Pediatric Billing Services

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Pediatric Billing Services

PulseMedix is your trusted partner in comprehensive pediatric billing services and advanced pediatric medical billing solutions.
PulseMedix specializes in pediatric billing revenue cycle management services.

Our mission is to transform the landscape of pediatric healthcare RCM, ensuring seamless financial operations for healthcare providers. With a deep commitment to accuracy, efficiency, and compliance, PulseMedix stands as a reliable partner in optimizing your pediatric billing processes.

As a prominent player in the healthcare landscape, PulseMedix specializes in providing unparalleled support to pediatricians through a combination of advanced billing solutions and cutting-edge pediatric-specific software.

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PulseMedix Makes a Difference for Your Pediatric Medical Billing

  • A-Team Advantage:
    • PulseMedix boasts an A-team of highly experienced medical billing professionals dedicated to elevating your pediatric billing experience.
  • Leading Pediatric Software Integration:
    • Seamlessly integrating our sophisticated billing solution with the only Pediatric-specific software system ensures a tailored approach to optimize efficiency and revenue cycle performance.
  • Data-Driven Precision:
    • Leveraging the power of data, PulseMedix provides insightful advice to enhance revenue cycle performance and strategic decision-making.

    Our Comprehensive Pediatric Billing and Coding Services Include:

    Navigating the unique landscape of pediatric billing requires a specialized approach. PulseMedix ensures meticulous attention to detail, using correct NDC numbers, precise diagnosis codes, and adherence to insurance company submission rules for optimal reimbursement.

    1. Initial Credentialing

    PulseMedix provides free initial credentialing outreach to carriers of your choice, ensuring network status accessibility at startup and reasonable subsequent fees.

    2. Fee Schedule Analysis

    Our team tracks allowed amounts from network contracts, researching appropriate change levels for optimal reimbursement.

    3. Insurance Eligibility Verification

    Verifying patients' eligibility for pediatric service benefits. Computation of deductibles and co-payments for enhanced cash flow.

    4.Payment Posting

    Identifying payer issues through meticulous payment posting. Efficient updating of data into patient accounts for accuracy.

    5. Demographics & Charge Entry

    Our skilled team ensures error-free entry of patient demographics and pediatric charges, minimizing manual entry concerns

    6. Workflow Consulting

    With over 100 years of combined management experience, our experts advise on best practices to build effective teams and processes.

    7. Carrier Contract Advice

    PulseMedix offers expert guidance to navigate pitfalls and challenges, providing additional resources when necessary.

    8. Coding Expertise

    Certified coding staff ensures accurate code abstraction, chart auditing services, and provider/staff education for additional revenue opportunities.

    9. AR Follow-Up Services

    Persistent follow-up on accounts receivable instances. Timely appeals for refused and underpaid claims.

    10. Collection & Denial Analysis

    Tracking and analyzing claim denials for process improvement. Ensuring proper collection with minimized denials.

    11. Fast Claim Submission

    Prompt submission of billing ensures no delays or write-offs from inappropriate submissions, leading to up to 10% better reimbursements.

    12. Fees Based on Results

    PulseMedix operates on a results-based fee model, ensuring no charges until reimbursement is obtained, with transparent billing and no additional surprises.

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    Medical Coding Excellence at PulseMedix

    PulseMedix Pediatric Billing Services team is renowned for its expertise in medical coding, with a focus on accurate and complete documentation to ensure higher reimbursement. Our team’s proficiency in ICD-10 codes minimizes denials resulting from incorrect diagnosis and procedure code associations.

    Data Analytics for Informed Decision-Making

    PulseMedix goes beyond conventional reporting, providing financial insights crucial for addressing root causes, resolving process inefficiencies, and ensuring the integrity of all claims. Examples of our advanced financial reports include Charge & Revenue Analysis, Coding Analysis, Procedure Analysis, Payer Reimbursement Analysis, and more.

    Minimizing Medical Claim Denials

    Our experience underscores the importance of an accurate and streamlined claims cycle. PulseMedix focuses on the accuracy of patient demographics, financial information, clinical documentation, coding, and adherence to payer rules to reduce denials and optimize reimbursement.

    Pediatric Billing & Coding Expertise

    Pediatric billing and coding demand specialized knowledge, particularly when dealing with vaccines and the unique challenges of pediatric care. Our certified coders specialize in various pediatric subspecialties, ensuring accuracy and compliance with ICD-9/10, CPT, and HCPCS coding guidelines.
    PulseMedix Expertise at Pediatric Billing Software
    PulseMedix is proficient in working with various medical billing software systems, including CollaborateMD, Medisoft, eClinicalWorks, and more. Our adept team ensures seamless operations in coding, filing, and tracking claims.

    Why Choose PulseMedix for Pediatric Medical Billing Services

    HIPAA-Compliant Services:

    PulseMedix offers HIPAA-compliant Pediatric billing services, ensuring the highest standards of data security.

    Front-End Denials Reduced by 20%

    With strategic approaches, PulseMedix ensures a 20% reduction in front-end denials, optimizing your revenue cycle.

    Efficient RCM System

    PulseMedix offers pediatric billing revenue cycle management services, improving the correctness of fees and collections.

    Increased Collection Ratio

    Clients typically experience an improvement in revenue by over 20% and a reduction in denials by a minimum of 15%.

    24/7 Expert Support

    Our experts are available round the clock to address your queries and provide timely billing services.

    Results-Driven Approach

    PulseMedix is committed to delivering results, evidenced by our metrics-driven approach that focuses on reducing front-end denials, improving accuracy, and enhancing overall revenue cycle efficiency.

    Affordable and Tailored Services

    PulseMedix provides affordable and tailored medical billing and coding services, ensuring cost-effectiveness for your practice.
    Choose PulseMedix for a friction-free billing, coding, and payment posting process, ensuring your pediatric practice achieves maximum reimbursement. Schedule an appointment with our specialists today and experience excellence in Pediatric Billing Services.

    Book your free demo today!