Where revenue leaks
Common pediatrics billing challenges
- Vaccine and administration code pairing
- Well-child periodicity schedules
- Medi-Cal managed care plan rules
Our pediatrics team codes, scrubs and appeals with these rules in mind, and reports denial trends back to your providers every month so documentation improves at the source.
Services
What we manage for pediatrics practices
Medical Billing Services
End-to-end claim creation, scrubbing, and submission built for California payer rules.
Revenue Cycle Management
A full RCM partnership covering everything from patient access to final payment.
Medical Coding & Audits
Certified CPC coders covering ICD-10, CPT, HCPCS and specialty modifiers.
Denial Management & Appeals
Root-cause denial analysis, rapid rework and payer appeals that actually get paid.
Provider Credentialing & Enrollment
CAQH, Medi-Cal, Medicare and commercial payer enrollment handled end to end.
Eligibility & Prior Authorization
Verify benefits and secure authorizations before the patient walks in the door.
Client results
Trusted by California providers
Practices across the state rely on our team to protect their revenue.
"Our denial rate dropped by more than a third in the first quarter. For the first time we can forecast collections with confidence."
"They rebuilt our A/R from the ground up and recovered balances we had written off. The reporting alone changed how we run the practice."
"Credentialing used to take us six months of phone calls. California Billing got three new providers enrolled while we focused on patients."