Leading provider billing consortiums like PBC face both potential and problems from pediatrics, which leads other specialties in terms of patient population and patient-physician ratio. Although there is a growing number of pediatric physicians looking to manage medical billing and coding, it can be difficult to own and carry out clients’ medical billing and realisation in the strict insurance environment.

PBC Provides Billing and Coding Knowledge

The American Association of Professional Coders (AAPC) certification, proficiency with cutting-edge medical billing software like Lytec, Medic, Misys, Medisoft, NextGen, IDX, etc., and cutting-edge coding software like EncoderPro, FLashcode, and CodeLink, as well as expertise with standard CPT, HCPCS procedure and supply codes, and ICD-9-CM diagnosis coding in accordance with CMS guidelines and HIPAA compliant report generation, are just a few examples of the competencies that PBC professionals meticulously upgrade to ensure efficiently executed comprehensive pediatric provider billing solutions.

Pediatric Medical Billing Across Multiple Specialties

 Providerbillingandcoding consistently deliver cost minimizing and revenue maximizing solutions to a gamut of diverse Pediatric Services such as:

• Pediatrics in general
• Endocrinology in Children
• Diabetes in Children
• Gastroenterology in Pediatrics
• Cardiology in Children
• Child Pulmonary Medicine
• Young People’s Nephrology
• Food Services
• Infectious Diseases in Children
• Medical Genetics
• The Psychology of Behaviour
• Child Neurology
• Children’s Cancer
• Programme for Child Life.

Facilitating Precise and Accurate Medical Invoicing

Furthermore, the creativity of our pediatric billing specialists in applying precise codes for intricate pediatric services like:

• CPT 31500 for endotracheal intubation; emergency procedure;
• 62270 for spinal puncture, lumbar, diagnostic;
• 36660 for catheterization, umbilical artery, newborn;
• 36620 for arterial catheterization or cannulation;
• 92551 for pure tone, air only screening test;
• 51702 for in-dwelling bladder catheter insertion;
• 36011 for central venous catheterization or cannulation;
• 54150 for circumcision, using clamp or other device;
• 99141 for sedation (conscious sedation); intravenous, intramuscular, or inhalation;
• 90782 for therapeutic, prophylactic, or diagnostic injection;
• 90788 for intramuscular injection of antibiotic;
• 92950 for cardiopulmonary resuscitation;
• 92567 for tympanometry (impedance testing);
• 36400 for venipuncture, under 3 years;
• 99173 for a bilateral, quantitative screening test of visual acuity;
• 94200 for maximum voluntary ventilation, maximum breathing capacity, etc.

Our professionals not only code the aforementioned services but also add the appropriate modifiers, which are necessary to reduce the risk of unfavourable audit checks, delays, denials, and having to resubmit medical claims to insurance companies. Many advantages in RCM management.

Our pediatric billing specialists are renowned for providing top-notch pediatric medical billing services for individual physicians, physician groups, multispecialty groups, clinics, acute care facilities, and hospitals. They accomplish this by carrying out a sequential medical billing management process that includes patient enrollment, insurance enrollment, scheduling, insurance verification, insurance authorizations, charge entry, coding, billing and reconciling of accounts, denial management & appeals, and physician credentialing. All of these processes are punctuated by the competent qualifications previously mentioned. As a result, doctors can see the following in addition to having a laser-like concentration on the fundamental medical problems:

• Significant Cutback in Operating Expenditure
• A Rise in Income
• Accelerated Account Receivable Realisation
• Observant and Effective Billing Procedures
• Frequent Quality Assurance Inspections
• Diminished Risks of Audits

providerbillingandcoding.com offers a proactive approach to opportunities and challenges in pediatric medical billing management, equipped with the tools necessary to meet the requirements of the ICD-10 and HIPAA 5010 Version of coding and medical reporting compliance.