlers, and children. As per the American Academy of Pediatrics, pediatric care covers care for individuals from birth to 21 years of age. With being a very delicate specialty, pediatricians are trained to mitigate several conditions that can be chronic and acute, perform medical procedures, provide proper treatment, and provide comprehensive prenatal care for children of every age.
Pediatric coding and billing are unique compared to other specialties as they require specialized knowledge, particularly in the domain of vaccine administration. It is important to have accurate knowledge of correct coding for a proper and seamless reimbursement. The intricacies of pediatric care that include bundling rules or modifiers require accuracy and advancement from billers and coders.
With being a pediatrician staff you get to face additional challenges, as treating children needs attention to small details and efficiency. With children cases requiring immediate attention, front office staff should reduce waiting time, manage vaccinations, record and store documents age wise for a more efficient response.
It does not matter what size your pediatric practice is; USA MedWorks can help you outsource billing and coding to reduce financial waste and improve revenue cycle efficiency. Our expert services include:
- Prior authorization
- Claim submission
- Accounts receivable (A/R) management
- Denial management
- Credentialing
Our Expertise
At USA MedWorks, we deliver our services to a wide range of clients across more than 50 states, offering customized solutions to a number of healthcare providers. Our expertise spans:
- Hospitals – Providing end-to-end coding and billing solutions for inpatient to outpatient services.
- Practicing physicians– Personalized service for meeting the required needs of specialties.
- Medical billing firms – Flexible and expandable assistance to improve operational efficiency and accuracy.
Our coders are experts at:
- ICD-9, CPT, and HCPCS– Well equipped with knowledge in the latest CMS AND AMA coding guidelines for ensuring compliance.
- AAPC-certified– Expert credentialing to uphold the standards of the healthcare industry and its practices.
With over a decade of specialized experience in pediatric billing and coding, MBW is a trusted partner for reliable revenue cycle management.
Value Impacts of Our Pediatric Billing and Coding Services
We promise to deliver beyond-perfection pediatric coding and billing services, led by physicians, that allow for a seamless revenue cycle for your clients. Our well-trained team is responsible for the optimization of coding and billing, claim submission, and the processing of payment to improve your operations. With the specialization of our team, we stabilize the diligent accounts receivable follow-ups and manage any prior authorization needed for the prevention of claim denials. With our denial management scheme, we put our focus on practice prevention so you have the freedom to provide quality care.
Allow a team of AAPC-certified specialists to receive top-class medical coding standards and impactful navigation in pediatric billing solutions.
With our team’s expertise in medical coding software, we integrate smoothly into pediatricians existing systems, allowing hustle free and less errors.
With full-fledged knowledge of Medicare and state-specific Medicaid regulations, get maximum payouts in various patient demographics.
Our strategic approach has allowed a 25% boost in revenue and a 17% reduction in claim denials. These enhancements are the result of expert application and rigorous process management, allowing a more efficient and profitable revenue cycle.