Build a Healthier Future With Optimized Pediatric Billing Solutions
Your expertise as a pediatrician plays a vital role in ensuring the healthy development of children. However, complex coding and billing processes continue to consume your time unnecessarily. The intricate nature of pediatric services and evolving regulations make accurate coding and claim submission a challenging endeavor.
Talk to an RCM expertFeeling Overwhelmed by Complexities of General Pediatric Billing & Coding?
Complex Coding for Preventive Care
Pediatric care involves many preventive services like immunizations and well-child visits. These services often have specific coding requirements that can be complex and time-consuming to navigate.
Bundled Coding for Multiple Services
During a well-child visit, pediatricians might perform multiple services like developmental screenings, physical exams, and vaccinations. Coding these bundled services accurately requires knowledge of specific guidelines to ensure proper reimbursement.
Rapid Changes in Vaccine Codes
New vaccines and updates to existing ones lead to frequent changes in coding. Tracking and applying these changes effectively can be challenging for busy pediatric practices, which often find themselves reeling under administrative burdens.
EHR Documentation for Accurate Coding
Pediatric billing relies heavily on accurate Electronic Health Record (EHR) documentation. Precise documentation entails capturing all relevant information for correct coding, particularly regarding diagnosis and severity of illness, which can be a complex task requiring specialized assistance from dedicated experts.
Managing Multiple Insurance Plans
Pediatric practices often deal with various insurance plans for children from different families. Each plan might have different coverage rules and coding requirements, making billing complex.
Coding for Newborns
Coding for newborn procedures and evaluations can be intricate, especially for premature or high-risk infants. Accurately capturing the level of complexity in these cases requires specific coding knowledge, which often intrudes into time well spent with patients.
Differentiating Between E/M Levels for Well-child Visits
E/M (Evaluation and Management) codes are used elaborately for well-child visits. Differentiating between different E/M levels based on the complexity of the visit can be subjective and lead to denials if not documented precisely.
Proper Coding for Developmental Screenings
Developmental screenings are crucial in pediatric care. Coding these screenings correctly based on the specific tool used and the level of complexity adds another layer of complexity to the pediatric billing process.
Managing Co-pays and Deductibles for Families
Pediatric practitioners must efficiently collect co-pays and deductibles from families with often-changing insurance landscapes. Often, this can be time-consuming and lead to billing errors.
Staying Up-to-date on Pediatric Billing Regulations
Pediatric billing regulations are constantly evolving. Keeping up with these changes and ensuring compliance can significantly burden care facilities and practices without dedicated billing expertise.
Explore Services Designed Specifically for Pediatric Practices
With Team 314e by your side, you can confidently navigate the complexities of pediatric billing and coding to ensure an instant improvement in the quality of the process. Our experts possess over two decades of experience in addressing the unique needs of your practice, ensuring seamless revenue cycle management, and maximizing reimbursements.
ICD-10 Coding Expertise
Our certified coders accurately capture all your pediatric services using the latest ICD-10 codes for diagnoses.
CPT Coding for Procedures and Services
We ensure accurate coding for all pediatric procedures and services your practice provides.
Modifier Application
We ensure proper modifier usage to depict the complexity and duration of your services, maximizing reimbursement potential.
Preventive Care and Well-child Visit Coding
Our team understands the specific coding requirements for preventive care and well-child visits.
Multiple Payer Billing
We handle the intricacies of billing for various insurance providers, ensuring compliance with their specific rules.
HIPAA Compliance
We help you maintain secure data handling practices to comply with HIPAA regulations.
Experience the 314e Advantage
Don’t let ever-changing regulations and complex coding slow your dedication to young patients. Our team of passionate pediatric billing and coding specialists acts as an extension of your practice. Here’s how we empower you.
Navigating Payer-specific Rules
We understand the nuances of different payer policies and ensure your claims comply with each payer's requirements.
Optimizing Documentation for Coding
Our team can guide you on best practices for documentation to ensure all necessary information is captured for accurate coding and maximized reimbursement.
Reducing Denial Rates
Our coding and claim submission expertise minimizes denials and keeps your cash flow flowing.
Staying Compliant with Regulations
We update you on all regulatory changes and ensure your billing practices comply.
Boosting Revenue and Profitability
With accurate coding, efficient billing, and reduced denials, we help you maximize your revenue and profitability.