Pediatric billing includes vaccines, well-child visits, and screenings — each with strict payer rules. Errors in coding or documentation can quickly disrupt collections. We ensure pediatric practices maximize revenue without administrative burden.
Common Challenges:
Vaccine CPT and administration coding errors
Preventive service claim denials
Coordination issues with multiple insurances
Best Documentation Practices:
Record vaccine lot number, VIS date, and administration site
Maintain growth charts and developmental screening notes
Document anticipatory guidance discussions
Our Billing Solutions:
Vaccine and immunization billing expertise
Preventive care optimization
Multi-payer coordination for child coverage
Revenue Optimization Strategies:
Bundle/unbundle vaccines correctly
Capture preventive visits and screenings in full
Denial Management:
Vaccine rejection appeals
Eligibility verification to avoid mismatched claims
Credentialing & Onboarding Checklist:
NPI, license, CAQH profile
Vaccine protocols
Sample pediatric notes
KPIs We Track:
Vaccine claim acceptance rate
Well-child visit capture rate
Average days in A/R
FAQ:
Q: Do you manage VFC (Vaccines for Children) program billing?
A: Yes — we provide full support for VFC compliance and reimbursement.
We identify your needs and devise customized solutions as per requirements.
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