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100+ Providers Trust
Pediatric Billing To Grow Your Practice
Flexible Billing Systems That Adapt To The Unique Needs of Pediatric Healthcare Providers.
Accurate Billing for well visits, sick visits, and immunizations.
Faster Reduce payment delays with claim automation.
Compliant Meet pediatric-specific billing guidelines.
Transparent Monthly KPI & revenue growth reports.
Streamlined Medical Billing Solutions
Designed To Maximize Your Practice Revenue
Our Experienced Team Delivers Accurate, Compliant, & Efficient Billing Services, Helping Healthcare Providers Reduce Denials, Improve Cash Flow, & Focus On Patient Care.
Numbers That Tell Our Story
” BEHIND EVERY STAT IS A MILESTONE WE ARE PROUD OF “
IN BUSINESS
CLAIMED PROCESSED
REDUCTION IN AR
REVENUE IMPROVEMENT
FIRST PASS CLAIM RATE
Driving Pediatric Practice Revenue
With Smarter Billing
Streamlined Pediatric Billing for Faster Payments
Pediatric billing includes wellness visits, vaccinations, and developmental screenings. In states like Florida, California, and New York, payer rules often lead to claim rejections. Evocare automates coding workflows and ensures documentation compliance across all states. Our experts minimize errors and accelerate collections for pediatric providers. With our support, practices can focus on patient care while we handle billing efficiently. We also manage prior authorizations, claim follow-ups, and appeals to recover lost revenue. Through detailed reporting and analytics, practices gain full visibility into their financial performance.
Prevent Revenue Loss in Pediatric Claims
Missed vaccine codes, outdated preventive care modifiers, and mismatched NPIs often trigger denials. States such as Texas, Illinois, and Ohio report high pediatric claim rejection rates. Evocare minimizes these issues with proactive claim review, payer-specific coding adjustments, and streamlined submission processes. Our team monitors denials, follows up on unpaid claims, and ensures timely resubmissions. By optimizing billing workflows and maintaining compliance across multiple payers, pediatric practices can maximize reimbursements and reduce write-offs. With Evocare handling the administrative burden, providers can dedicate more time to delivering quality care.
Smarter Billing For Growing Practices
We offer specialized coding for well visits and immunizations, ensuring accuracy in newborn and developmental screening claims. Our team streamlines prior authorizations for pediatric therapies and provides expert support for behavioral and ADHD billing. With scalable solutions to manage seasonal patient surges, we help your pediatric practice maintain steady revenue while enhancing care delivery.
Pediatric Revenue Cycle Workflow
Streamline Financial & Operational Challenges With Willing & Coding Processes Built For Well Visits, Immunizations, & Pediatric Care.
Pediatric Billing & Revenue Support
Management Services
Delivering Complete Payment Capture For Well-Child Visits & Immunizations.
Real-time verification that prevents rejections & secures faster payments.
Fast, accurate credentialing that gets your providers enrolled & billing without delays.
Patient-focused CCM programs that improve outcomes & generate recurring revenue.
Skilled virtual assistants who simplify clinical tasks & boost provider productivity.
Efficient front desk operations improving accuracy, workflow, & patient satisfaction.
Real-time verification that prevents rejections & secures faster payments.
Fast, accurate credentialing that gets your providers enrolled & billing without delays.
Patient-focused CCM programs that improve outcomes & generate recurring revenue.
Skilled virtual assistants who simplify clinical tasks & boost provider productivity.
Efficient front desk operations improving accuracy, workflow, & patient satisfaction.
Billing Without Hassle!
Streamline Your Workflow & Boost Productivity With Our Innovative Solutions.
EHR’s We Work With
Evocare Billings Keep Your Billing Flawless & Fully Integrated – No Matter Which EHR or EMR Your Practice Runs On
Hear From Our Clients
From Struggle To Streamlined — Their Words, Our Wins, & Voices Of Success.
Improve Cash Flow for Your Pediatric Practice
Pediatric billing requires attention to detail, from well-child visits to immunizations and developmental screenings. Our AAPC-certified billing professionals & Certified Professional Coders (CPCs) ensure accurate coding and submission, reducing errors and improving collections for both routine and specialized pediatric services.
We support pediatric practices by managing seasonal surges, telehealth billing, and prior authorizations. By minimizing denials and optimizing the revenue cycle, our team of experienced medical coders & billing specialists helps pediatricians achieve financial stability while focusing on the health and growth of their patients.
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Frequently Asked Questions By
Pediatricians
If You Can’t Find The Answer You’re Looking For, That’s No Problem. Schedule a Demo, & We’ll Work To Answer Your Question.
Why do vaccine administration claims deny?
CPT 90460 requires documentation of counseling by a physician. If administered without counseling, 90471 applies. ICD Z23 must be linked for coverage.
How do well-child visits bundle incorrectly?
99391–99395 include anticipatory guidance. Billing additional counseling (99401) during the same visit denies unless separately identifiable with modifier -25.
Why do pediatric developmental screening claims reject?
96110 requires standardized test documentation (e.g., M-CHAT for autism). Billing without tools results in denials despite clinical suspicion.
How does time-based coding affect E/M in pediatrics?
For prolonged visits, 99215 + 99417 apply if >40 minutes documented. Many providers underbill due to incomplete time notes.
Why are sick visits during well exams problematic?
If a child presents with strep throat during a well visit, 99393 + 99213-25 applies. Without modifier -25, sick visit denies.
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