Enhance efficiency and maximize profitability in your pediatric practice with streamlined revenue cycle management.
Complete Pediatric Revenue Cycle Management Solutions
We help you navigate the complexities of pediatric billing, ensuring smooth operations and optimizing revenue for your practice. Here’s how we can support your practice .
• Accurate coding and timely claims submission.
• Increased Revenue
• Reporting And Analytics
• Accurate coding and timely claims submission.
• Increased Revenue
• Reporting And Analytics
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OUR SUCCESS IN NUMBERS
RCM Works has streamlined billing and credentialing for countless healthcare practices, reducing claim denials, speeding up reimbursements, and boosting revenue cycles. Trusted for our efficiency and reliability, we help clients secure payer contracts and achieve lasting success.
OUR SUCCESS IN NUMBERS
RCM Works has streamlined billing and credentialing for countless healthcare practices, reducing claim denials, speeding up reimbursements, and boosting revenue cycles. Trusted for our efficiency and reliability, we help clients secure payer contracts and achieve lasting success.
CPT Codes Covered
Our Pediatrics billing services encompass a wide range of CPT codes, ensuring accurate and efficient claims processing. These include, but are not limited to:
Evaluation & Management (E/M) Codes
• 99202-99215 – Office visits (New & Established patients)
• 99221-99233 – Hospital inpatient visits
• 99460-99463 – Initial newborn care
• 99492-99494 – Psychiatric collaborative care management
Preventive & Well-Child Visits
• 99381-99385 – Initial comprehensive preventive visit (new patients)
• 99391-99395 – Periodic preventive visits (established patients)
• 96110 – Developmental screening (e.g., autism, ADHD)
• 96127 – Behavioral/emotional assessment
Immunizations & Vaccine Administration
• 90460-90461 – Immunization administration with counseling
• 90716 – Varicella (chickenpox) vaccine
• 90633 – Hepatitis A vaccine
• 90647-90648 – HIB vaccine
• 90680 – Rotavirus vaccine
• 99202-99215 – Office visits (New & Established patients)
• 99221-99233 – Hospital inpatient visits
• 99460-99463 – Initial newborn care
• 99492-99494 – Psychiatric collaborative care management
Preventive & Well-Child Visits
• 99381-99385 – Initial comprehensive preventive visit (new patients)
• 99391-99395 – Periodic preventive visits (established patients)
• 96110 – Developmental screening (e.g., autism, ADHD)
• 96127 – Behavioral/emotional assessment
Immunizations & Vaccine Administration
• 90460-90461 – Immunization administration with counseling
• 90716 – Varicella (chickenpox) vaccine
• 90633 – Hepatitis A vaccine
• 90647-90648 – HIB vaccine
• 90680 – Rotavirus vaccine
Sick Visits & Acute Care
• 87880 – Rapid strep test
• 87635 – COVID-19 test
• 93000 – Electrocardiogram (ECG/EKG)
• 94640 – Nebulizer treatment
Procedures & Minor Surgeries
• 10120 – Foreign body removal
• 12001-12018 – Wound repair (simple closure)
• 99281-99285 – Emergency department visits
• 87880 – Rapid strep test
• 87635 – COVID-19 test
• 93000 – Electrocardiogram (ECG/EKG)
• 94640 – Nebulizer treatment
Procedures & Minor Surgeries
• 10120 – Foreign body removal
• 12001-12018 – Wound repair (simple closure)
• 99281-99285 – Emergency department visits
End-to-End Pediatry Billing Services
Our End-to-End General Pediatry Billing Services streamline your practice’s financial operations, handling everything from insurance verification and claims submission to follow-ups and denials management. With accurate coding and timely submissions, we ensure maximum reimbursements while you focus on patient care. Let us optimize your cash flow and reduce administrative burdens for improved financial health. Trust our expert solutions to optimize cash flow, reduce administrative burdens, and improve your practice’s overall financial health.
Premium Medical Billing Solutions for Maximized Revenue
We simplify the billing process to ensure accuracy, reduce delays, and boost your financial performance, all while allowing you to focus on delivering exceptional patient care.
Improved Cashflow
At RCM Works, we streamline medical billing to minimize delays, boost reimbursements, and maintain steady cash flow—letting you concentrate fully on delivering quality patient care.
Timely Reimbursements
Timely payments are essential to your practice’s financial health. RCM Works delivers accurate claims, minimizes delays, and supports a smooth revenue cycle through expert follow-ups.
Compliance Assured
RCM Works ensures compliant billing, accurate coding, and timely claim submissions to protect your practice, reduce denials, improve collections, and secure long-term financial stability.
Denial Reduction
Minimizing claim denials is vital to a healthy revenue cycle. RCM Works delivers accurate submissions and precise coding to accelerate approvals, limit resubmissions, and maximize reimbursements.
Request Your Free RCM Audit Report
Unlock hidden revenue opportunities and improve your practice’s financial performance with a free RCM (Revenue Cycle Management) audit report. Our comprehensive audit evaluates every step of your billing and collections process—from patient registration to final reimbursement—identifying inefficiencies, coding errors, and compliance gaps. By requesting your free RCM audit, you gain valuable insights into how to optimize cash flow, reduce denials, and streamline operations. Take the first step toward maximizing your revenue potential—request your free audit today.
Why Choose RCM
At RCM World, we combine deep industry expertise with cutting-edge technology to deliver seamless, end-to-end revenue cycle solutions. Our team is committed to maximizing your reimbursements, minimizing denials, and improving overall cash flow — so you can focus on patient care while we handle the rest. With a proven track record, personalized service, and full transparency, we’re not just a service provider — we’re your trusted RCM partner.
Smarter MIPS & Billing Solutions
Our solutions ensure independent practices stay aligned with shifting standards, turning quality performance into measurable success
With expertise in medical billing & MIPS reporting, we empower ipractices to navigate the evolving landscape of value-based care with confidence
We prioritize full transparency, giving independent practices complete visibility into billing, reporting, and reimbursement processes
What Service do we provide
Benefit from our expert billing services ensuring timely claims submissions to sustain smooth operations of your practice.
Medical Billing
Our efficient medical credentialing services helps you in faster credentialing ensuring swift enrollments.
Credentialing Billing
Boost revenue and ease admin stress with our expert U.S. healthcare billing solutions.
Revenue cycle
Streamline cash flow and reduce payment delays with efficient accounts receivables management.
Accounts Receivables Management
Ensure accuracy and compliance in your billing process with comprehensive medical billing audits.
Medical-Billing-Audit
