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Handling Pediatric Medical Billing Efficiently and Effectively

Pediatric Billing Services

Handling Pediatric Medical Billing Efficiently and Effectively

Medical billing for pediatricians is a different market than that of other physician specialties, as a pediatrician’s patients have specialized needs as well as specific treatment programs related to Primary Pediatrics.    There a specific billing codes for various procedures that may result in lesser payments by an insurance company if handled incorrectly. Using the appropriate codes when performing pediatric medical billing can mean the difference between full reimbursement from an insurance company or no reimbursement at all. Choosing a company who will know the difference and whose software is intuitive and easy to use will help with making this aspect of practice management less of a headache.

Why Pediatric Billing Experience Is Important

When entrusting your billing needs to either a third party, it is important to verify that they have pediatric billing experience and that they understand the proper codes to use in a variety of situations that require specific coding in order to be covered by insurance. This can mean the difference in hundreds or even thousands of dollars in revenue for a pediatric practice. When billing is not properly handled, it is costly from both the office’s perspective and potentially lead to patient dissatisfaction.

Having pediatric billing experience will help avoid these issues and increase the office’s revenue with successful coding to insurance companies.

How to Choose a Billing Provider

Choosing a pediatric medical billing provider can seem daunting, but knowing what to look for in a billing provider can make the process much easier.

  • Choose a company that specializes in pediatric billing. Having a specific part of their business geared toward pediatricians and their billing needs is a great clue that you are on the right track.
  • Ask their average Pediatric Billing Benchmarks and how the billing company and practice works together to optimize the revenue performance of the practice. What is their average collection rate, average revenue for visit and AR days?   Many billing companies do not have consistent performance.
  • Do they have a robust platform that is specifically designed for pediatrics?
  • Ask questions related to your practice and how it is managed. Do they clearly understand all your needs and have answers to your questions?
  • Will this system make our medical billing process easier and more efficient?

Staying up-to-date on healthcare changes that impact billing is important for any company, and continuing education and ongoing updates to reflect these changes will be a part of any successful billing suite.

Choosing a billing provider is an important feature of practice management. A large part of a physician’s practice is generated through insurance billing, and having a service that you can trust to do the job right is an important step in keeping your practice profitable and running smoothly, allowing you to focus on the most important part of your job: your patient’s care.

PhysicianXpress is here to help with your medical billing needs, with software that was designed specifically with pediatricians in mind. Integrating the electronic health record to ensure proper billing for procedures, we help streamline the processes and increase efficiency.