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Pediatric RCM Made Easy

Pediatric billing can be complex. From state-specific Medicaid rules to accurately coding a sick visit during a well visit, it’s a constant juggling act. Add in the nuances of vaccine billing and telehealth, and it’s easy to see how claims get missed, payments are delayed, and your valuable time is wasted chasing down reimbursements. Failing to navigate these challenges can lead to lost revenue, claims denials, and a backlog of A/R that can seriously impact your practice’s financial health. That’s where we come in.

Cleaner Claims. Faster Payments.

Imagine a world where your billing runs smoothly, payments arrive promptly, and you have more time to focus on what matters most – your patients. With OP RCM, it’s achievable! Our team of pediatric billing experts takes the stress out of the revenue cycle, so you can benefit from:

  • Streamlined workflows – We handle everything from claim submission to payment posting, eliminating manual errors and freeing up your staff for more meaningful tasks.
  • Maximized reimbursements – Our in-depth knowledge of pediatric coding and payer requirements ensures you get paid for every service you provide.
  • Financial clarity – Our interactive analytics tool gives you real-time insights into your practice’s financial health, empowering you to make data-driven decisions.
  • Peace of mind – Our proactive approach to claim management and denial prevention ensures that your billing is in expert hands, getting the same attention it would if you were doing it yourself.

Your Practice, Your Way: RCM Solutions Tailored for You

Complete RCM Services

Your comprehensive billing solution, covering everything from eligibility verification to payment posting.

Outstanding A/R Recovery

Short-term projects with a dedicated focus on reclaiming lost revenue from denied or unpaid claims.

Short-Term RCM Services

Get expert billing support during staff absences, summer vacations, and other employee transitions.

Coding Review Services

Our expert team will audit your visit notes, summarize findings and trends and offer recommendations and guidance.

OP Claim Scrubber

Our billing technology catches and fixes claim errors in real-time, before they're submitted, preventing claim denials and saving you money.

Credentialing + Enrollment Services

Let us simplify provider credentialing and enrollment to ensure accurate claims and faster payments. Our services save you time and hassle, so you can focus on what's important.

OP RCM is Your Partner is Making Your Practice More Profitable

With proactive claim management and smart tools to catch errors before they happen, we ensure accuracy and maximize your reimbursements. Our interactive, easy-to-use financial dashboards give you complete transparency into your practice’s finances, including key metrics like first-pass resolve rate, days in A/R, and payment aging. This clear picture empowers you to make informed decisions and optimize your financial performance. We handle your billing with the same care and attention to detail you give your patients, so you can focus on what matters most – providing excellent care.

After partnering with OP RCM, my practice collections increased significantly. The RCM team is extremely knowledgeable and responsive, and provides exceptional support. We highly recommend them.

Keysville Pediatrics, Keysville, VA

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Let us take the burden off of you!

Our team specializes in billing for pediatric offices. We know the ins and outs of coding, payment rules, vaccine billing, sick and well visit combo visits, state-specific Medicaid policies, and commercial payer requirements. Let our experts help you get the most out of your billing, submit accurate claims, and get paid what you deserve so you have a path to financial stability and growth.

See how we do it in this 2-minute video.

Let’s connect!

Your financial results are our #1 priority

Our team’s pediatric-specific billing expertise — combined with proactive claim management — is the reason our pediatric RCM clients see:

Uninterrupted cash flow
We get your claims to payers without interruption for quicker payment turnaround.

Increased payment per visit
On average, our clients see a 7% increase in payment per visit.

Reduced write-offs
Our denial follow-up process ensures that you get paid for the services you provide.

OP RCM customers have averaged 26% growth supported by a 99% Net Collection Rate and Average Days in A/R < 30.

Don’t just take our word for it…

Check out our Client Success Stories to learn more about how a supportive pediatric RCM partnership with OP RCM can increase your practice revenue.