Pediatrics Medical Coding & Billing Solutions
Partner with the most advanced AI workforce to transform your RCM operations
15% Higher
Collections
60% Lower
Costs
30% Reduction
in A/R Days
75% Reduction
Claim Denials
What is Pediatrics
Pediatricians focus on the health of children from birth through adolescence. They deal with minor illnesses and complex medical conditions alike, offering preventive health maintenance for healthy children and medical care for those who are acutely or chronically ill. Pediatricians also guide parents on topics like nutrition, safety, and behavior to ensure a child's healthy lifestyle and development. The key goal in pediatrics is to oversee the physical, behavioral, and mental health of children, ensuring a healthy developmental journey.. According to the latest reports, there are more than 60,305 providers in Pediatrics in the US.
Our Expertise in Pediatrics Coding & Billing
Pediatrics focuses on conditions like ear infections and asthma. Common interventions include vaccinations and asthma management. Frequent ICD codes are J45 (Asthma) and H66 (Otitis media). CPT codes often used are 99391 (Periodic preventive medicine, established patient, young adult) and 90471 (Immunization administration), with HCPCS codes J3301 (Injection, triamcinolone acetonide) and V04 (Need for prophylactic vaccination).
Amy, CombineHealth's AI medical coder, is well-versed with different diagnosis and procedure codes realted to Pediatrics as well as follows all the Pediatrics coding guidelines. Amy analyses the provider notes and determines the most appropriate ICD-10, CPT and HCPCS codes to maximise collections and reduce denials.
Benefits of Our AI-Powered Pediatrics Coding and Billing Solutions
Superior Quality
Capable of understanding complex medical notes, Amy has an astonishingly high accuracy of 99.2%, ensuring all the Pediatrics charts are correctly coded
Adherence to Guidelines
Medical coding guidelines evolve each year, making it difficult for human coders to track. Amy is well-versed with Pediatrics guidelines and ensures full compliance with them.
Faster and Cost Effective
Have a huge backlog of cases to be coded at the end of the month? No problem, Amy’s got you covered. Worried about rising coding costs? Amy helps with Pediatrics coding at a fraction of the cost
Less Denials
Denials are on the rise due to several factors. By carefully analysing the medical records, Pediatrics guidelines and proactively asking for required information, Amy ensures the highest collections and lowest denials.
Reliable AI Employees available 24/7
Meet Amy
AI Medical Coder
- Customizable configuration for autonomous coding
- Understands medical context
- Compliant with latest coding guidelines
Meet Marc
AI Medical Biller
- Handles billing end to end
- Aids with denial management
- Consistent followups
Meet Alice
AI Auditor
- Automated data analysis
- Detects inaccuracies in real-time
- Efficient and accurate audits
- Provides continuous education on coding standards.
Meet Catherine
AI Charge Entry
- Increased Efficiency
- Enhanced Accuracy
- Substantial Cost Savings
- Scalable and fast
Meet Deborah
AI Denial Manager
- Automated claim tracking
- Denial Analysis
- Consistent & Autonomous Appeal Management
- Real-Time Error Detection
Why Choose CombineHealth?
CombineHealth’s Amy is a powerful AI-powered medical coder for Pediatrics. Amy analyses medical records, including doctor notes, lab test descriptions, medical history, etc., and automatically assigns the appropriate ICD-10 and CPT codes. This increases coding accuracy and reduces claim denials. Like human coders, Amy also recognises gaps in medical documentation, promptly querying the providers to give additional context whenever needed.
Finally, Amy clearly highlights her thought process behind determining the medical codes. This significantly eases the process of auditing Amy’s outputs, helping with a reliable and trustworthy adoption of medical coding AI for Pediatrics.
Our AI Workforce Supports All Types of Specialities
Internal Medicine
Critical Care
Pediatrics
Emergency Medicine
Anesthesiology
Dermatology
Neurology
Radiology
Psychiatry
Pathology
Family Medicine
Orthopedics
Gastroenterology
General Surgery
Obstetrics and Gynecology
Hematology and Oncology
Delivering Superior Results with Trust by AI
Explainability
AI is often dubbed as black box, making it difficult to trust and rely upon. CombineHealth’s AI workforce is built to provide full transparency and explanation for each of their decisions
Human in the loop
The AI workforce tells you when they are not sure and need help. They proactively inform when a human review is needed, thus ensuring that you are in control of all the decisions.
Continuous learning
AI continuously learns from your feedback as well as adapts to ever-changing compliance scenario and ensures each of the generated code is 100% compliant with the rules.
