Outsource Pediatric Medical Billing Services

RCM Matter serves a diverse client base spanning all 50 states, including hospitals, physician practices (including pediatric practices), and medical billing companies. Our certified coders are proficient in ICD-9/10, CPT, and HCPCS coding guidelines provided by CMS and AMA, with over a decade of experience in pediatric billing & coding. Our priority is ensuring a swift turnaround time for converting superbill to claim, submitting clean claims to avoid rejections and resubmissions, and complying with policies and regulations to prevent payer-related issues. Our team also performs prior authorization and benefits verification before the patient’s visit and expertly employs modifiers to prevent denials.

Benefits of our Pediatric Billing Services

At RCM Matter, we are committed to providing top-notch pediatric billing and coding services that ensure a flawless revenue cycle for your practice. Our goal is to simplify the billing, coding, claim submission, and payment posting process, so you can focus on delivering excellent care to your little patients.
Our team is trained and certified by The American Association of Professional Coders (AAPC) and is proficient in the most common Medical Coding Software. We have a proven track record of successfully processing medical claims with commercial insurance companies like UHC, WellPoint, Aetna, Humana BCBS, and Anthem, as well as government payers such as Medicare. We also have a deep understanding of state-specific Medicaid policies. We prioritize persistent accounts receivable follow-up and prior authorization to prevent claim denials. Our denials team is focused on preventing denials, rather than just managing them after the fact. We are experts in reducing costs and improving clinical and operational efficiency.
Our clients typically see a significant improvement in revenue, with an average increase of over 20%, and a reduction in denials by at least 15%. At Medical Billing Wholesalers, we are committed to helping pediatricians as you concentrate on providing excellent care for your patients while achieving financial and administrative excellence.

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Features That Make Us Best Pediatric Medical Billing Services Company

Automate billing flow, patient handling, eligibility checks, and insurance communication for 98% accuracy within 24 hours.
RCM Matter ensures accurate claims processing by thoroughly reviewing and correcting incomplete or rejected claims.
At RCM Matter, we proactively follow up with insurance companies based on their payment schedules, ensuring that outstanding accounts receivable older than 60 days remain under 20% and those older than 120 days remain below 10%.
RCM Matter accurately manages accounts receivable by inputting data on benefits, patient payments, and insurance payments into our billing software.
Customized account statements with outstanding balances are sent out to patients by us.
We provide complete practice workflow support for your staff, from patient management to document uploads and secure messaging.
We ensure that claims are submitted to insurance companies within 48 hours of receiving patient encounter forms, whether in paper or electronic format.
RCM Matter delivers a weekly practice scorecard that highlights important information such as booked revenue, collected revenue, and outstanding revenue. We can also provide on-demand reporting as necessary.