Pediatrics Billing
Vaccines, well-child visits, and a high-Medicaid payer mix, billed without leaving revenue behind.
Overview
Pediatric practices bill a distinct mix of well-child visits, vaccine administration, and newborn care, frequently against Medicaid and CHIP alongside commercial plans - each with its own vaccine program rules and preventive-care billing quirks. AspireMedX handles that mix so vaccine claims and well visits don't get billed as if they were adult primary care.
Where claims usually go wrong
VFC-supplied vaccines have to be billed for administration only, not the vaccine product itself - billing the product on a VFC-eligible claim is a common, avoidable denial. We track VFC status per patient so vaccine claims go out coded correctly the first time.
What we handle
- ✓Well-child visit (EPSDT) coding by age-specific schedule
- ✓Vaccine product and administration billing, including VFC program claims
- ✓Newborn and hospital discharge billing coordination
- ✓Medicaid and CHIP eligibility verification and claim rules by state
- ✓Same-day sick-visit and well-visit combination billing
Talk to us about pediatrics billing
info@aspiremedx.com · +1 (716) 242-2898
Other specialities
Internal Medicine Billing
Complex adult care and multi-condition visits, coded to match documentation.
Learn moreFamily Medicine Billing
Preventive care, chronic disease management, and referrals, billed without missing revenue.
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High-cost diagnostics and procedures, billed with the prior authorization to back them up.
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