Pediatric Medical Billing
Pediatric Medical Billing is a complex area, involving unique time codes, modifiers and bundling requirements. Dealing with children can be especially stressful and time consuming, so freeing you up for your patients is even more important than usual. Our team of pediatric billing experts ensure that you’re able to collect all the revenue that you deserve, on time and error-free. We make sure that all of your procedures are coded and billed properly, from vaccinations to laceration repair.
Increase your revenue by 7.5% and decrease your time in A/R with medical billing services tailored to pediatric providers like you. Our first-in-class medical billing services can help hospitals and clinics of any size nationwide serve patients more profitably, so you can focus on your work and leave the rest to us.
Our Expertise Extends Beyond the Fundamentals
Although a lot of pediatric care can be routine, there are plenty of unexpected twists and turns as well. Our team is able to properly handle all of the fundamental, basic procedures that you engage with on a daily basis, including vaccinations and all manner of tests. However, when things get more complex or you have to deal with some less common procedures or tests, our expertise has got you covered.
Our Expertise Extends Beyond the Fundamentals
Although a lot of pediatric care can be routine, there are plenty of unexpected twists and turns as well. Our team is able to properly handle all of the fundamental, basic procedures that you engage with on a daily basis, including vaccinations and all manner of tests. However, when things get more complex or you have to deal with some less common procedures or tests, our expertise has got you covered.
Don’t Fall Behind On E/M Codes
Because so much of pediatric care involves things adjacent to the care itself, like meeting with parents or consulting medical records, E/M codes can make or break a pediatric practice. These can be coded in a variety of ways, and we understand this variety, so you get paid properly for everything you do, not just the obvious.
Families Take Time, And You Should Be Paid For It
Pediatricians spend a lot more time than other doctors meeting with family and going over care options with parents and caregivers. Unfortunately, getting paid for this time can be complicated. Understanding time-based coding can result in increased revenue, so it’s important to have a billing team that understands how to get you properly reimbursed for every moment you spend with a client or their families. We make this a priority, so your revenue stream is always robust.
Families Take Time, And You Should Be Paid For It
Pediatricians spend a lot more time than other doctors meeting with family and going over care options with parents and caregivers. Unfortunately, getting paid for this time can be complicated. Understanding time-based coding can result in increased revenue, so it’s important to have a billing team that understands how to get you properly reimbursed for every moment you spend with a client or their families. We make this a priority, so your revenue stream is always robust.
We Stay on Top of Pediatric Modifiers
Pediatricians require specific modifiers which aren’t often used by other disciplines. The most common modifiers used are 29, 51, 57 and 59, but there are plenty more depending on your situation. These are expanded even further if you work in a pediatric specialty, and it can be very difficult for some billing teams to understand when they should be applied. Our team is comprised of dedicated specialists who never cut corners, meaning that every claim is billed to ensure maximum revenue.
We understand pediatric billing better
Increase First-Pass Claim Resolutions Rates to 90% & Above: Quest’s medical billing solution is reducing data entry errors & clearinghouse rejections below the national average. By consistently analyzing and optimizing claims procedures, Quest National Services is ensuring our pediatric practices are getting paid First Pass rates, and getting paid faster.
Increase Net Collection Rates To 95%-99%: Leveraging an efficient submission process and following up on outstanding amounts from patients and carriers means that Quest National Services is ensuring that rightly due claims do not go uncollected.
Increase Reimbursements by 10% – 20%: With an increase in FPA & decrease in overdue and outstanding revenue, pediatric practices are seeing a 10-20% increase in cash flow almost immediately. Reduce your stress by outsourcing to Quest.
We consider ourselves an extension of every practice we serve, and you can rely on us for consistent, professional and timely claims processing. We also provide you with routine reports for your review, and are available to discuss your business at your convenience so that we can move forward together.
Serve Patients More Profitably
At QuestNS, we understand that the goal of your practice is to provide top-notch care for patients that are suffering from difficult and complex conditions. We align ourselves with this goal, and strive to clear away the mundane tasks in order to allow the medical experts to focus on the medical aspects of the practice. Our experts also work hard to ensure the highest degree of return from services performed so that practices can continue to function at optimal levels and offer patients the very best pediatric services.
Keep Your Software
We believe you should be able to continue working with software that is transparent and that you are familiar with. Our medical billing services allow you to use your existing software so that there is no downtime, no training, and no additional costs. This allows you to serve your patients more profitably.
We work with over 15 practice management softwares, like those listed above. Don’t see yours? Give us a call to see if we work with your software.
Step 1:
Call us or submit a form
An expert practice consultant is waiting to serve you
Step 2:
Review proposal in one phone call
Analyze your practice’s needs and review services that may increase profitability
Step 3:
Finalize your contract
We can start serving you in as little as 5 days