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Protect Your Revenue with Expert Pediatric RCM

Pediatric Billing and Coding Services

20% of pediatric claims are denied due to billing errors, often from vaccine coding mistakes, modifier misuse, or Medicaid complexity. Our pediatric billing and coding services address these challenges head-on.
Vigilant Medical Group helps pediatric practices recover lost revenue, reduce AR days, and prevent costly rework with specialty-specific precision. Schedule Talk to Specialist Now.
Eligibility
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Timely Filing
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Clean Claim
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Reimbursement
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Vaccine and immunization codes often misfiled.
Modifiers misused for same-day procedures.
State-specific Medicaid rules not followed.
EPSDT documentation frequently incomplete.
Dual insurance COB delays reimbursement.
Sick and well visits billed on same day get bundled.
Constant CPT/ICD updates missed.

Why Pediatric Billing Struggles to Stay Compliant

CMS reports that the 2024 Medicaid improper payment rate is 5.09%, totaling $31.1 billion, with 79% of errors due to insufficient documentation.

Your Pediatric billing faces challenges due to Medicaid variability, bundled visits, vaccine coding, and dual insurance coverage. These issues lead to denials, delays, and revenue loss.

Pediatric billing requires more than general RCM. Vigilant Medical Group bring precision, compliance focus, and payer expertise so your team stays focused on care, not corrections.

Specialty Coders Who Know Pediatric Care

Tailored Billing Support for Every Pediatric Specialty

Every pediatric subspecialty comes with its own coding rules, payer challenges, and documentation needs. From developmental pediatrics to pediatric cardiology, we deliver billing that keeps your revenue cycle strong. 

Pediatric Neurology
We code EEGs, behavioral assessments, and seizure care with precision. Avoid missed charges in time-based neurology billing.
Cardiology
From echocardiograms to congenital care, we apply modifiers and RCM process for clean, timely cardiology claims.
Pulmonology
We bill sleep studies, asthma care, and ventilation services with accuracy across inpatient and outpatient settings.
Gastroenterology
Scopes, biopsies, and chronic visits are captured cleanly to reduce denials, rework, and speed up your payments.
Hematology
We handle complex codes for chemo, infusions, and rare conditions with precision and strong payer rule compliance.
Developmental
We code ADHD, autism, and developmental screenings accurately with full documentation for time-based payments.
Endocrinology
Diabetes, growth, and hormone therapy services are billed with exact CPT and ICD-10 coding for maximum accuracy.

Schedule a Free Subspecialty Billing Consultation Today

Whether your practice serves general pediatrics or advanced subspecialties, Vigilant Medical Group delivers precise billing support built for your specialty. Our pediatric coders reduce errors, recover missed revenue, and align your claims with payer policies. With us, your billing stays compliant and your payments stay on track.

End-to-End Pediatrics Medical Billing Services

Pediatric billing demand coding accuracy, compliance, and fast reimbursement. We manage every stage of your revenue cycle with pediatric-specific precision. Our process is built to reduce denials, save time, and increase collections.
From routine well-child visits to subspecialty care, we ensure accurate billing and steady cash flow. Our pediatric RCM process is proactive, transparent, and fully compliant.

Our Pediatric Medical Billing Services Fix the Root Cause

Vigilant Medical Group clean billing isn’t just fast, it’s smart. We apply the right codes, modifiers, and payer logic from the start to ensure your pediatric claims get paid the first time and every time. 

1
Modifier Precision for Medicaid Claims
We use SL and EP modifiers accurately to meet vaccine program and EPSDT requirements, resulting in fewer denials and faster approvals.
2
Proper Vaccine Code Structuring
Our coders separate administration and toxoid product codes correctly, avoiding bundling issues in preventive service claims.
3
Age and Payer-Based Claim Edits
We apply intelligent CPT edits by age and payer type, routing claims from urgent care, school-based, or specialty providers without errors.
Effective Revenue Cycle Management

Built Around the Way Pediatric Clinics Work

Every pediatric clinic operates differently. Some handle high volumes of Medicaid patients. Others focus on urgent care or school-based services. At Vigilant Medical Group, we adapt to your workflow so our billing process supports your operations. 

Flexible Support for Diverse Practice

We scale our billing services to fit solo clinics, group practices, and school-based care models

Payer-Specific Billing Precision

We customize edits and codes for Medicaid and commercial payers to prevent rejections.

Integration with Your Systems

We work within your EHR and workflows. No disruption, no forced changes.

10+
Years of Experience
AR 0–30 Days
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AR 31–60 Days
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61–90 Days
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AR 91+ Days
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Billing That Simplifies Your Workflow

Why Pediatric Practices Trust Vigilant Medical Group

Choosing the right billing partner can make the difference between steady growth and daily revenue stress. At Vigilant Medical Group, we bring pediatric-specific expertise, payer rule mastery, and a proven process that prevents errors before they impact you.

Our certified coders and billing specialists don’t just follow billing rules, they stay ahead of them. From Medicaid complexities to age-specific edits, we build a billing system around your workflow that delivers faster payments and fewer denails.

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Testimonial

Client Feedback & Reviews

CMS Pediatric Billing Insights 2025

Stay informed on the billing updates that impact pediatric practices the most. From Medicaid rules to modifier changes and vaccine documentation.

Ready to Simplify Your Pediatric Billing?

Schedule your free pediatric billing review and start reducing denials today.