Pediatrics
Healthcare IT and billing built for a pediatric practice
Well-child schedules, immunization management and vaccine inventory billing for pediatric practices.
Why pediatrics is different
Pediatrics runs on schedules: well-child visit intervals, immunization series, developmental screening windows, and missing any of them means both a care gap and lost revenue.
Healthcare SBC automates the schedule: age-based visit prompts, immunization forecasting with registry reporting, VFC and private vaccine inventory separation, growth charting and standardized developmental screening.
Common challenges
Where pediatrics practices lose revenue
The billing and workflow problems specific to this specialty, and the ones generic systems handle badly.
Vaccine inventory separation
VFC and privately purchased vaccine stock must be tracked and billed separately with accurate accounting.
Immunization registry reporting
State registry submission is required, and manual reporting is slow and error-prone.
Well-visit plus sick-visit coding
A problem addressed during a well-child visit is separately billable with modifier 25 but frequently missed.
Developmental screening capture
Standardized screening tools are separately reimbursable when documented and scored correctly.
How we address it
Built for pediatrics workflows
- Age-based well-child templates following Bright Futures periodicity
- Immunization forecasting with automated state registry reporting
- Separate VFC and private vaccine inventory tracking and billing
- Growth charts including WHO and CDC curves with percentile trending
- Standardized developmental and autism screening with scoring and billing
Commonly billed codes in pediatrics
A sample of the codes our pediatrics coders work with daily.
- 99392Preventive visit, established patient, ages 1-4
- 99393Preventive visit, established patient, ages 5-11
- 90460Immunization administration with counseling, first component
- 96110Developmental screening with scoring and report
- 99213Established patient sick visit
Codes shown for reference only. Verify against current code sets and payer policy.
Other primary care specialties
Family Practice
EHR, practice management and billing built for the volume, breadth and preventive-care demands of family medicine.
Internal Medicine
Documentation, chronic disease management and risk-adjustment support tuned for adult primary and consultative care.
Urgent Care
Walk-in throughput, occupational medicine and rapid registration workflows for urgent care centers.
FAQ
Pediatrics, frequently asked questions questions
- Does the platform separate VFC and private vaccine inventory?
- Yes. Both stocks are tracked independently with lot-level detail, eligibility screening at administration, and billing that reflects which supply was used, which is exactly what VFC program audits examine.
- Can we bill a sick visit during a well-child exam?
- Yes, when a significant separately identifiable problem is addressed and documented. The platform prompts for the additional E/M with modifier 25, capturing revenue that pediatric practices very commonly leave behind.
- Do you report to state immunization registries?
- Yes. Immunizations are submitted to state registries electronically through our interoperability services, satisfying reporting requirements without manual double entry.
We're here to help
Ready to see what your revenue cycle could be doing?
Start wherever makes sense: a demo, a free assessment, or a straight conversation with someone who does this every day.