Navigate the Unique World of Pediatrics Billing
Pediatrics practices are very busy with well-child visits (CPT 99381–99385, 99391–99395), vaccinations (90658, 90707), and developmental screenings (96110, 96127). Each of these has very specific age-based coding rules. Just billing for the intricate chronic conditions in children, like asthma (CPT 99213, 99214), ADHD (96127, 99215), and diabetes (82947, 99214), is a little complicated.
Billing Care Solutions (BCS) is the coding facilitator that makes sure the codes are right in every single detail of pediatric care; it also takes care of the issue of the same-day modifier coding for preventive and problem-oriented visits, vaccine administration codes, and chronic care management. This, in turn, guarantees the highest possible reimbursement while at the same time, it is in line with compliance, and the number of denials is kept low.
Our Expertise in Pediatrics Billing
- ✔Specialized Pediatric Billing Team: Our experts have in-depth knowledge of pediatric-specific billing codes, guidelines, and best practices to ensure compliance and accuracy.
- ✔Comprehensive Billing Solutions: We provide end-to-end pediatric billing services, including claim submission, denial management, and revenue cycle analytics.
- ✔Compliance-Focused Approach: We prioritize adherence to all relevant regulations and guidelines, minimizing the risk of audits and penalties for your practice.
- ✔Customized Billing Strategies: Our solutions are tailored to meet the unique needs of pediatric healthcare providers, ensuring efficient and effective billing processes.
- ✔Continuous Process Improvement: We consistently review and optimize our billing workflows to enhance financial performance and reduce administrative burdens.
Enhance Financial Efficiency in Your Pediatrics Practice
< 25
Days in AR
40%
Revenue Increase
< 5%
Denial & Rejection
99%
Clean Claims Rate
100%
Client Retention
What You Need to Know About Pediatrics Billing Services
Our full pediatrics billing solutions are intended to be the financial operations of your practice, supported smoothly from every angle, and ensure accurate reimbursement for all pediatric services. With us, coding and documentation for chronic care management, vaccine administration, and newborn care, along with routine well-child visits and preventive screenings, are done with precision.
We also ensure that developmental and behavioral health services are properly billed by managing ADHD assessments, counseling, and related interventions. We assist in maximizing revenue, staying compliant with payer guidelines, and lessening the administrative burden through the correct application of modifiers, submission of clean claims, and denial management in a proactive manner. Our customized strategy is like money in the bank for your pediatric practice to be able to concentrate on providing excellent patient care.
Well Child and Preventive Care Billing
Accurate coding for the full range of age-specific preventive medicine visits and screenings.
Vaccine and Immunization Billing
Maximize reimbursement for vaccine administration and ensure proper handling of VFC program billing.
Chronic Care Management for Pediatrics
Help capture revenue for the extra time spent managing patients with complex, chronic conditions.
Newborn and Neonatal Care Billing
Expert coding for hospital and office-based newborn care, from the delivery room to follow-up visits.
Developmental and Health Billing
Proper billing for screenings, counseling, and management of ADHD and other behavioral issues.
Sick Visit and Modifier 25 Application
Correctly apply modifiers when a sick visit is provided during a well-child check to avoid denials.
Why Choose Our Pediatrics Billing Solutions
We simplify the billing process for pediatrics practices, ensuring accurate claims, faster reimbursements, and less paperwork so your staff can dedicate more time to young patients.
Trusted Pediatrics Billing Partners Across the Nation
Grow your practice with a team that knows exactly what a pediatric practice requires. We simplify your revenue cycle, take away the administrative hassles, and provide your workers the time to concentrate on giving great patient experiences. By having effective procedures and dependable billing skills, your practice will be able to realize steady, sustainable financial growth.
Why Do Healthcare Professionals Choose BCS Medical Billing Services?
