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Pediatrics Medical Billing

Outsourcing pediatric medical billing allows your staff to focus on what they do best – providing excellent care for young patients in USA. By eliminating the administrative burden of medical billing, our pediatricians and their teams have more time to spend with patients and families, leading to a more positive healthcare experience for everyone.
Call Us

Professional Pediatrics Medical Billing

Our professional pediatric medical billing services offer a comprehensive solution tailored to the specific needs of pediatric practices.  Our medical billing experts work on insurance verification and pre-authorization to avoid claim denials, accurate coding for growth charts, immunizations, and age-specific procedures, and charge capture to ensure all services are billed correctly to insurance companies across the nation. Additionally, our services often encompass follow-up on denied claims and appeals processes, maximizing revenue collection and minimizing administrative headaches for your practice.

Our Pediatrics Medical Billing Process

At Stars Pro, our pediatrics medical billing specialists understands the complexities of pediatrics medical billing, and we have a clear insight into the complex coding and insurance requirements involved. With our pediatrics billing services, we will engage with your practice staff to develop a deep understanding of your clinical processes.

Patient Registration and Insurance Verification

In this step our experts collect accurate patient demographics and insurance information. Our expert then Verify insurance eligibility and benefits upfront helps avoid claim denials later by insurance companies.

Encounter Documentation Review

After the patient visit, the pediatrician's notes are reviewed to ensure proper documentation of services provided, diagnoses, and procedures performed.

Medical Coding

A medical coder translates the encounter documentation into specific medical codes using Current Procedural Terminology (CPT) and International Classification of Diseases (ICD-10) for accurate billing. Pediatric coding has specific requirements for growth charts, and age-appropriate procedures.

Charge Entry

Using the assigned medical codes, charges are entered into the billing system considering all relevant modifiers and place of service.

Claims Submission

The completed claim form, containing patient information, diagnosis codes, procedure codes, and charges, is submitted electronically to the insurance company for reimbursement.

Payment Posting and Denial Management

Once the insurance processes the claim, the payment is posted. In case of claim denials, the biller investigates the reason and initiates the appropriate follow-up, which may involve contacting the insurance company or appealing the denial.

What are Benefits of Outsourcing Pediatrics Medical Billing?

There are several benefits to outsourcing pediatrics medical billing, some of them are:

Increased Efficiency and Accuracy:  Pediatric billing specialists stay up-to-date on complex coding requirements specific to children’s healthcare. This ensures accurate claims submitted on time, minimizing denials and maximizing reimbursements.

Improved Cash Flow: Faster claim turnaround and fewer denials lead to a steady stream of incoming revenue for your practice.

Reduced Administrative Burden:  Outsourcing frees up your in-house staff to focus on patient care and other essential tasks. No need to hire and train dedicated billing personnel in your practice office.

Expertise in Pediatric Billing:  At Stars Pro, our experts understand the complexities of pediatric coding, including growth charts, immunizations, and age-specific procedures.

Enhanced Compliance:  Staying on top of ever-changing regulations is crucial. Outsourcing partners ensure your practice adheres to all billing and coding guidelines.

More Time for Patients:  By delegating medical billing, pediatricians and their teams can dedicate more time to providing high-quality care for their young patients.

What CPT Codes Are Used by Pediatricians in Billing?

Pediatricians utilize a specific range of Current Procedural Terminology (CPT) codes for medical billing. These codes categorize the services provided during a patient encounter. Here’s a breakdown of common CPT codes used in pediatrics:

  • Evaluation and Management (E/M) Codes: These codes represent office visits based on the level of service provided. Common examples include:

99203/99204: New patient office visit (levels 3 & 4)

99213/99214: Established patient office visit (levels 3 & 4)


  • Preventive Medicine Codes: These codes encompass well-child checkups for different age groups:

99381-99385: New patient preventive care (codes vary by age group)

99391-99395: Established patient preventive care (codes vary by age group)

  • Immunization Codes: Specific codes exist for each administered vaccine. These are typically reported along with E/M or preventive medicine codes.


