Pediatrics Billing Services
Optimize Your Revenue Cycle with Pediatric Billing Solutions​
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At Modern Medical Billing, we understand the unique challenges faced by pediatric practices when it comes to medical billing. Our pediatric billing services are designed to help you navigate these complexities, ensuring accurate coding, faster claims processing, and maximum reimbursements. With our expert team and cutting-edge technology, we take care of your revenue cycle so you can focus on providing quality care to your young patients.
Why Choose Modern Medical Billing for Your Pediatrics Practice?
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Industry Expertise: With years of experience handling pediatric billing, our team is well-versed in the unique coding and billing requirements of pediatric facilities.
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Comprehensive Billing Solutions: From patient registration and insurance verification to claim submission and denial management, we offer end-to-end solutions tailored specifically for pediatric practices.​​
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Accurate Coding: Our certified coders specialize in CPT, ICD-10, and HCPCS codes relevant to pediatrics services, ensuring that all claims are coded properly to avoid delays and rejections.
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Denial Management: We proactively address claim denials, rejections, and underpayments, working to resolve issues quickly and recover lost revenue.
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Insurance Verification: Our team handles insurance verification and authorization processes, so you can be confident that each patient’s insurance is accurately confirmed before services are rendered.
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Regulatory Compliance: We stay updated on the latest healthcare regulations, ensuring that your pediatrics billing remains compliant with all federal and state guidelines, including HIPAA and Medicare/Medicaid regulations.​​
Our Pediatric Billing Process
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Patient Registration and Verification: We ensure that patient information is accurately captured and insurance verification is completed before services are billed.
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Charge Capture and Coding: Our expert coders accurately document and code all patient services, ensuring that each charge is appropriately captured.
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Claim Submission: We submit claims electronically to payers for faster processing, reducing the time it takes for you to get paid.
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Payment Posting: Payments are posted promptly, allowing for a clear understanding of your revenue and outstanding balances.
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Denial and Rejection Management: We work diligently to handle claim rejections and denials, ensuring quick resolution and optimizing your revenue.
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Reporting and Analytics: We provide regular, detailed reports on your billing performance, offering actionable insights to help you improve your revenue cycle and make informed business decisions.
Benefits of Partnering with Modern Medical Billing
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Improved Cash Flow: Our streamlined billing processes and quick claim submissions help reduce payment delays, ensuring you receive payments faster and improve your cash flow.
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Reduced Claim Denials: With our accurate coding and proactive denial management, we help minimize claim rejections, maximizing your revenue potential.
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Enhanced Efficiency: We take care of the entire billing process, freeing your staff to focus on patient care and reducing administrative burdens.
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Customized Solutions: We understand that every pediatric practice is unique. Our billing solutions are tailored to meet your specific needs, ensuring optimal results.
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Scalability: Whether you’re a small clinic or a large multi-location center, our services are scalable to meet the demands of your growing practice.
Why Our Clients Trust Modern Medical Billing:
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Collection Success of Up to 98%: Maximizing revenue with consistent, high collection rates.
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Cost-Effective Billing: Starting at just 1.99% of collections for a full-time dedicated billing and coding team—well below typical wage costs.
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Streamlined Operations with Automation: Enhanced workflows through cutting-edge automation technology for greater efficiency.
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Fast Turnaround Times: Claims processed and submitted within 48 hours or less.
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Exceptional Billing Accuracy: Precise billing practices that minimize errors and delays.
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Proactive Cash Recovery: A forward-thinking approach to ensuring timely cash collection.
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Thorough A/R Follow-Up: Comprehensive follow-up measures until every outstanding claim is resolved.
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Complete HIPAA Compliance: Ensuring the highest level of data protection and privacy.
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Substantial Cost Savings: Proven to reduce billing costs by up to 80%.​​
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Personalized Support: Dedicated account managers offering full-cycle support from start to finish.​​​
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Trusted by Pediatric Providers: Our pediatric billing expertise is endorsed by leading pediatric practices nationwide.
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Flexible Agreements: No long-term lock-in periods—our service is designed to adapt to your needs.
Comprehensive Pediatric Billing Services
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Pediatric Coding: Accurate coding of pediatric services, procedures, and treatments.
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Patient Demographics & Eligibility Verification: Ensuring accurate data entry and eligibility checks.
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Charge Entry: Efficient fee schedule management and charge entry.
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Claims Submission: Prompt submission of clean claims to payers.
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Patient Billing Statements: Timely creation and mailing of patient statements.
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Payment Posting & Reconciliation: Accurate payment posting and reconciliation of charges.
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Denial Management: Swift resolution of denied claims to recover lost revenue.
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Claims Resubmission: Fast corrections and resubmission of denied or rejected claims.
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A/R Follow-Up: Persistent follow-up on outstanding payments to ensure timely collections.
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Claim Closure: Proper closure of claims when the balance is fully settled.
Get Started Today
Our pediatric billing services are designed to help you reduce administrative burdens, improve your revenue cycle, and minimize claim denials. Let Modern Medical Billing handle your billing needs so you can focus on what matters most—caring for your young patients. With our dedicated support and expert services, we ensure that your practice remains profitable and compliant.
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Contact us today to learn more about how we can enhance your pediatric practice’s billing process and increase your collections.