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Pediatrics Billing Services

Well-visit coding, vaccine administration, and Medicaid/CHIP expertise across all 50 states.
Pediatrics Billing

We know pediatrics billing inside out.

Pediatric billing requires mastery of well-visit codes, vaccine administration coding, and Medicaid/CHIP requirements that vary by state. We serve pediatric practices from solo offices to large multi-location groups.

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EPSDTCompliance expertise
VaccineAdministration billing
Medicaid/CHIPAll 50 states
Well VisitComplete coding

What we handle for pediatrics practices

Well-Child Visit Coding

Complete preventive medicine coding for all age groups.

Vaccine Administration

Correct vaccine administration codes with appropriate counseling codes.

EPSDT Compliance

Early and Periodic Screening, Diagnostic, and Treatment billing for Medicaid.

Developmental Screening

Billing for developmental and behavioral screening tools.

Newborn Care Billing

Hospital newborn care and initial nursery care visit coding.

Medicaid/CHIP Expertise

State-specific Medicaid and CHIP billing requirements for all 50 states.

How We Work

Specialty-specific billing — not generic billing applied to your specialty

Generic billers learn your specialty on the job — using your revenue to fund their education. Our coders are hired, trained, and audited by specialty. Your cardiology charts go to a cardiology coder. Every time.

Specialty-Trained Coders

Every coder on your account is trained specifically in your specialty's coding rules, documentation requirements, and payer quirks. No generalists.

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Quarterly Coding Audits

We audit every coder's accuracy quarterly. Any coder falling below 95% accuracy is immediately retrained and supervised. Your clean claims rate doesn't slip.

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Continuous Payer Updates

We track payer policy changes, LCD updates, and code revisions in real time. When a payer changes a coverage policy for your specialty, we know before you do.

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Client Proof

What practices like yours say after switching

We switched to RCMBillers after struggling with our previous biller for 2 years. Within 90 days our denial rate was cut in half and collections were up significantly. They know pediatrics billing — not just billing in general.

Practice ManagerPediatrics PracticeDenial rate cut 50%+ in 90 days

The coding audit they did in the first month found $80,000 in undercoded procedures we had no idea about. That alone justified years of service fees.

Physician OwnerPediatrics Group Practice$80K found in coding audit

Credentialing used to take us 4 months. RCMBillers completed 3 payer enrollments in under 4 weeks. We haven't had a credentialing delay since day one.

Office DirectorPediatrics CenterPayer enrollment: 4 months → 3 weeks
Common Questions

Frequently asked questions

Yes. We assign specialty-specific coders and billing specialists to each account. Your pediatrics charts are handled by team members who are trained, tested, and audited specifically in pediatrics billing — not generalists who work across dozens of specialties.
Most pediatrics practices see a measurable denial rate reduction within 30–45 days. The first 30 days focus on fixing front-end issues (eligibility, pre-auth) and appealing existing denials. By day 60, the structural changes are producing consistent improvements.
Yes — credentialing is included in our Professional and Enterprise plans. We handle CAQH ProView setup, payer enrollment, re-credentialing, and maintenance. Average payer enrollment time is 3 weeks — far faster than managing it in-house.
We integrate with all major EHR and practice management systems — including Epic, Cerner, Athenahealth, eClinicalWorks, Kareo, NextGen, Modernizing Medicine, and 40+ others. Integration is handled by our technical team and typically takes under 48 hours.
No setup fees. No long-term contracts. We operate on a 30-day cancellation policy and charge a percentage of collections only — typically 3–5% depending on specialty and volume. We earn when you earn.
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