- Cardiology
- Anesthesiology
- Pediatrics
- Internal Medicine
- Radiology
- Audiology
- Allergy & Immunology
- Ambulance Billing Services
- Bariatric Surgery
- Chiropractic
- Dermatology
- Dentist
- Ear Nose & Throat
- Emergency Medicine
- Endocrinology
- Family Practice
- Gastroenterology
- Geriatrics
- General Surgery
- Hematology
- Home Health Service
- Vascular Surgery
- Infectious Disease
- Internal Medicine
- Laboratory Billing
- Maternal Fetal Medicine
- Mental Health
- Neonatology
- Neurology
- Oncology
- OB/GYN
- Oral Surgery
- Ophthalmology
- Optometry
- Orthopedics
- Osteopathic
- Workers Compensation
- Pathology
- Urology
- Physical Therapy
- Physiotherapy
- Plastic Surgery
- Podiatry
- Psychiatry
- Rheumatology
- Speech Therapy
- surgeon-surgery
- Telemedicine
Ensuring the smooth functioning of your revenue cycle demands the expertise of a seasoned and professional Pediatric billing company. Pediatric medical billing presents unique challenges compared to other specialties, primarily because of its intricate medical codes. Hence, having proficient and experienced Pediatric coders who possess a comprehensive understanding of Pediatric terminologies, coding, and billing becomes indispensable.
How We Can Help in Pediatric Medical Billing Services
With years of experience in the field, ProcareMedex Billing specializes in providing exceptional Pediatric billing services. Our team of skilled experts ensures precise billing and coding to facilitate timely and maximum reimbursements for Pediatric services. If you seek detailed information on how we can help you achieve the highest possible reimbursement for Pediatric services, please reach out to ProcareMedex at 732-952-1990 or via email at [email protected].
Our range of services covers comprehensive Pediatric billing as well as tailored billing solutions, encompassing: [Add the specific services offered]
Verification of Insurance Eligibility Services
Our primary objective is to verify patients’ eligibility for Pediatric services benefits within their insurance policies, while also confirming the presence of any required referrals or pre-authorization in their plans. Once the eligibility is confirmed, we proceed to calculate the deductible amount and the patient’s co-payment. Our Pediatric billing system is designed to optimize cash flow, streamline reimbursements, and provide comprehensive insurance eligibility verification services.
Demographics & Charge Entry Services
The critical stage in the billing process involves charge entry, where the healthcare organization determines the payment amount. It is of utmost importance to have a skilled team handling patient demographics entry, ensuring accurate data is entered into the system.
Our dedicated Pediatric billing services team excels in providing top-notch patient demographic and Pediatric charge entry services, guaranteeing error-free and high-quality results.
Pediatric Billing & Analysis
Our Pediatric medical billing team conducts a thorough validation process and assigns suitable cardiac codes by carefully reviewing various sources in a patient’s file. These sources include the doctor’s transcription, diagnostic test reports, imaging reports, and other relevant information.
Incorrect code input can lead to continuous claim denials, underpayments, and disruptions in the workflow. Moreover, such challenges can give rise to unnecessary claim-related burdens and complex medical billing concerns.
AR Follow up Services
Managing accounts receivable cases can prove to be a challenging and time-consuming task. In order to minimize AR days, we are dedicated to tirelessly pursuing unpaid Pediatric claims. Additionally, our Pediatric receivables management team promptly initiates the appeal process for denied or underpaid claims, ensuring they are efficiently processed and reimbursed according to schedule.
Pediatric Services Collection & Denial Analysis
The Pediatric medical billing team meticulously examines multiple sources within a patient’s file, including the doctor’s transcription, imaging reports, diagnostic test results, and other relevant data. Their objective is to validate the services rendered and accurately assign the appropriate Pediatric Codes.
Should a claim be rejected due to insufficient information, the team promptly addresses the gaps by swiftly filling in the missing details. Additionally, our proficient Pediatric billing experts and analysts are available to aid you in monitoring and comprehending denial patterns, as well as implementing strategies to minimize the occurrence of denials.
Posting Payments
Payment posting serves as the primary defense in identifying payer concerns. It allows us to spot issues like medical necessity denials, non-covered services, and prior authorization denials. These concerns are then directed to the relevant members of the Pediatric RCM team for resolution. To ensure accuracy, we meticulously examine Electronic Remittance Advice (ERAs) and scanned Explanation of Benefits (EOBs), verifying that all payment details are accurately recorded. Subsequently, we promptly update the patient accounts with the correct information.
Providers Credentialing Services
Provider credentialing plays a crucial role in the revenue cycle as it solidifies the connection between physicians or healthcare providers and payers. This process enables patients to utilize their insurance cards to cover Pediatric treatments while ensuring that the medical services provided by the physician are appropriately reimbursed.
Through the implementation of ERA setups, our Pediatric billing team achieves several benefits. They boost the number of referrals, minimize revenue leakage, reduce denials, and identify important trends related to the providers’ services.
Pediatric Billing Software ProcareMedex Medical Billing Supports
The revenue cycle management process relies heavily on billing software, which plays a crucial role in streamlining administrative procedures and reducing the use of paper. The current Pediatric billing software solutions have significantly improved the efficiency of coding, filing, and tracking claims, making the entire process more streamlined and time-effective.
Our team possesses expertise in handling a wide array of tools and technologies related to Pediatric billing, as well as various other specialties. We are well-versed in dealing with major medical billing software, such as Practicefusion, Allscripts, CureMD, CollaborateMD, Medisoft, Medical Manager, Docutap-Experity, eClinicalWorks, NextGen, Advanced MD, Kareo, Gorev, Elligence, and many more.
Why Choose ProcareMedex for Cardiology Billing Services
- At ProcareMedex Medical Billing, we offer a wide array of Cardiology Medical Billing Solutions tailored to suit the unique needs of your healthcare organization. With vast experience working with both short-term and long-term care facilities, from single-location hospitals to large healthcare systems with specialized programs, we are well-equipped to handle your cardiology billing needs. By choosing us as your medical billing and coding partner, you gain access to a range of resources, including HIPAA-compliant billing services and cutting-edge technology.
Our dedicated experts are available round-the-clock to address any inquiries you may have, ensuring timely and efficient billing services. We take pride in providing affordable and personalized medical billing and coding solutions to support your practice.
Key Points That Makes Us Best Medical Billing Company
• Our team guarantees a 20% reduction in front-end denials.
• Enhance the accuracy of fees and collection procedures.
• Streamline the process, minimizing manual entry issues, and optimizing RCM system efficiency.
• Expertly handle Out-of-Network Negotiations.
• Efficiently handle payment posting and refunds adjustment to optimize cash flow.
• Dedicated account manager catering to all your requirements.
• Our track record shows consistent improvement in collection ratios by expediting account receivables.
• We provide top-notch, error-free cardiology billing and collection services.
• Timely processing and follow-up are part of our commitment.
• Our services are designed to be easily scalable at all times.