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Pediatrics Billing Services New Jersey, NJ

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.


Our medical billers and coders stationed in New Jersey, provide physicians with the latest in reimbursement strategies and government updates in terms of healthcare industry. Their presence across all major cities such as Newark, Jersey City, Patterson, Elizabeth and Edison offer Physicians options to locate well trained Medical Billers and coders easily.

These medical billers are equipped to reduce your overhead as well as perform complex administrative tasks. Their services guarantee many advantages and can help you to:

  • Reduced overheads
  • Patient eligibility verification in real time
  • Expedite payments
  • Reduction of rejected claims but follow up on them as well
  • Increased productivity of in-house team
  • Collection of overdue claims

The state of New Jersey happens to be the most densely populated and wealthiest state in United States, those are the real indicators of why healthcare is sprawling in the state. Thus, the growing need for number of physicians and a lot of medical billing specialists to support these practices is far from being fulfilled.

These Billers are well acquainted with the payers’ community in New Jersey and track major reasons for denials and plug these avenues of revenue loss first. Their detailed analysis helps you to collect more revenue as per your specialty and maintain high collections regularly.

Value Our New Jersey Billers Bring :

Our New Jersey medical billers and coders also provide practice management software that ensures that physicians can keep up with the latest health care IT reforms and improvements. They are experienced in the field of patient statements processing, claims management, fee schedules evaluation, insurance collections, and the capability of establishing effective relationships with insurance companies and patients.

Our medical billing and coding team is experienced in insurance collections which can be a tiresome job for a medical biller who lacks experience in this area. They also know how vital timely insurance collections are for the doctors.

By using EMR software that is efficient, our medical billers and coders take minimal amount of time for patient statement processing which can be an increasing burden because of the growing requirement for medical services.

Medical coders and billers at medicalbillersandcoders.com also have professional relationships with key insurance companies across New Jersey so that any setback or errors in claims management can be circumvented in right in the beginning.

Our Specialties:

The services of medical coding and billing that are provided are not limited to big cities such as Newark, Jersey City, Patterson, Elizabeth and Edison but also all other counties in the state. Moreover, our coders and billers specialize in all the branches of medicine such as Optometry, chiropractic, OB Gyn, Pediatrics, oncology, urology, Family Practice and Hospitalist Billing .All the medical billers and coders at medicalbillersandcoders.com are familiar with ICD9 and CPT Coding which make them preferable choices for physicians and health care providers. Many of our medical billers and coders also offer value added services through specific services such as evaluating fee schedules, helping you prepare online super bills and diagnosing the key grounds for denials.

Our Software Experience:

In New Jersey many physicians are finding it a difficult to digitize their practice and switch to EMRs which would be part of the health care reform. Our medical billers and coders are specialized and experienced in a wide range of software which offers you a choice of the most efficient and updated Medical Billers and coders trained on the latest EMR systems in the market.

These include Medisoft, Misys Tiger, Eclinicalworks, Advance MD, GE Centricity and Altapoint. These EMR would ensure that your office productivity is increased along with the efficiency of the services that you provide as a physician to your patients.

Problems New Jersey Physicians Face :

New Jersey has the highest density of population in the United States and the low rate of physicians who are starting to adopt Electronic Medical Records would mean that health care providers would be scrambling to meet the adoption deadlines.

The billing and coding services assist physicians with various EMRs and are experienced with specialized knowledge about the changes related to medical billing, coding, HIPAA guidelines, denial management, patient statement processing, claims management and ability to have long term and effective relationships with patients and insurance companies.

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.