24/7 Rapid Response Time
Practice Health Plan
Error Free Billing
Practice Health Audit
Constant Revenue Boost
Claims Submission Success Rate
Fast Revenue Restoration
Free Consultantion Call
Pediatrics Billing FAQ's
Initial and periodic well-child visits are coded with CPT 99381–99385 and 99391–99395. Each visit is recorded in detail to follow the payer rules and get correct reimbursement.
Each vaccine dose is allotted a vaccine administration code (CPT 90460–90461). We monitor multi-dose vaccines, age-based standards, and payer requirements to ensure full reimbursement and prevent claim denials.
Local & chronic children’s diseases such as asthma (J45.x), ear infections (H66.x), or ADHD (F90.x) are coded accurately to ensure correct claim submission and avoid denials.
Yes, we apply modifiers correctly when multiple procedures or visits occur. Proper use ensures compliant claims and full reimbursement without payer audits.
Developmental and milestone screenings are billed using CPT 96110. Documentation is thoroughly checked to capture all billable parts and meet insurance coding requirements for preventive pediatric services.
Accurate coding and documentation ensure all billable services are captured, denials minimized, and reimbursements optimized, increasing the revenue of the practice while following payer rules.
Yes, we coordinate with insurers to obtain approvals for specialist visits, imaging, or procedures, preventing claim delays and ensuring timely patient care without overloading staff.
We track well-child visit intervals, vaccine timing, and follow-ups. Proper scheduling and coding ensure accurate documentation and full reimbursement.
By using adequate documentation, correct CPT/ICD codes, proper modifiers, and following payer-specific rules, we prevent denials, accelerate payments, and manage the revenue cycle efficiently.
Outsourcing lightens administrative workload, increases coding accuracy, improves revenue, decreases denials, and allows pediatric clinicians to focus fully on patient care.
What Our Clients Say
Trusted by healthcare professionals and organizations nationwide for accurate billing and reliable results.
Jennifer Aaron
Cardiologist, HeartCare Clinic“Billing Care Solutions offers exceptional billing services with responsive and professional customer support. Their user-friendly system has streamlined our processes and reduced our workload. Any issues were resolved promptly and efficiently. Highly recommended for reliable billing solutions.”
David Lieske
Chief Strategy Officer“Billing Care Solutions LLC and Adnan Qamar have been assisting our organization with our billing services, and they have performed in a world class manner. Their collaboration with our Revenue Cycle Management Team and Clinical Management has been seamless and professional. Top notch!”
Linh Tran
Chief Finance Officer, My CHN“I have been working with Adnan and his team for more than 2 years. They are very knowledgeable in medical billing and very responsive to our needs. Adnan has good contacts with payers reps and familiar with payers’ requirements which help the works done quicker and easier ! I recommend his services to revenue cycle managers ! ”
Ashley Sahakian
Owner, Express Wellness LLC“I have experienced nothing but the best service and quick results when it come to their services. They are very friendly, and professional. They have really helped me grow my business! Thank you all so much! God bless!”
Zahid Mehmood
Manager BD, CRM“Organised and timely completion of the task. Adnan team handled the project with utmost professionalism and made the whole process seamless from gathering the requirements till completing the enrolment process along with keeping us informed through out the process.”
Melissa Renteria
CEO, Family Health Center“Excellent service and quick turn around, knowledgeable and friendly. I have worked with Adnan for years and I have enjoyed it, he is punctual on his projects and very efficient. I highly recommend using his services you won't be disappointed!”
Emily Kariuki
Owner, Home Health Agency“Great service. Professional, friendly, people who get the job done. The best”
Donna Taylor
Manager“very professional and great customer service. Would highly recommend”
Judy Kariuki
Operations Coordination Manager“So far, all expectations have been met. Billing Care Solutions work has resulted in fewer billing rejections and increased clients from the marketing efforts. The team has impressed the client with their rapid response and timely service delivery. Billing Care solutions communicates via email, messaging apps, and virtual meetings.”