Pediatric practices run on well-child visits, vaccines, and worried parents — not high-dollar procedures. Thin margins per visit mean your billing has to be right the first time, every time. Fast Billing Solutions is a pediatric medical billing company that understands the unique world of children’s healthcare billing, from VFC vaccines to EPSDT rules.
Pediatric Billing Is Its Own World
Kids aren’t small adults, and pediatric billing isn’t small-adult billing. Age-specific coding, vaccine administration rules, Medicaid EPSDT requirements, and newborn enrollment each carry their own tripwires. Our team bills pediatrics every day — we know exactly where the denials hide and how to keep your claims clean from the start.
The Billing Headaches We Take Off Your Plate
If any of these sound familiar, you’re losing revenue you shouldn’t be.
- Vaccine product versus administration coding errors (90460/90461 vs. 90471–90474)
- Well visits with sick complaints denied for a missing modifier 25
- VFC inventory and billing confusion on state-supplied vaccines
- Newborn claims rejected over enrollment and timing issues
- Medicaid EPSDT documentation and frequency denials
- Sports, camp, and school physicals billed to plans that don’t cover them
- Developmental and behavioral screenings (96110/96127) left unbilled
- Parent balances going uncollected with no clear follow-up process
Complete Revenue Cycle Management for Pediatrics
From the first newborn visit to the last sports physical of the season, we handle every dollar your practice earns.
- Insurance eligibility and benefits verification — including newborn and Medicaid enrollment checks
- Vaccine-aware coding and charge entry by pediatric billing specialists
- Clean electronic claim submission and proactive payer follow-up
- Denial management, root-cause analysis, and appeals
- Payment posting, EOB/ERA reconciliation, and contractual adjustment review
- Proactive accounts receivable follow-up that keeps aging low
- Family-friendly patient statements and balance follow-up
- Provider credentialing and payer enrollment support
- Transparent daily, weekly, and monthly reporting
Why Pediatric Practices Choose Fast Billing Solutions
- True pediatric expertise. Our billers specialize in the codes, vaccines, and payer rules unique to children’s healthcare.
- Vaccine billing accuracy. Product codes, administration codes, and VFC handling — done right, every time.
- Medicaid and EPSDT fluency. We navigate state program quirks so your claims don’t get stuck.
- Dedicated account management. One point of contact who knows your practice and your payers.
- Total transparency. Clear reporting on what’s billed, paid, denied, and outstanding — no black box.
- HIPAA-compliant processes and no long-term contracts. We earn your business every month with results.
Frequently Asked Questions About Pediatric Billing
Can we bill a well visit and a sick visit on the same day?
Yes — when a significant, separately identifiable evaluation is documented alongside the preventive visit. We bill the preventive code plus the problem-oriented E/M with modifier 25, and we make sure the documentation supports both so the claim holds up.
How do you handle vaccine billing and VFC?
We code vaccine products and administration separately and correctly, and we handle Vaccines for Children (VFC) patients according to state rules — billing only the administration fee where the product is state-supplied, so you stay compliant and still get paid.
Do you work with Medicaid and CHIP plans?
Yes. We have extensive experience with Medicaid managed care and CHIP plans, including EPSDT documentation and frequency rules, so your claims move through instead of getting stuck.
What about sports, camp, and school physicals?
We verify coverage before these visits whenever possible — many plans exclude them. For non-covered physicals, we help you set up clean self-pay workflows so families know the cost upfront and you still collect.
What does pediatric billing cost?
Our pricing is a straightforward percentage of collections — no setup gimmicks, no hidden fees. You only pay when you get paid.
Ready for Pediatric Billing That Keeps Up With Your Practice?
Between well visits, sick visits, vaccines, and paperwork, your days are full enough. Let us take billing off your plate — and put lost revenue back on it.
