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Pediatrics Billing Services

Pediatrics, which leads other specialties in terms of patient population, and patient-physician ratio, offers both opportunities as well as challenges to leading medical billing consortium like MBC – while the influx of pediatric physicians seeking medical billing and coding management is a matter of opportunity, owning and executing clients’ medical billing and realization amidst stringent insurance environment is equally challenging.

MBC Offer Billing & Coding Expertise

MBC professionals scrupulously upgrade the competencies that ensure efficiently executed comprehensive Pediatric Medical Billing Solutions; certification from the American Association of Professional Coders (AAPC), proficiency in using advanced medical billing softwares such as Lytec, Medic, Misys, Medisoft, NextGen, IDX, etc., and latest coding softwares such as EncoderPro, FLashcode and CodeLink, and expertise in applying standard CPT, HCPCS procedure and supply codes, and ICD-9-CM diagnosis coding as per CMS guidelines and HIPAA compliant report generation, and the acumen for processing medical claims with several private carriers such as United health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and Government sponsored Medicare and Medicaid bear testimony to our commitment to competent and compliant medical billing management.


Pediatric Medical Billing Across Multiple Specialties

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

  • General Pediatrics
  • Pediatric Endocrinology
  • Pediatric Diabetes
  • Pediatric Gastroenterology
  • Pediatric Cardiology
  • Pediatric Pulmonology
  • Pediatric Nephrology
  • Nutrition Services
  • Pediatric Infectious Diseases
  • Clinical Genetics
  • Behavioral Psychology
  • Pediatric Neurology
  • Pediatric Oncology
  • Child Life Program

Enabling Accurate and Precise Medical Billing

Additionally, our Pediatric Billing Specialists’ ingenuity in applying accurate codes for complex pediatric services such as:

  • CPT 31500 for intubation, endotracheal; emergency procedure,
  • 62270 for spinal puncture, lumbar, diagnostic;
  • 36660 for catheterization, umbilical artery, newborn;
  • 36620 for arterial catheterization or cannulation;
  • 92551 for screening test, pure tone, air only;
  • 51702 for insertion of in-dwelling bladder catheter;
  • 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 age 3 years;
  • 99173 for screening test of visual acuity, quantitative, bilateral;
  • 94200 for maximum breathing capacity, maximal voluntary ventilation, etc.

Apart from handling the coding for above services, our experts also infuse suitable modifiers which are crucial to mitigating undesirable audit checks, delay, denial, and resubmission of medical claims with insurance carriers.Multiple benefits in managing RCM.

Conducting a sequential medical billing management process – Patient Enrollment, Insurance Enrollment, Scheduling, Insurance Verification, Insurance Authorizations, Charge Entry, Coding, Billing and Reconciling Of Accounts, Denial Management & Appeals, and Physician Credentialing – punctuated with competent qualifications mentioned earlier, our Pediatric Billing Specialists are known for delivering superior quality pediatrics medical billing services for individual physicians, physician groups, multi specialty groups, clinics, acute care facilities and hospitals. Consequently, physicians, along with an intense focus on the core medical issues, are able to witness:

  • Substantial Reduction in Operational Expenditure
  • Increased Revenues
  • Faster Realization of Account Receivables
  • Compliant and Efficient Billing Practices
  • Regular QA Checking
  • Reduced Audit Risks

Equipped with the demands of the ICD-10 and HIPAA 5010 Version of coding and medical reporting compliance, Medicalbillersandcoders.com presents a pro-active outlook to opportunities and challenges in Pediatric Medical Billing Management.