Neonatology Billing Services

Specialized Neonatology Billing Solutions That Maximize Revenue, Minimize Denials, and Ensure Total Compliance

Why Choose Our Neonatology Billing Solutions?

Deep Neonatal Experience: Our team understands the unique billing, coding, and payer challenges of neonatal care—including NICU services, specialty procedures, and care coordination for critically ill and premature infants.
Custom In-House Technology: Our billing platform integrates with hospital EMRs, neonatal tracking systems, and reporting tools, ensuring accurate and efficient claims processing for all neonatal encounters.
Regulatory Compliance: Remain fully compliant with CMS, Medicaid, private payer, and neonatal-specific regulations. We safeguard critical reimbursements and support your hospital’s bottom line.

Neonatal Coding Expertise: Proficient in coding for all levels of neonatal and NICU care—including intensive care, specialty consults, procedures, and ongoing care management. Expert in handling complex, high-acuity neonatal billing scenarios.
Complex Care Billing: Accurate billing for multidisciplinary scenarios, interfacility transfers, and transitions of care, ensuring every eligible neonatal service and procedure is captured.
Integration & Accuracy: Automated interfaces for neonatal EMRs, patient registration, and procedure tracking streamline billing workflows, minimize manual entry, and reduce errors.
Modifier Management: Application of neonatal- and NICU-specific modifiers (e.g., 25, 26, 59, 76, 77) and correct use of CPT/ICD codes to ensure services are properly identified, payments are maximized, and denials are minimized.

Clean Claim Submission: Ensure every claim is built with the correct CPT/HCPCS codes, documentation, and payer-specific rules.
Denial Analysis & Appeals: Rapid response to denials, focused on root-cause analysis, resubmission, and appeals to recapture lost revenue.
Payment Posting & Reconciliation: Detailed payment posting, with customized reports tracking collections, adjustments, and outstanding balances.

EMR and Hospital Data Transfers: Automated interfaces for imaging studies, reports, and patient demographics, minimizing manual entry and errors.
Customizable Workflows: Adapt quickly to your hospital or group’s processes for scheduling, reporting, and patient prep.

Productivity Dashboards: View volume by modality, provider productivity, and reimbursement trends in real time.
Revenue Cylcle Analytics: Track days in A/R, denials rates, and charge lag to proactively spot and solve issues

Specialties

EDI Claims Billed

Denial Rate