Pediatrics Billing
Comprehensive billing for pediatric practices serving patients from birth through adolescence.
Common Billing Challenges in Pediatrics
Pediatric billing has unique requirements — well-child visits, vaccine administration, developmental screening, and age-specific coverage rules all create complexity that general billing teams often miss.
Well-Child Visit Coding
Preventive visit codes vary by age group and must be combined correctly with vaccines and developmental screenings.
Vaccine Administration Billing
Vaccine billing involves both the product code and an administration code — each with payer-specific coverage rules.
Medicaid and CHIP Billing
A large portion of pediatric patients are covered by Medicaid or CHIP, which have unique billing requirements by state.
EPSDT Services
Early and Periodic Screening, Diagnostic, and Treatment services have their own billing requirements under Medicaid.
How TBL MedRCM Solves It
Related Services
