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Handling the Complexities of Pediatric Billing

Handling the Complexities of Pediatric Billing

Pediatric billing has a significant amount of time-sensitive documentation as well as details to manage. A great system will allow a provider to input all of their notes from a patient visit into their electronic health record as well as align the data and information in a manner that optimizes the Medical Billing for the Pediatric Practice.This includes billing management of the insurance billing and patient billing as appropriate. Pediatric billing is a complex process and one that is best handled by experienced individuals and input into a system that is designed with the complexities of the pediatric specialty in mind.

Integrating Billing and EHR

Pediatric billing is most accurate when paired with a Pediatric electronic health record. Electronic health records contain all of the data that is relevant to a patient visit, allowing the billing department to review and ensure that all codes have been properly applied to the visit then transmitted to the insurance company for processing and payment.

Integrating the EHR and billing systems allows for data to be freely shared between the two, reducing the potential for missed or incorrect billing, and easing the delivery of timely statements.

Eliminating Confusion and Unexpected Charges

With a variety of processes happening in one visit, ensuring that the proper charges are applied to a patient’s bill and being able to explain those charges clearly and concisely is important to maintaining patient satisfaction and helping to avoid any unnecessary or costly delays in bill payment. Thoroughly reviewing each visit’s billing and pulling information directly from the EHR can help to avoid costly mistakes.

Pediatric Medical Billers also play a role in helping to keep patients informed. For instance, knowing where they are going and why they are being referred there, or how insurance is views a procedure, is all helpful in explaining a medical bill.

Training is Vital

Properly trained staff goes a long way toward making any EHR and medical billing system more useful and efficient. Allowing for training and continuing education as it relates to your electronic health records and medical billing system will help reduce errors and overhead costs. It also ensures that a practice is getting the most use out of its products and can help them set up a system that works best for them.

Pediatric billing services should be a well-thought out process. From the first patient visit to integration with the EHR to training for the staff that will be making the most use of it, a system is only as good as the data that is entered into it. Pediatric billing services are a complex process, with accuracy and timeliness throughout the process being important in providing the best possible care for patients. Accurate and timely billing also allows doctors to avoid delays in service due to missed payments or a lack of a timely response from insurance companies.

A strong billing plan with trained staff and ongoing education is the best way to manage the billing complexities of a pediatric practice, all paired with a great billing and EHR system.