Billing Services for Pediatric Practices

We have helped multiple pediatric practices throughout the country optimize and manage their revenue cycle.

Billing Services for Pediatric Care

Our dedicated revenue cycle management team has proven results in helping pediatric practices improve cash flow and total collections.

Our team of experts has vast knowledge and over a decade of billing experience in pediatric care. We can bill for any services needed, including wellness visits, physical exams, illnesses, injuries, immunizations, mental health visits, and any specialized care provided.

We are experienced in billing Medicaid plans and all commercial payers. We are also experienced in the nuances required by pediatric vaccination programs.

We understand the challenges that pediatric clinics face. We partner with you to ensure you are paid properly for all services so that you can focus on providing your young patients with excellent care.

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pediatric care challenges Billing Services

We understand the challenges that pediatricians face

With many years of pediatric coding and billing experience, we know you have challenges to overcome with your billing and claims management, credentialing, and compliance.

These challenges include:

Understanding the complex billing and pediatric coding guidelines required by Medicaid and commercial payers
Increased claim rejections and delays in receiving payment from payers
Difficulties with technical requirements for submitting more detailed claim information required by payers
Making sure all charges are being captured and billed promptly
Understanding how to properly bill for vaccines for children, particularly if your state requires that you send claims to a specific program designed for that

How we can help your pediatric practices thrive

Larsen Billing offers full revenue cycle management support for our clients in pediatrics, such as:

Well-Baby Care
Adolescent Medicine
Developmental and Behavioral Pediatrics
Neonatal-Perinatal Medicine
Pediatric Cardiology
Pediatric Emergency Medicine
Pediatric Urgent Care

From charge entry and pediatric coding support to posting payments, we ensure all claims are paid timely and accurately. Enjoy the peace of mind that comes with handing your billing to us so you can focus on patient care.

Billing and Claims Management

We bill your claims correctly and fight all denials. We analyze your Accounts Receivable, so you don’t have to. We worry about the cash flow, so you can focus on patient care. Our team becomes an extension of your team.

Compliance and Audits

We train you in healthcare and security compliance. We make sure your financial policies are sound. We analyze your areas of risk and audit your charts. Basically, we keep you out of trouble.

Insurance Credentialing

We send electronic applications to payers so they can’t lose your data. We don’t miss deadlines. We apply for new contracts and negotiate existing ones. You can be as involved as you want or just leave it all to us.

Provider Education

We can conduct provider education sessions focused on proper documentation/charting, understanding the requirements to support CPT codes, and appropriate supervision and incident-to-billing protocols.

We understand the complexities of these issues in your pediatric practice, and we help keep you compliant.

Benefits of partnering with us

We want you to have peace of mind about your billing and cash flow so that you can fully focus on patient care. That is why we work so hard to support you in every area that we can.

Specialized Team

We assign you a highly qualified team who works closely with you and becomes an extension of your staff.

Clean Claims

Our billing and coding experts make sure that your claims are billed accurately to prevent delays.

Full Transparency

We want you to see all of the work we do on your claims and to understand the data.

Aggressive Aging

Your ager’s sole job is to work every outstanding claim on your A/R every month and report back.

Denials and Appeals

We fight inappropriate denials and underpaid claims with aggressive appeals to make sure that you are paid properly.

Patient Collections

We manage cash payment plans, answer patient questions about their bill, and reconcile accounts after insurance pays.

Excellent Software

Our billing software is easy to use and accessible to all your staff. We can also bill out of your software if needed.

Credentialing and Contracting

We keep your credentialing current and handle any contracting needs you have.

Clear Communication

We meet with you regularly to discuss workflows and analyze your data.

Commonly Used Pediatric CPT Codes

CPT® Code	Description
99381	Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; infant (age younger than 1 year)
99382	Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; early childhood (age 1 through 4 years)
99383	Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; late childhood (age 5 through 11 years)
99384	Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; adolescent (age 12 through 17 years)
99385	Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years
99391	Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year)
99392	Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)
99393	Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)
99394	Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent(age 12 through 17 years)
99395	Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years

When my colleagues ask for billing provider suggestions, I, without pause, suggest Larsen.

I have been using Larsen Billing as my billing provider for nearly 6 years. I have been approached on numerous occasions to utilize another service. I have absolutely no desire or intention to change. When my colleagues ask for billing provider suggestions, I, without pause, suggest Larsen.