  • Procedural Codes: These codes represent specific procedures performed during a visit, such as:

 

64000: Injection, intradermal

90471: Otitis media with effusion exam

Why Pediatricians Choose Stars Pro Medical Billing Services?

Pediatric Expertise: Stars Pro Medical Billing has expert medical billing and coding team and they have specific experience and knowledge in handling pediatric billing. Our experts have familiarity with coding for growth charts, immunizations, and age-specific procedures – areas crucial for accurate reimbursement in pediatrics.

Focus on Efficiency and Accuracy: We emphasize our ability to streamline the billing process for busy practices, ensuring timely claim submissions and minimizing errors that lead to denials. This translates to faster reimbursements and improved cash flow.

Compliance with Regulations: Pediatricians are likely concerned with staying up-to-date on complex billing and coding regulations. Stars Pro Medical Billing could address this by highlighting our commitment to staying current and ensuring the practice adheres to all guidelines.

Cost-Effectiveness: While the specific pricing structure might not be available publicly, Stars Pro Medical Billing could position themselves as a cost-effective solution compared to hiring and training in-house billing staff.

Explore More

FAQ! NEED HELP?

Pediatric medical billing involves submitting claims to insurance companies for services rendered by pediatricians and other healthcare professionals treating children in the USA. This includes accurate coding for procedures and diagnoses, claim submission, and ensuring proper reimbursements.
Stars Pro offers a comprehensive billing solution specifically designed for pediatric practices. We handle the entire billing cycle, from patient intake and verification to claim submission, follow-up on denials, and managing Accounts Receivable (AR).
Yes! Prior authorizations are common in pediatrics for certain procedures or medications. At Stars Pro we understands these requirements and works efficiently to obtain approvals before treatment, ensuring a smooth process for your patients and practice.
AR refers to the money owed by patients and insurance companies for your services. Stars Pro’s dedicated AR team works diligently to collect outstanding balances, improving your cash flow and reducing your AR burden.
Practice Management software helps streamline your clinic’s operations, including scheduling appointments, and managing patient records. Stars Pro integrates seamlessly with your existing software, allowing for efficient data transfer and streamlined billing processes.
Outsourcing allows you to focus on patient care while At Stars Pro, our experts handles the complexities of billing. We offer expertise in pediatric coding and billing regulations, maximizing reimbursements and minimizing denials.
At Stars Pro, we provide customized reports according to your needs. These reports provide valuable information related to areas like coding accuracy, collection rates, and overall practice revenue. This data allows you to make informed decisions regarding billing strategies and practice growth.
Contact Stars Pro today! We offer consultations to discuss your specific needs and demonstrate how our services can benefit your practice. Let us help you streamline your billing and focus on delivering exceptional care to your young patients.

Pediatrics Medical Billing

Outsourcing pediatric medical billing allows your staff to focus on what they do best – providing excellent care for young patients in USA. By eliminating the administrative burden of medical billing, our pediatricians and their teams have more time to spend with patients and families, leading to a more positive healthcare experience for everyone.
Call Us

Professional Pediatrics Medical Billing

Our professional pediatric medical billing services offer a comprehensive solution tailored to the specific needs of pediatric practices.  Our medical billing experts work on insurance verification and pre-authorization to avoid claim denials, accurate coding for growth charts, immunizations, and age-specific procedures, and charge capture to ensure all services are billed correctly to insurance companies across the nation. Additionally, our services often encompass follow-up on denied claims and appeals processes, maximizing revenue collection and minimizing administrative headaches for your practice.

Our Pediatrics Medical Billing Process

At Stars Pro, our pediatrics medical billing specialists understands the complexities of pediatrics medical billing, and we have a clear insight into the complex coding and insurance requirements involved. With our pediatrics billing services, we will engage with your practice staff to develop a deep understanding of your clinical processes.

Patient Registration and Insurance Verification

In this step our experts collect accurate patient demographics and insurance information. Our expert then Verify insurance eligibility and benefits upfront helps avoid claim denials later by insurance companies.

Encounter Documentation Review

After the patient visit, the pediatrician's notes are reviewed to ensure proper documentation of services provided, diagnoses, and procedures performed.

