We here at Capture Billing know Pediatric Billing because we started as a successful pediatric office before establishing Capture.
Our billers and coders are trained in pediatric billing and we know pediatric practice management. Our experience is sure to help you.
Why is having Pediatric Billing experience important?
Pediatric billing has specific billing requirements that other specialties may not have. One big example is vaccines. If vaccines are not billed and followed up on properly a practice can lose a lot of money.
A single vaccine may cost the practice up to $170. So making sure the right NDC number and diagnosis code is used and ensuring the insurance company submission rules are followed to the letter are vital. Not getting paid for even a few vaccines will hurt the practice. Over time this could lead to tens of thousands of dollars lost. You don’t want that!
Other Pediatric Billing Issues We Can Help With
Here are a few other pediatric coding and billing issues and coding opportunities where we have expertise.
We know how to bill insurance for newborns properly
We know which Vaccine Administration you should use, 90471 or 90460
We can help you bill Well Checks and Sick Vests together
We know how to bill insurance when each child in the family has their own coverage
. . . . plus more.
Here is One Example of Coding For All You Do
Do you know all the codes you may be able to use for billing a Nebulizer treatment?
94640 Inhalation Treatment
94640-76 Subsequent Inhalation Treatment
A7003 Nebulizer Tubing & Mouth Piece
A7015 Nebulizer Mask
94150 Peak Flow
94760 Pulse Oximeter
94761 Repeat Pulse Oximeter
Hopefully this give you a glimpse of how we can help your pediatric practice to bill properly and maximize your reimbursement.
Imagine what a difference Capture Billing can make.