Our pediatric RCM services are tailored to the unique needs of children’s care—from vaccination schedules and well-child visits to acute care, behavioral health, and chronic disease management.
Handle family, guarantor, and insurance details correctly from the first visit.
Age-appropriate coding across the full spectrum of pediatric services.
Ensure every vaccine and administration step is captured and billed properly.
Capture additional revenue streams as your practice expands services.
Keep cash flow stable even during seasonal spikes and vaccine clinics.
Targeted denial prevention around vaccines, eligibility, and benefits.
Our workflow is built around surgical schedules, clinic follow-ups, and multi-location demands—keeping documentation, authorizations, and billing tightly aligned.
We review your coding patterns, vaccine billing, denials, and AR to highlight missed opportunities, underpayments, and repeating issues in pediatric claims.
We connect to your existing system (PCC, Epic, Athena, eClinicalWorks, etc.) and configure age-specific templates, vaccine schedules, and charge capture workflows.
Visits, vaccines, and procedures are coded and scrubbed daily so claims go out quickly, reducing AR days and smoothing cash flow even during peak seasons.
We focus on preventing denials tied to eligibility, vaccine coverage, and benefits. Statements and balances are managed with parent-friendly language and options.
Your dedicated pediatric account manager reviews KPIs—collections per visit, denial patterns, AR by age and payer—and recommends clear next steps.
*Results depend on practice size, payer contracts, and baseline performance. Our free audit provides a realistic projection before you commit.
Choose full-service pediatric RCM or let us tackle specific problem areas like vaccine billing, denials, or seasonal overflow.
Our coders and AR specialists work daily with pediatric groups, understanding age-specific codes, vaccine rules, family guarantor setups, and payers’ expectations for children’s care.
We follow payer guidelines and documentation standards while keeping communication clear and supportive for parents, reducing confusion and call volume to your front desk.
Get visibility into well vs. sick visit mix, vaccine revenue, denial trends, and AR—so you can plan staffing, hours, and services with confidence.
Frequently Asked Questions
(FAQs)
Yes. We specialize in pediatric preventive care and vaccines, including age-specific well-child visits, combination vaccines, and proper use of product and administration codes.
We support newborn care in the hospital and subsequent outpatient follow-ups, helping ensure correct coding for birth history, conditions, and early developmental screenings.
Yes. We work with practices that offer behavioral screenings, ADHD management, counseling, and care coordination, ensuring appropriate coding and documentation.
Most clients choose a percentage-of-collections model aligned to visit volume, vaccine utilization, and payer mix. Larger or multi-site pediatric groups can opt for tailored or hybrid pricing.
Absolutely. We frequently handle coding audits, vaccine billing review, or denial backlogs while your staff continues daily tasks like check-in and payment posting.
After your free pediatric revenue audit, most practices can be fully onboarded within 2–4 weeks, depending on EHR access, payer setups, and data migration needs.
If you are in need of high-quality and professional care look no further than.