In a perfect world, the pediatrics medical accounts receivable management process should require nothing more than the generation and mailing of monthly statements after which, your revenue checks should simply roll right in. However, MEDBTS is well aware that pediatrics is a medical specialty which leads other medical specialties in terms of patient population and patient-physician ratios. With that said, handling the pediatrics medical billing and claims specialty offers both benefits and challenges.

Many medical billing and claims companies handle pediatrics claims processing because it is an ongoing growth specialty. But many of these same billing companies do not understand the intricacies of pediatrics as a business and as a result, can often cause a practice to lose revenue rather than capture revenue through outsourced billing.

Outsourcing the management of your pediatrician practice medical billing and coding to MEDBTS offers your administrative staff a cost effective solution which ultimately poses far fewer challenges than if your staff were to handle the management of your billing in-house. Additionally, your pediatrics practice will capture “would-be” lost revenue equating to a far greater total than the cost of your solution ensuring your practice captures 100% of your allowable reimbursement through smart and efficient coding processes.

With the growing complexities and payment ambiguities of evolving payer plans, patient co-pays and co-insurance agreements responsible for the increasing costs of healthcare delivery, the management of the accounts receivable process demands much more administrative attention than ever before. The average denial rate of claims is in excess of 30 percent. This billing denial rate contributes to more than 15 percent in annual lost revenues for pediatric practices across the country.