Medical Coding

A medical coder translates the encounter documentation into specific medical codes using Current Procedural Terminology (CPT) and International Classification of Diseases (ICD-10) for accurate billing. Pediatric coding has specific requirements for growth charts, and age-appropriate procedures.

Charge Entry

Using the assigned medical codes, charges are entered into the billing system considering all relevant modifiers and place of service.

Claims Submission

The completed claim form, containing patient information, diagnosis codes, procedure codes, and charges, is submitted electronically to the insurance company for reimbursement.

Payment Posting and Denial Management

Once the insurance processes the claim, the payment is posted. In case of claim denials, the biller investigates the reason and initiates the appropriate follow-up, which may involve contacting the insurance company or appealing the denial.

What are Benefits of Outsourcing Pediatrics Medical Billing?

There are several benefits to outsourcing pediatrics medical billing, some of them are:

Increased Efficiency and Accuracy:  Pediatric billing specialists stay up-to-date on complex coding requirements specific to children’s healthcare. This ensures accurate claims submitted on time, minimizing denials and maximizing reimbursements.

Improved Cash Flow: Faster claim turnaround and fewer denials lead to a steady stream of incoming revenue for your practice.

Reduced Administrative Burden:  Outsourcing frees up your in-house staff to focus on patient care and other essential tasks. No need to hire and train dedicated billing personnel in your practice office.

Expertise in Pediatric Billing:  At Stars Pro, our experts understand the complexities of pediatric coding, including growth charts, immunizations, and age-specific procedures.

Enhanced Compliance:  Staying on top of ever-changing regulations is crucial. Outsourcing partners ensure your practice adheres to all billing and coding guidelines.

More Time for Patients:  By delegating medical billing, pediatricians and their teams can dedicate more time to providing high-quality care for their young patients.

What CPT Codes Are Used by Pediatricians in Billing?

Pediatricians utilize a specific range of Current Procedural Terminology (CPT) codes for medical billing. These codes categorize the services provided during a patient encounter. Here’s a breakdown of common CPT codes used in pediatrics:

  • Evaluation and Management (E/M) Codes: These codes represent office visits based on the level of service provided. Common examples include:

99203/99204: New patient office visit (levels 3 & 4)

99213/99214: Established patient office visit (levels 3 & 4)


  • Preventive Medicine Codes: These codes encompass well-child checkups for different age groups:

99381-99385: New patient preventive care (codes vary by age group)

99391-99395: Established patient preventive care (codes vary by age group)

  • Immunization Codes: Specific codes exist for each administered vaccine. These are typically reported along with E/M or preventive medicine codes.


  • Procedural Codes: These codes represent specific procedures performed during a visit, such as:

 

64000: Injection, intradermal

90471: Otitis media with effusion exam

Why Pediatricians Choose Stars Pro Medical Billing Services?

Pediatric Expertise: Stars Pro Medical Billing has expert medical billing and coding team and they have specific experience and knowledge in handling pediatric billing. Our experts have familiarity with coding for growth charts, immunizations, and age-specific procedures – areas crucial for accurate reimbursement in pediatrics.

Focus on Efficiency and Accuracy: We emphasize our ability to streamline the billing process for busy practices, ensuring timely claim submissions and minimizing errors that lead to denials. This translates to faster reimbursements and improved cash flow.

Compliance with Regulations: Pediatricians are likely concerned with staying up-to-date on complex billing and coding regulations. Stars Pro Medical Billing could address this by highlighting our commitment to staying current and ensuring the practice adheres to all guidelines.

Cost-Effectiveness: While the specific pricing structure might not be available publicly, Stars Pro Medical Billing could position themselves as a cost-effective solution compared to hiring and training in-house billing staff.

Explore More

FAQ! NEED HELP?

