Pediatrics Billing Services
Pediatrics has the busiest schedules and thinnest margins in medicine. Every code has to count.
Why Pediatrics Billing Needs a Specialist Team
Pediatric practices juggle preventive schedules, heavy vaccine logistics, newborn billing that starts before the chart exists, and payer mixes dominated by Medicaid plans with their own edits. Margins are thin enough that missed vaccine admin codes alone can decide profitability.
We bill well-child visits with every legitimate component — screenings, assessments, same-day sick care — manage VFC versus private vaccine stock billing, handle newborn and NICU follow-up coding, and know the Medicaid MCO quirks in your state.
The Challenges We Solve
Complete Well-Visit Capture
Developmental screenings, vision/hearing checks and questionnaires billed alongside the preventive code.
Vaccine Program Billing
VFC administration versus private stock product+admin billed correctly, with counseling add-ons captured.
Newborn & Nursery Billing
Initial newborn care, circumcision and hospital rounds billed under the right patient and payer from day one.
Medicaid MCO Expertise
Plan-specific edits, EPSDT requirements and timely-filing windows tracked per MCO.
Frequently Asked Questions
A busy pediatric practice administers tens of thousands of vaccine components a year. Each has product, administration, and often counseling codes — small per-shot amounts that add up to one of the practice's largest revenue lines.
Yes. Newborns are typically covered under the mother's policy for the first 30 days; we bill correctly during that window and follow up so claims don't fall through the enrollment gap.