Pediatric Medical Billing Software for Faster Reimbursement
The end-to-end Pediatric Medical Billing Software automates coding, ensures documentation integrity, and prevents denials, thereby ensuring accurate claims and faster reimbursement for pediatric practices.
Trusted by the best in the industry
AI-Powered Pediatric Billing to Maximize Accuracy and Revenue
Ensure Compliance
- Align with ICD-10, CPT, HCPCS, and HCC pediatric coding guidelines automatically.
- Detect pediatric-specific coverage requirements and payer rules with real-time updates.
- Reduce compliance risk through continuous payer-policy monitoring and automated alerts.
Improve Claims Accuracy
- Prevent pediatric claim denials with AI checks for missing documentation and coverage gaps.
- Catch outdated or incorrect patient insurance or procedure details before billing.
- Ensure accurate RAF capture and HCC coding for value-based pediatric care.
Optimize Billing Workflows
- Automate identification of pediatric billing requirements via AI-driven eligibility checks.
- Analyze claims with Rapid Agents (LLM + ML) that continuously learn from payer responses.
- Maintain full audit trails with transparent edits and system logs for compliance.
AI-Powered Pediatric Revenue Cycle Optimization Suite
Automated Pediatric Coding & Documentation Checks
Accelerate clean-claim generation for pediatric practices. Pediatric-specific billing rules are applied automatically to ensure coding accuracy and compliance.
- 96%+ accurate autonomous coding for pediatric charts
- Inline HCC and RAF detection for pediatric patient risk-adjustment
- Transparent audit trails with line-level AI rationale
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Intelligent Denial Prevention & Recovery
Prevent pediatric claim denials before they occur and recover missed revenue automatically.
- AI Smart-Edit Engine detects coverage gaps and coding errors pre-claim
- Flags high-risk pediatric claims and underpayments in real time
- Automated appeal generation and electronic submission
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Point-of-Care Pediatric Documentation & Risk Optimization
Enhance pediatric patient documentation and risk-adjustment capture directly at the point of care, ensuring accurate RAF and HCC reporting.
- Inline AI prompts for suspected HCCs and risk factors before note sign-off
- Real-time quality-gap alerts to improve pediatric outcome reporting
- 25% average RAF lift for pediatric patients with minimal physician effort
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What Sets Us Apart
Proven Results
- Achieve up to 98% clean-claim rate with end-to-end pediatric billing automation.
- Improve coder productivity by 170% using RapidCode for audit-ready claim generation.
- Increase pediatric HCC capture by 24% through point-of-care risk-adjustment optimization.
Security That Matters
- End-to-end encryption for patient and clinical data
- HIPAA, SOC 2, and ISO 27001-aligned infrastructure
- Role-based access to protect sensitive pediatric billing information
Real Partnership
- Dedicated implementation and workflow alignment in under 30 days
- Ongoing training to help teams adapt to evolving pediatric payer rules
- Continuous platform improvements based on real-world pediatric provider feedback
Results You Can Trust
RapidClaims delivered what other vendors only promised. We've seen a 30% reduction in AR days within one quarter, unlocking $2.5M in accelerated cash flow. Their platform adapts to our specific workflows instead of forcing us to change our processes.
CFO, Major Health System
$2.5M
Accelerated cash flow
30%
Reduction in AR days
"With RapidClaims, we're maximizing our limited resources while improving revenue capture by 5%. Our team now spends more time on patient care and less on administrative tasks."
Director HIM, Federally Qualified Health Center
5%
↑ increased revenue
40%
Reduction in coding and billing costs
RapidRisk transformed our value-based care documentation, improving RAF by 15% and reducing documentation gaps by 22%. This directly impacts our shared savings and quality metrics.
Medical Director, Leading Accountable Care Organization
15%
↑ RAF
45%
New conditions identified
Our clean claim rate jumped from 92% to 99% with a 96% first pass yield rate. With RapidClaims, we improved the productivity of our coding staff by 100%. Our team only focuses on complex cases that require human expertise.
VP Revenue Cycle, Multi-Specialty Physician Group
27%
Reduction in claim denials
70%
Reduction in cost to collect
Faster Pediatric Claims, Fewer Denials
Accelerate pediatric billing with real-time eligibility lookups, smart edits for pediatric rules, and automated document validation.
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Frequently Asked Questions
Transform Your Revenue Cycle in 30 Days or Less
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