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Streamline Your Pediatrics Revenue Cycle

Pediatric Billing and Coding Services

Denied claims hurt your revenue, but they don’t have to. Whether you’re a hospital drowning in underpaid claims, a specialty clinic battling coding errors, or a private practice losing money on avoidable denials, we fix them. At Steady Medical Biling, our experts analyze, appeal, and prevent denials so you get paid faster.

  • 98% clean claim rate (fewer denials, faster payments)
  • AAP-compliant coding (vaccines, modifiers, ICD-10)
  • Full RCM support (eligibility, AR recovery, audits)
Get a Free Billing Audit
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Pediatric Billing Challenges Costing You Time & Revenue

Pediatric practices face unique billing hurdles, complex vaccine coding, frequent Medicaid updates, and strict well-visit documentation rules. These lead to claim denials, underpayments, and audit risks, draining your revenue and staff productivity.
Common Pediatric Billing Issues:
  • Incorrect vaccine coding
  • Missed preventive care bundling
  • Medicaid credentialing delays
  • High denial rates
At Steady Medical Billing, we solve these challenges with specialized pediatric medical billing services. Our experts ensure accurate coding, faster reimbursements, and fewer denials, so you can focus on patient care.

How It Hurts Your Practice

Revenue lost from underpayments and denials
0%
Of your time wasted weekly on claim appeals and corrections
0%
Higher audit risk due to coding errors
0%
Payment delays from billing inefficiencies
0%

End-to-End Pediatric RCM & Billing Solutions

We handle your entire revenue cycle, from claim submission to payment posting, so you can focus on patients, not paperwork. Our pediatric-specific expertise ensures maximum reimbursements, fewer denials, and stress-free compliance.
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Specialized Pediatric Coding

Every vaccine, well-child visit, and complex case gets ICD-10 and CPT coding. Our AAP-compliant coding prevents denials and ensures payment.

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Intelligent Claims Processing

Our proprietary claim scrubbing technology catches errors before submission. This results in industry-leading 98% claim acceptance rates.

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Aggressive Denial Recovery

We don't just track denials - we fix them. Our team recovers an average of 30% of initially rejected claims through expert appeals.

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Real-Time Payment Posting

Daily reconciliation of all payments and adjustments with complete transparency. We identify and resolve underpayments immediately.

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Credentialing Services

From initial Medicaid enrollment to ongoing payer contracting, we handle all provider credentialing needs. Expand your network.

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AR Management & Collections

Our 120-day active accounts receivable follow-up system ensures nothing falls through the cracks. Get paid what you've earned.

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Performance Analytics

Custom monthly reports track collections, denial patterns, and opportunities. Make data-driven decisions to grow your practice.

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Compliance Protection

Regular coding audits and documentation reviews keep you protected. Sleep easy knowing you meet all AAP and Medicaid requirements.

Ready to Boost Your Pediatric Practice's Revenue?

Stop losing money to billing errors and denials! Let Steady Medical Billing handle your pediatric RCM so you can focus on what matters most: Your patients.
Maximize My Pediatric Revenue
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Smart Pediatric Billing Analytics for Smarter Decisions

Gain complete financial visibility with our pediatric-specific reporting that turns billing data into actionable insights, helping you optimize revenue and practice performance.
01

Real-Time Performance

Track KPIs like denial rates, collection times, and payer mix through intuitive, color-coded analytics.
02

Family-Based Billing Intelligence

Unique reporting clusters siblings and family units to spot trends and prevent duplicate claim errors.
03

Denial Prediction Alerts

Our advanced system proactively flags high-risk claims before submission, reducing denials by up to 40%.
04

Payer Performance Reports

Identify slow-paying insurers and proactively negotiate better contracts using historical reimbursement data.
05

Custom Workflow Analytics

Pinpoint billing bottlenecks in your pediatric scheduling and detailed visit documentation workflow processes.
06

Benchmarking Comparisons

See how your practice stacks against pediatric-specific revenue cycle metrics regionally and nationally.

Tailored Pediatric Billing Solutions for Your Unique Practice Needs

At Steady Medical Billing, we understand that no two pediatric practices operate exactly alike. That's why our pediatric medical billing services are fully customized to your practice size, specialty focus, and patient demographics. Whether you're a solo pediatrician or a multi-provider clinic serving diverse communities, we adapt our solutions to your workflow - from newborn care billing to complex adolescent chronic disease management. Our team becomes an extension of your practice, learning your specific payer mix, state Medicaid requirements, and documentation preferences to create a seamless revenue cycle.
We specialize in multi-payer claim processing that navigates the complexities of private insurers, Medicaid, CHIP, and hybrid plans with precision. Every claim is processed according to the latest state-specific rules and regulations, ensuring compliance with:
  • Vaccine administration billing protocols
  • Well-child visit documentation requirements
  • State Medicaid EPSDT
    guidelines
  • Telehealth reimbursement
    standards
This meticulous approach eliminates compliance risks while maximizing reimbursements across all payers.
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Why Choose Us

Specialty-Tailored Pediatric Billing for Maximum Reimbursement

Every pediatric specialty faces unique billing challenges, from routine well-child visits to complex chronic care management. At Steady Medical Billing, we’ve developed specialized expertise across all pediatric disciplines, ensuring each claim reflects the full scope and complexity of your services. Whether you’re a general pediatrician, pediatric specialist, or urgent care provider, our team speaks the language of your specialty and understands its distinct documentation and coding requirements.

We go beyond generic medical billing to deliver specialty-specific solutions that address:

  • Age-specific coding nuances (newborns vs. adolescents)
  • Varying payer rules (private insurance vs. Medicaid)
  • Specialty documentation standards (developmental screenings, procedures)
  • Practice size considerations (solo providers to large groups)

How It Hurts Your Practice

Meticulous coding for well-child visits (99381-99395), sick visits, and vaccinations with proper CVX/NDC code pairing to maximize preventive care reimbursements.
Accurate coding for cardiology (echo codes 93303-93350), neurology (EEG codes 95812-95822), and other specialties with proper modifier usage for consults and procedures.
Precise global period management, procedure coding (eg. tonsillectomy 42820), and post-op care documentation to ensure proper surgical reimbursement.
After-hours coding (99050), injury care (E-codes), and proper distinction between urgent vs. emergency care for clean claims.
Compliant coding for ADHD management (96110), autism screenings (96110-96127), and therapy services with proper time documentation.
Specialized newborn care coding (99460-99463), critical care codes (99468-99476), and proper documentation of daily management.
Location-specific telehealth modifiers (95, GT), proper POS codes, and real-time compliance with changing virtual care regulations.
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Medical Billing and Coding Guidelines 2025

CMS has released critical updates impacting medical billing and coding for 2025. Understand new documentation rules, code revisions, and payer requirements.
Learn More

Get a FREE Pediatric Billing Audit – Discover How Much You’re Losing!

Our experts will analyze your claims and show you where denials, underpayments, and coding errors are costing you.
Audit My Pediatric Billing