SPECIALTIES / PEDIATRICS
Pediatrics Medical Billing Services
Medicaid complexity, VFC billing, and high-volume visits make pediatrics billing uniquely challenging. We've mastered it.
THE CHALLENGE
The billing problems pediatricsians know too well
School-Based Billing
School-based health services have their own billing rules. Most billers don't know them.
Medicaid & CHIP Complexity
Pediatrics practices depend on Medicaid, but Medicaid billing rules change constantly. Missed updates mean missed revenue.
VFC Program Billing
Vaccines for Children billing requires separate tracking and precise documentation. Errors trigger audits.
ICD-10 Pediatrics Coding
Pediatrics-specific codes, growth screenings, well-child visits, and developmental delays, require coders who know the specialty.
EPSDT Compliance
EPSDT screenings are required and reimbursable — but only if documented and coded correctly.
High Visit Volume, Thin Margins
A pediatrics practice sees 30–50 patients per day. Even small coding errors multiply fast.
WHAT WE DO
Services built for pediatrics practices
End-to-end revenue cycle management tuned to the realities of pediatrics care — from well-child visits to school-based services.
Talk to a Specialist- 01 Well-Child & Preventive Visit Billing
- 02 Medicaid / CHIP Billing & Compliance
- 03 VFC Program Management
- 04 EPSDT Screening Documentation Support
- 05 School-Based Health Billing
- 06 EHR Integration (all major pediatrics EMRs)
- 07 Denial Management & Appeals
WHY RED HOUSE?
Three reasons pediatrics practices switch to us
Team and Culture
Specialized coders and account managers with deep pediatrics expertise—not generalists assigned to your account. Clear, cross-cultural communication ensures alignment and responsiveness.
Technology
Integrated clearinghouse leveraging AI, analytics, and RPA with HL7 integrations and denial tracking to rapidly identify revenue leakage.
Patient & Payor Management
Patient billing handled with empathy; payors managed with persistence; so you stay out of the middle.
"Medicaid kept kicking back our well-child and vaccine claims for small coding errors we didn't even know we were making. Red House cut our denial rate roughly in half within 60 days — it's the first biller we've worked with that understands pediatrics-specific rules."— Practice Administrator, Pediatrics Associates, St. Louis, MO
FAQ
Common questions
Do you bill for both Medicaid and commercial pediatrics plans?
Yes. We handle the full payer mix — state Medicaid programs, CHIP, and every major commercial payer — under one workflow so nothing slips between systems.
Can you handle VFC program billing?
Absolutely. We track VFC vaccine inventory separately, code administration fees correctly, and keep documentation audit-ready.
How do you stay current with EPSDT requirements?
Our pediatrics coders monitor state-by-state EPSDT updates monthly and update internal coding rules so your claims always reflect the latest requirements.
What pediatrics EMR systems do you integrate with?
We integrate with all major pediatrics EMRs including athenahealth, eClinicalWorks, Epic, Office Practicum, and Tebra.
How quickly can you take over billing from our in-house team?
Most practices are fully onboarded in 2–4 weeks. We run parallel for the first cycle so there's zero revenue disruption during the transition.
GET STARTED
Ready to fix pediatrics billing for good?
Book a free 1:1 revenue analysis. We'll show you exactly where your practice is leaking money — and what we'd do about it.