- Schedule a free 30-minute appointment with a billing advisor today!
- Schedule a free 30-minute appointment with a billing advisor today!
Are your pediatrics billing tasks taking time away from your caregivers? Inefficient handling of pediatrics billing and coding can lead to claim denials and payment delays, affecting your practice’s cash flow. Expert help is essential to reduce the workload of pediatrics medical billing while ensuring accuracy. Our HIPAA-compliant pediatrics billing services are designed to handle these challenges, allowing your team to focus on patient care.
Our CPEDC-certified coders specialize in pediatric billing and coding, possessing deep expertise across various pediatric healthcare settings. From general pediatric
linics to specialty centers like pediatric cardiology, oncology, urgent care pediatric hospitals, and school-based health clinics, our team delivers precise medical billing solutions. We focus on reducing claim denials, improving cash flow, and optimizing the entire pediatric billing process.
Efficient pediatric billing is all about being careful and accurate. We start by collecting important patient information like basic details, medical background, and doctor’s recommendations. Our goal is to make sure we have all the right information to create correct billing claims.
Checking insurance details is a key part of our work. We carefully look at what services are covered, whether we need special permission for treatments, and confirm important dates and contact information. When a medical service needs advance approval, our team handles the paperwork to prevent any delays in getting paid.
Our billing experts understand different ways of charging for medical services. We can work with various billing methods like value-based billing, set-price billing, online medical consultations, and school health program billing. We know each pediatric practice is unique, so we adjust our approach to fit exactly what you need.
Our expert coders understand the complex nature of pediatric codes and their correct usage. Our team assigns precise age-specific and new/established patient codes,
such as 99204 and 99205, along with ICD-10-CM and HCPCS codes, including specialized codes like E1229-E1239 for pediatric wheelchairs. Every pediatric service rendered is documented with exacting detail to ensure correct reimbursement.
We follow the latest coding standards for a wide range of pediatric specialties, including neonatology, behavioral psychology, gastroenterology, pulmonology, diabetes, oncology, neurology, and vaccinations. This ensures every service is billed accurately, reflecting the most recent updates in coding parameters.
Our expertise extends to aligning billing practices with revised fee schedules and payment guidelines for various insurance programs. Whether working with government payers like Medicare, Medicaid, and CHIP or private insurers such as UnitedHealth, Cigna, and Humana, we adapt to meet all requirements, ensuring smooth claims processing and reliable reimbursements for your practice.
As a pediatric healthcare provider, expanding your network access is crucial for practice growth and patient service. Our specialized pediatrics billing and credentialing services are designed to help your practice successfully connect with major insurance providers and maximize your patient reach.
Key Insurance Network Connections for Pediatric Practices
Our credentialing expertise covers critical pediatric-focused insurance networks, including:
Proactively minimize revenue disruptions through specialized Pediatric medical billing strategies that prevent claim denials before they occur.
Conduct in-depth audits of Pediatric billing processes to identify, analyze, and systematically address potential revenue loss sources.
We use deep insights in Pediatric billing and coding to develop strategic appeal management, ensuring maximum reimbursement and systematic rejection resolution.
Perform routine compliance audits to proactively identify potential issues, prevent future denials, and maintain exceptional coding accuracy in Pediatric medical billing.
Provide comprehensive Pediatric medical billing services including patient enrollment, insurance verification, authorization management, specialized coding, payment posting, account reconciliation, AR management, patient collections, coding audits, and credentialing.
We work closely with our clients. Feel free to interact with expert billers and a dedicated account management team. Each healthcare center partners with seasoned professionals who understand your unique challenges and goals. Your dedicated team delivers hands-on support, proactive problem-solving, and industry-leading expertise to optimize your revenue cycle.
| Performance Metrics | Integrity RCM | Industry Average | Benefits of Integrity RCM |
|---|---|---|---|
| Clean Claims Rate | 98-99% | 75-85% | Higher first-pass acceptance, faster reimbursement |
| Days in A/R | 14-30 days | 45-55 days | Improved cash flow and revenue cycle |
| Collection Rate | 96-98% | 85-90% | Maximum revenue capture |
| Denial Rate | <3% | 5-10% | Fewer rejected claims, reduced administrative burden |
| Coding Accuracy | 99% | 90-95% | Minimized compliance risks, optimal reimbursement |
| Patient Satisfaction | 95% | 80% | Better patient experience, fewer billing complaints |
| Customer Support | 24/7 dedicated support team | Limited business hours | Faster issue resolution |
Track what matters with our comprehensive medical billing KPIs. We turn complex data into actionable insights, ensuring faster reimbursements, reduced denials, and optimized revenue cycles.
Our billing solutions are designed to streamline the unique financial processes of ambulatory surgery centers and medical offices, optimizing reimbursement for procedures and consultations in these outpatient settings.
We are a medical billing company that knows the features and workaround of your EHR system. At Integrity RCM, we work with your
existing EHR to remove the hassle of shifting to a new one.
As a leading medical company in the USA, we deliver exceptional medical billing services across all 50 states. Integrity RCM combines cutting-edge technology with expert knowledge to make your collection process smooth and efficient. Our certified specialists ensure compliance, optimize reimbursements and maintain the highest clean claims rates in the industry.
Don’t let coding errors and billing inefficiencies hold your practice back. Get data-driven medical coding
solutions from Integrity-RCM.
Integrity RCM services a broad cross-section of healthcare providers: private medical practices, hospitals, private clinics, specialty practices, mental health providers, dental offices, and ambulatory surgical centers. Our billing solutions are flexible and meet the needs of every medical specialty.
Our expert medical billers have a rigorous quality control process that verifies the accuracy of every claim. Our certified coders and billers are constantly updated on the latest coding and billing compliances and regulations to minimize the chances of any errors and delays.
Integrity RCM is HIPAA compliant, and we adhere to all compliance measures and ensure that patient information is not made widely available. We take care of the information very confidentially. Advanced security measures include encryption and secure data transfer protocols.
You can reach us through our customer support team by dialing (281) 404-5503, sending an email to info@integrity-rcm.com, or through our online contact form. Our committed support team will be ready to answer your questions or assist you in any way possible.
Getting started is easy. We offer a complimentary initial consultation to analyze your current billing processes, understand your specific needs, and provide a tailored solution. Contact our team to schedule a comprehensive review and discuss how we can best optimize your medical billing operations.
