Technical Revenue Advocacy for Pediatrics

Protecting the Financial Health of the Next Generation

Pediatric practices operate on a unique rhythm where high visit volume, complex vaccine logistics, and strict payer rules collide. Generalist billing models frequently miss the technical add-ons that make pediatric care profitable. Webill Health ensures every vaccine, screening, and sick visit is adjudicated at its full value.

The Pediatric Forensic Leakage Map

Pediatric revenue is often lost in the noise of high-volume clinic days. We identify and eliminate these three primary leakage points.

Vaccine Administration Under-Reimbursement

Misuse of CPT 90460/90461 versus 90471–90474 causes counseling-related administration revenue to be missed.

Combination vaccines can silently cost $30K–$60K annually.

The “Sick-During-Well” Denial (Modifier 25)

Automated edits frequently deny same-day sick visits as “incidental” to wellness exams.

Level 3–4 E/M visits are often written off unnecessarily.

Ancillary Screening Omissions (96110 / 96127)

Developmental and behavioral screenings are under-coded due to frequency limits and modifier errors.

Missed screenings equal $15K+ in silent annual losses.

The Webill Defense for Pediatrics

Vaccine logic calibrated for VFC vs private stock administration.
Proactive Modifier-25 advocacy for same-day sick/well encounters.
Weekly audits to capture every developmental screening performed.
Newborn enrollment management to prevent early-life denials.

97.8%

Clean Claim Rate for Pediatric Encounters

48 Hrs

Submission Guarantee for High-Volume Days

10%

Average Revenue Lift in 6 Months

Audit Your Pediatric Revenue

Are volume errors quietly draining your margins? Request a specialized pediatric audit to uncover exactly where your revenue is leaking.

Request Your Pediatric Revenue Audit