Pediatric medical billing involves submitting claims to insurance companies for services rendered by pediatricians and other healthcare professionals treating children in the USA. This includes accurate coding for procedures and diagnoses, claim submission, and ensuring proper reimbursements.
Stars Pro offers a comprehensive billing solution specifically designed for pediatric practices. We handle the entire billing cycle, from patient intake and verification to claim submission, follow-up on denials, and managing Accounts Receivable (AR).
Yes! Prior authorizations are common in pediatrics for certain procedures or medications. At Stars Pro we understands these requirements and works efficiently to obtain approvals before treatment, ensuring a smooth process for your patients and practice.
AR refers to the money owed by patients and insurance companies for your services. Stars Pro’s dedicated AR team works diligently to collect outstanding balances, improving your cash flow and reducing your AR burden.
Practice Management software helps streamline your clinic’s operations, including scheduling appointments, and managing patient records. Stars Pro integrates seamlessly with your existing software, allowing for efficient data transfer and streamlined billing processes.
Outsourcing allows you to focus on patient care while At Stars Pro, our experts handles the complexities of billing. We offer expertise in pediatric coding and billing regulations, maximizing reimbursements and minimizing denials.
At Stars Pro, we provide customized reports according to your needs. These reports provide valuable information related to areas like coding accuracy, collection rates, and overall practice revenue. This data allows you to make informed decisions regarding billing strategies and practice growth.
Contact Stars Pro today! We offer consultations to discuss your specific needs and demonstrate how our services can benefit your practice. Let us help you streamline your billing and focus on delivering exceptional care to your young patients.
Get A Free Quotes
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CLIENT'S REVIEWS

Sheikh Parviz

5/5
The team works very hard to get credentialing, billing in a timely manner as well as correcting any inaccuracies.

Loretta Oguonu

5/5
Your billing company has been a great help to my practice and I can not thank you enough for your help. Your company especially you are always in time for billing for me and calling back anything I need your assistance. Thank you for all you do.

Ngozi Nwobi

5/5
Ngozi NwobiExceptional billing company. Knowledgeable about their services.

Ryan Barclay

5/5
Ryan BarclayGreat service! Would recommend.

Erik Svensson

5/5
Excellent service, Very responsive, Very organized.Thank you

Amanda Curley

5/5
Our acupuncture practice has worked with Stars Pro Medical Billing for over a year. I highly recommend them for their expedited services and quick responses. I interviewed a lot of companies before handing over this responsibility. I am grateful it has landed in trusted hands.

Jeff Bogner

5/5
I have worked with Stars Pro Medical Billing for about 9 months now. They take care of my billing for my Physical/Occupational Therapy business. They are great to work with and very detailed. They have a great team. I was very impressed when I first started with them and their team approach they take and professionalism. They have always been quick to work with any problem we may be having with an insurance and work to have it resolved.

Kimberly M

5/5
The Star Pro team is great! Expedited request and the most professional staff to help a fast past growing business.

Merritt Widen, MD

5/5
We’re very happy with Stars Pro and eagerly anticipate future collaborations. Their patience and understanding have been invaluable as we grow our business together.

Catherine Antoine 

5/5
For the past three months, Stars Pro Medical Billing has been our lifesaver. They resolved every one of my pending or rejected bills. They communicate with me promptly and give thorough reports, both of which I find useful. They are excellent for your billing needs, in my opinion. Highly recommended !

Dr. Maria C Erazo

5/5
I’m very pleased with Stars Pro Medical Billing services, the transition it’s been really smooth, and Stars Pro’s team has been able to identify and solve gaps from the previous company. There is a great communication pathway and so far good results. I am very happy with my decision with my current Billing Team.

Dr. Loretta Oguonu

5/5
Stars Pro Medical Billing is a very unique company in medical billing services. Stars Pro has tremendous team players in medical billing, insurance credentialing, and clients’ insurance eligibility verification for my company Lacka Behavioral Health since we started the business with Stars Pro. Stars Pro has eased the burden of medical billing, credentialing, filling claims, and clients’ insurance eligibility for Lacka Behavioral Health from the beginning of my practice. The Stars Pro is prompt, efficient, and effective in filling medical claims and clients’ insurance eligibility. The charges for their services are reasonable and affordable. I recommend their services to healthcare providers especially providers starting a new practice.

Channel Partners

Stars Pro® Medical Billing inventive model is one of the fastest growing physician practice communities in the United States. We are dedicated to lashing change in the medical community by providing progressive, state-of-the-art solutions. Through our Channel Partnerships.

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