ClainetRCM handles pediatric billing, coding, credentialing and virtual assistant services so you can focus on patients, not paperwork.
Generic billing services leave pediatric revenue on the table. Our pediatric billing specialists understand immunization billing, EPSDT rules, and Medicaid/CHIP guidelines at a level that general RCM companies simply cannot match.
We serve solo pediatricians, group practices, FQHCs, and children's hospitals across every US state. Whether you are a solo provider or a 50-physician group, we scale with you.
These are the most common pediatric billing problems costing US practices thousands each month. ClainetRCM eliminates every one of them.
Immunization billing errors are a top cause of pediatric claim denials in the USA. We handle VFC program billing and all CPT administration codes flawlessly.
We track every state Medicaid and CHIP policy change and update your billing protocols proactively to prevent revenue loss from government payer denials.
We capture every billable service including developmental screenings, preventive care add-ons, and age-specific codes your current billing process is missing.
Our average 72-hour pediatric claim turnaround combined with aggressive accounts receivable follow-up keeps your practice cash flow consistently healthy.
Unenrolled providers lose revenue from day one. We deliver full payer credentialing management including enrollment, renewals, and CAQH profile updates.
ClainetRCM provides real-time dashboards with pediatric-specific KPIs so you always have full visibility into your revenue cycle performance and collections.
Complete pediatric revenue cycle management solutions for solo providers, group practices, clinics, and children's hospitals across the United States.
End-to-end pediatric claim submission, accounts receivable follow-up, payment posting, and denial management. Our pediatric billing specialists maximize your collections from day one.
AAPC-certified pediatric coders specializing in vaccine billing, EPSDT, well-child visits, and behavioral health codes to reduce audit risk and capture every reimbursable service.
Get your pediatric providers enrolled with Medicaid, CHIP, TRICARE, and all commercial payers fast. We manage renewals, re-attestations, and CAQH profile maintenance.
Dedicated remote medical virtual assistants handling prior authorizations, appointment scheduling, insurance verification, and patient communications for your pediatric practice.
One trusted partner for your entire pediatric revenue cycle. From patient eligibility verification through claim submission, payment posting, reporting, and practice analytics.
HIPAA compliance reviews, documentation improvement programs, and pediatric coding compliance assessments aligned with OIG guidelines to protect your practice from risk.
Our AAPC-certified pediatric medical coders are trained on every pediatric-specific CPT, ICD-10, and HCPCS code used by US practices and hospitals.
Well-child exams from newborn through adolescence billed accurately
Vaccine administration billing with and without counseling
ASQ, M-CHAT, CRAFFT and all developmental screening tools
Accurate E/M level selection with proper MDM documentation
Age-appropriate pediatric encounter and diagnosis coding
EPSDT comprehensive services billed under state Medicaid plans
We review your billing performance and identify revenue leaks at zero cost.
A tailored RCM plan for your payer mix, practice size, and EHR system.
Full onboarding with zero disruption to daily workflow or patient care.
Ongoing reporting and improvements to keep revenue trending upward.
Specialty-specific pediatric billing precision that general RCM companies simply cannot match.
Our fee is tied directly to your collections. We earn more only when you earn more, with no hidden charges ever.
A named account manager and billing team who know your practice, payers, and patient population inside out.
Advanced RCM software backed by certified human pediatric coders and billers. No unreliable AI-only black boxes.
Real results from pediatric practices and children's clinics across the United States.
"ClainetRCM completely transformed our pediatric vaccine billing accuracy. Our Medicaid claim denials dropped more than 70% within the first three months. I finally feel confident in our revenue cycle."
"Credentialing six new pediatric providers was completely seamless. Every provider was enrolled on time with all payers. That is something we had never experienced before switching to ClainetRCM."
"We saw a 28% increase in monthly collections within just four months. Their team identified EPSDT codes and developmental screening add-ons we were consistently missing. The ROI has been incredible."
Get your free, no-obligation pediatric billing audit and discover exactly how much revenue your practice is leaving on the table each month.
Claim Your Free Pediatric Billing AuditSchedule a complimentary pediatric revenue cycle audit with a ClainetRCM specialist. We will identify exactly where your practice is losing revenue and how to recover it fast.