Pediatric

For pediatric medical professionals, getting credentialed for Medicaid involves various steps like: Obtaining a National Provider Identifier (NPI), Completing the Medicaid Enrollment Application, Submitting Required Documentation (NPI, CV, Liability Insurance, state license, board certification, etc), Working with your state Medicaid office, Keeping Enrollment Information up-to-date. Mediflows Billing Solutions handles all these steps for you.

The top errors include incorrect well-child visit coding based on patient age, missing vaccine administration modifiers, unbundling of newborn care services, and wrong diagnosis codes for developmental screenings. Mediflows Billing Solutions performs pre-submission audits to catch these errors before claims leave your practice.

Newborn care includes initial hospital care (CPT 99460-99462) and subsequent daily visits. Circumcision requires proper coding (CPT 54150-54160) with diagnosis documentation. Mediflows Billing Solutions manages global maternity packages, separate newborn billing, and proper modifier usage for circumcision when medically necessary.

Mediflows Billing Solutions offers transparent, affordable pricing. Credentialing starts at $399 per pediatrician. Pediatric billing services are typically 4-7% of monthly collections based on patient volume and visit complexity. New pediatric practices receive discounted package rates when bundling credentialing and billing services together. No long-term contracts required.