REVENUE CYCLE MANAGEMENT

PEDIATRIC THERAPY REVENUE CYCLE MANAGEMENT

“Stop losing money to claim denials. Start maximizing your therapy reimbursements.”

Pediatric therapy practices face billing challenges that general medical billers often do not understand. Authorization requirements for ongoing therapy sessions, specific documentation needs for developmental conditions, and complex coding requirements can lead to costly denials and delayed payments. At South Bill Care, we've built our entire revenue cycle management system specifically for pediatric therapy practices because we know the difference between an OT evaluation code and a PT progress note matters to your bottom line.
Our specialized pediatric RCM team has helped therapy practices increase efficiency up to 60% while securing a 99% approval rate. Whether you're a speech therapy clinic struggling with Medicaid denials or a multi-disciplinary practice facing insurance headaches, our exclusive focus on pediatric therapy billing gives you an advantage that general medical billers can't match.

Get Started

Our Pediatric Therapy Billing Process

Insurance Eligibility Verification

We prevent surprises by confirming therapy benefits before the first appointment, checking session limits, authorization requirements, and family responsibility so you and the patient’s family have clarity from the start.

Authorization Management & Physician Documentation

We secure and track all necessary authorizations for ongoing therapy, ensuring physician signatures on evaluations and plans of care meet payer requirements, eliminating the most common reason for pediatric therapy claim denials.

Therapy-Specific CPT Coding & Charge Posting

Our pediatric coding specialists ensure accurate application of therapy evaluation codes, treatment codes, and appropriate modifiers to maximize legitimate reimbursement for every session.

Clean Claim Submission

We include therapy-specific documentation requirements and correct diagnosis-to-procedure matching. Our specialized scrubbing process catches pediatric-specific issues before submission.

Rejection & Denial Management

When claims face challenges, our team doesn't just resubmit. We analyze therapy-specific denial patterns, make necessary corrections, and advocate for proper reimbursement with our specialized knowledge.

Payment Verification & Posting

We carefully review EOBs against contracted rates for therapy services, ensuring you receive correct payment for each CPT code and alerting you to underpayments that other billing services might miss.

Proactive A/R Management

Our team follows up on unpaid claims with payer-specific approaches, understanding the distinct timelines and requirements for resolving pediatric therapy claims, preventing revenue from aging beyond recovery.

Comprehensive Pediatric Practice Reporting

Our monthly RCM reports provide a comprehensive overview, ensuring no billable service is overlooked and your revenue is protected.

Get Started

Talk to an Expert