Specialty billing

Billing built for Pediatrics

Pediatric billing tuned for well-child schedules, VFC compliance, vaccine economics, and Medicaid-heavy payer mixes.

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The challenges

Where pediatrics revenue leaks

Vaccines For Children (VFC) rules require precise administration billing
Medicaid and MCO mix demands state-specific expertise
Well-child periodicity and sick-visit combinations are frequently underbilled

Our playbook

How we fix it

VFC-compliant vaccine billing (product vs. administration)
State Medicaid and MCO billing playbooks
Periodicity-schedule-aware well-visit capture
After-hours and prolonged service code capture

Core solutions

What pediatrics clients typically use

Medical BillingEnd-to-end claim submission, scrubbing, and follow-up that gets you paid faster — engineered to a 98%+ first-pass clean claim standard.

Medical CodingAAPC- and AHIMA-certified coders delivering 95%+ accuracy across ICD-10, CPT, and HCPCS — with built-in audit protection.

CredentialingEnd-to-end provider lifecycle management — credentialing, primary source verification, expirable tracking, and AI-monitored compliance from application to recredentialing.

Denial ManagementEvery denial worked within 48 hours and root causes eliminated — because the best denial strategy is preventing the next one.

AI Revenue IntelligenceMachine learning that predicts denials before submission, prioritizes A/R by recovery probability, and finds patterns humans miss.

MIPS & Quality ReportingFull Quality Payment Program management — measure selection, data capture, submission, and score optimization that turns MIPS from a penalty risk into a payment adjustment you earn.

Get a billing health check for your pediatrics practice

Free, 30 minutes, with a consultant who knows your specialty's codes and payers. We'll benchmark your denial rate, A/R days, and collections — and tell you exactly what we'd fix first.

Book my free consultation