Infallibill understands Pediatric Billing because we have coders who use to work for Pediatricians for years before coming to us.
Team Infallibill is also trained in pediatric billing on a regular basis staying up with code sets and trends that most do not even know exists until there is a “too late” scenario that takes place. This is why one of our services is Pediatric Practice Management, and that is to hopefully help before the problems occur as opposed to after. Our talent and actual hands on approach is a preventative fix to a very serious issue.
Because Pediatrics billing is considered to have the most code sets out of all billing code sets it is safe to say pediatric billing needs the most experienced coders ?
Specific billing requirements surround the offices and minds of pediatric billers to the tune of almost 1.73 hours spent per 1 hour spent on most medical billing specialties. As most pediatric practices know if Vaccines are miscalculated or improperly billed out for expected reimbursements if NDC numbers are off and diagnosis codes do not match the practice generally will have to eat $200 a pop and these are standard rules that everyone is aware of just some are not diligent in following up with the data entry costing firms a lot of money in the end.
WHAT OTHER THINGS HAS INFALLIBILL BEEN ABLE TO HELP WITH IN REGARDS TO OUR PEDIATRIC CLIENTS?
CMS and CPT are Two Worlds Apart yet soo Close together when it comes to Newborns! Vaccine administration for these little bundles are billed differently when the child has his/her own coverage as opposed to being under the family plan. Well Checks and Sick Visits can be billed together along with preventive care coordination in billing! Critical care requirements need to be reported correctly and time based critical care codes are essential when considering appropriate use and communication to the provider network. Do not let inexperience slander business profits. Here is something most billers and clinicians do not know: Critical care procedures can be provided in most settings as long as the care meets usual and customary circumstances based on underlying components. For instance a nurse practitioner making her rounds is not going to be coded as 94640 which has to do with Inhalation treatment this can potentially get a practice in deep water with insurance companies and billing groups that are not careful can miss a subsequent compounding code or two and do the same such as billing for 94640 when it was the second treatment and should have been compounded with a hyphen 76 like this 94640-76
Our Team is here to assist you with many algorithms that primarily allow and are looked at as concrete values to compound codes give us a call and we can assist!