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Family MedicinePediatric Billing Services
Smarter Billing for Pediatric PracticesPediatrics goes beyond checkups — from preventive care and screenings to immunizations and chronic conditions. CloudRCM’s pediatric billing services ensure accurate coding, fewer denials, and faster reimbursements so your practice captures every $ earned.
Streamline Your RCM with Our Medical Billing Expertise
↓ 28 Days in AR
96% First Claim Approval
12-16% Revenue Improvement
94% Collection Efficiency
98% Error-Free Claim Rate
Expert Solutions for Your Pediatric Billing Needs
CloudRCM goes beyond traditional billing to offer a full suite of customized services that meet the unique needs of pediatric practices. From insurance verification and credentialing to patient support and more, our solutions are designed to streamline your operations and ensure you collect every dollar you’re owed. Here are some of the many issues that we have answers for:
- Well-Child Visit Denials—Claims denied due to exceeding the allowable number of preventive visits per year.
- Vaccine Coverage Issues Insurance denials for vaccinations not covered under certain plans.
- Age-Based Eligibility Denials—Rejections based on patients aging out of coverage for pediatric-specific procedures.
- Developmental Screening Coding Errors—Incorrect coding for developmental and behavioral screenings.
Our Core Services for Pediatric Practices
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Customized Billing Solutions
Our pediatric billing services are designed to meet the unique needs of children’s healthcare practices. From routine checkups to specialized treatments, every service requires accurate coding, timely submissions, and proactive follow-ups to ensure full reimbursements.
Expert Pediatric Coding
Pediatric care involves age-specific CPT and ICD-10 codes for everything from newborn visits to adolescent care. Our certified pediatric coders ensure every claim is coded accurately for E/M visits, vaccinations, preventive care, and neonatal services — reducing errors and denials.
Denial Management
Denied claims are one of the biggest revenue leaks in pediatrics. We don’t just track denials — we identify the cause, correct errors, and resubmit claims quickly to recover revenue and maximize reimbursements.
Telehealth Billing
With the rise of virtual care, pediatric telehealth visits need proper coding for developmental screenings, behavioral health consults, and routine follow-ups. We ensure your telehealth claims are processed correctly and reimbursed without delays.
Automated Claim Tracking
Every claim matters. Our system provides real-time tracking, alerts, and follow-ups, so unpaid or aging claims don’t slip through the cracks. This proactive approach improves cash flow and reduces A/R days
Prior Authorization Support
Many pediatric services require pre-approval, such as ADHD testing, speech therapy, and imaging studies. Our team handles the prior authorization process, saving your staff hours of administrative work and preventing claim denials.
Seamless EHR Integration
We integrate directly with your EHR and practice management system, ensuring smooth data flow, reduced duplicate entry, and a streamlined billing workflow. This makes it easier for your team to manage clinical and financial tasks in one place.
Effortless Pediatric Billing With Full Transparency
Managing pediatric billing can be straightforward with CloudRCM on your side. We handle the entire billing process so you can concentrate on providing exceptional care to children. Our skilled professionals work tirelessly to ensure your practice receives every cent owed.
