September 2025: Billing Tips for Common Fall Pediatric Vaccines

As summer ends and schools are back in session, pediatric practices enter one of the busiest seasons for vaccinations. September brings a surge of visits for flu shots, catch-up immunizations, and, in recent years, RSV immunization for infants. While these services are essential for public health, billing for them can be a source of denials…

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Common Pediatric Billing Challenges in August: What Practices Should Watch For

August is one of the busiest months in pediatric offices. Families are preparing for the school year, which means a sharp increase in well visits, sports physicals, vaccine updates, and late-summer sick visits. While this brings a surge in patient volume, it also comes with common billing pitfalls that can impact a practice’s revenue cycle.…

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Operating Characteristics of a Well-Run Independent Pediatric Practice

A high-functioning pediatric practice is more than a collection of patient rooms and schedules—it’s a finely tuned healthcare delivery system built around the needs of families, staff, and the community it serves. Pediatric practice owners that understand needs of parents/families, providers/staff, payers and objectively measure, monitor and evaluate their Pediatric practice have the best chance…

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Suggested Process for Front Desk Team Members

The front desk team is a critical component of the revenue cycle management process. While the Physician Xpress Account Managers and revenue cycle management team are committed to optimizing the revenue cycle, we have learned over the years that the total collection rate is highly dependent on the consistency of the Pediatric Practice Front Desk…

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Common Pediatric Coding Denials and Suggestions for Pediatric Practice Providers

Coding accuracy is critical for the financial health of any pediatric practice. All practices experience certain CPT codes that are bundled in with other codes and some level of claim denials. Understanding the most common pediatric coding denials—and how we minimize the impact on Pediatric Practices can help protect the bottom line and improve billing…

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