At TrackoMed, we provide top-notch pediatric medical billing services to help pediatric practices streamline billing processes and maximize revenue. Pediatric billing involves unique complexities, such as specialized CPT codes, age-specific guidelines, and frequent coding and billing regulations updates. Our expert team ensures that every claim is processed accurately and on time, allowing paediatricians to focus on delivering quality care.
Why Choose TrackoMed for Pediatric Medical Billing?
Handling pediatric medical billing requires precision, attention to detail, and a deep understanding of the unique billing needs of paediatricians. We offer a comprehensive suite of medical billing services tailored to paediatrics. We handle everything from coding and billing to claim submissions and denial management. With years of experience in the field, we ensure accurate and timely reimbursements for your practice.
Key Benefits of Our Pediatric Medical Billing Services:
- Accurate Coding: We specialize in medical coding and billing for pediatric services, including well-child visits, immunizations, and chronic disease management.
- CPT Codes Expertise: Our team is well-versed in pediatric-specific CPT codes such as 99381, 99392, and CPT 99393, ensuring proper billing for every patient encounter.
- Compliance: We stay updated on the latest coding guidelines and regulations, including ICD-10 codes and CPT guidelines like Z00.121 age limit and Z00.129 age range, so your practice remains compliant.
Our Comprehensive Pediatric Medical Billing Services
We provide full-service pediatric medical billing services covering all billing, coding, and revenue cycle management aspects. We offer scalable solutions, from small clinics to large pediatric practices, to meet your needs.
Pediatric Medical Billing and Coding
Our certified coders are experts in pediatric-specific billing codes and guidelines. We manage all billing codes, including:
- Well-child visits: We accurately bill using codes like 99381, 99392, and 99394.
- Immunizations: We handle billing for pediatric immunizations with precise coding.
- Developmental assessments: We use codes like CPT 96160 to ensure all assessments are billed correctly.
Age-Specific Coding Expertise
Pediatric billing involves age-specific CPT codes, and our team ensures that each service is coded correctly based on the patient’s age. For example:
- 99383 CPT Code Age Limit: We apply the correct age limits to ensure accurate billing for routine pediatric visits.
- 99385 CPT Code Description Age: We manage billing for adolescent check-ups based on age-specific guidelines.
Denial Management
We understand that claim denials can impact your revenue. Our dedicated team works diligently to resolve denials quickly and efficiently, ensuring your practice receives full payment for services rendered.
Customized Pediatric Billing Reports
Track the financial health of your practice with customized reports that provide insights into your billing operations. Our pediatric medical billing software offers real-time access to claims data, outstanding payments, and more.
Geographic-Specific Pediatric Billing Services
Whether you’re in South Jersey, Philadelphia, or Miami, we offer specialized billing solutions to meet the needs of your local practice. We handle pediatric medical billing in South Jersey, pediatric medical billing in Philadelphia, and pediatric medical billing services in Miami, ensuring you receive personalized and location-based billing support.
CPT and ICD-10 Codes We Manage
Understanding pediatric-specific codes is essential for accurate billing. Here are some of the most common CPT and ICD-10 codes we manage.
Code | Description |
99381 | Well-child exam for a new patient |
99383 | Well-child exam for a child (ages 5-11) |
99384 | Adolescent check-up (ages 12-17) |
CPT 96160 | Health risk assessment, patient-based |
Z00.121 | Well-child visit, abnormal findings |
Z00.129 | Well-child visit, no abnormal findings |
99392 | Well-child visit for established patient |
99393 | Adolescent visit for established patient |
Pediatric Billing Challenges (And How We Overcome Them)
Pediatric medical billing comes with challenges like frequent patient visits for wellness checks, vaccinations, and developmental screenings. This requires proper management of multiple codes for every visit. We simplify this process by ensuring all procedures are correctly coded, reducing the likelihood of denied claims.
Common Pediatric Billing Challenges:
- Complex Coding: Pediatricians often see patients for multiple services during a single visit, making it important to bill each service correctly. We are experts at handling this complexity.
- Wellness Visits: The frequency of well-child visits means handling many claims. Our system ensures that every visit is billed accurately and on time.
- Immunizations: Billing for immunizations can be complex due to varying guidelines and patient ages. We ensure each immunization is properly coded and billed to avoid reimbursement delays.
Pediatric Medical Billing Software
Our state-of-the-art medical billing software makes managing your pediatric practice easier by automating key billing tasks and improving overall efficiency. Here’s how our software helps your practice:
- Automated Claims Submission: Reduce manual entry and human error by automating claims submission to insurance companies.
- Real-Time Reporting: Get instant access to detailed reports that track your practice’s financial performance.
- Customizable Features: Our software is designed to fit the needs of your practice, with features like automated follow-ups on unpaid claims and customized billing reports.
Adult and Pediatric Home Medical Billing
In addition to our standard pediatric services, We also offer adult and pediatric home medical billing solutions. Suppose your practice provides at-home medical care for pediatric and adult patients. In that case, we can manage all the billing for these services, ensuring proper coding and timely reimbursements.
Overview of Pediatric Medical Billing Codes
CPT Code | Description |
99381 | Well-child exam for new patient |
99392 | Well-child exam for established patient |
CPT 96160 | Health risk assessment for pediatric patients |
Z00.121 | Well-child visit with abnormal findings |
99383 | Well-child exam (ages 5-11) |
99384 | Adolescent check-up (ages 12-17) |
Z00.129 | Well-child visit with no abnormal findings |
Get Started with TrackoMed’s Pediatric Medical Billing Services
We are committed to providing high-quality pediatric medical billing services to ensure your practice gets paid accurately and on time. Whether you’re located in South Jersey, Philadelphia, or Miami, we have the experience and technology to handle your pediatric billing needs.
FAQs
How does TrackoMed ensure accurate pediatric medical billing?
At TrackoMed, we specialize in pediatric-specific billing codes and guidelines, ensuring that each visit is billed accurately. Our certified coders are familiar with key codes such as 99381, 99392, and CPT 96160, ensuring proper documentation and reimbursement.
Can TrackoMed handle pediatric medical billing for multi-specialty practices?
Yes, we manage to bill for pediatric and adult services, making us a perfect partner for multi-specialty practices. Whether it’s paediatrics or adult medical billing, we ensure that every claim is processed efficiently.
How do you handle billing for pediatric services in different regions?
We offer specialized services based on location. Whether you need pediatric medical billing services in Philadelphia, pediatric medical billing in South Jersey, or pediatric medical billing services in Miami, our team can provide tailored solutions that fit your regional needs.
Can TrackoMed help with coding for well-child exams?
Yes, we are well-versed in coding for well-child exams using CPT codes like 99381, 99383, and 99392. We ensure all wellness visits are billed accurately, following the proper pediatric cpt codes.
Does TrackoMed offer software for medical billing?
Yes, we offer advanced medical billing software that helps automate claims submissions, track payments, and generate reports in real time. Our software is designed to fit the needs of pediatric practices, ensuring that billing tasks are completed efficiently.