Neonatology Medical Billing & Credentialing Services

Helping You Deliver Care While We Handle the Complexity of Billing & Credentialing

Neonatology is one of the most critical, high-pressure specialties in all of medicine. Every minute counts, and the stakes couldn’t be higher when it comes to treating newborns with complex, life-threatening conditions. But behind the scenes, administrative burdens like insurance billing, payer credentialing, and revenue cycle management (RCM) can interfere with your ability to focus solely on patient care. That’s where Oakview Medical Billing Solutions comes in.

We specialize in full-service medical billing and credentialing for neonatologists, neonatal nurse practitioners (NNPs), and NICU departments. With deep expertise in neonatal CPT coding, payer-specific policies, and preauthorization protocols, our team ensures you receive timely, accurate reimbursements — while reducing denials, delays, and compliance risks.

Why Neonatology Billing is Uniquely Complex

Neonatology billing presents unique challenges not typically seen in other specialties:

• Time-based, daily critical care billing for infants in intensive care

• Multiple patient types (premature, term, surgical cases) within the same NICU

• Coding for procedures, ventilator management, and resuscitation

• Mother vs. baby claims and correct use of newborn ICD-10 codes

• Frequent denials due to inaccurate NPI usage or lack of NICU authorization

• Claim linking between delivering OBs, pediatricians, and neonatologists

Oakview understands these complexities at a granular level. We use proactive claims review, eligibility verification, and payer-specific coding strategies to ensure every neonatology service you provide gets paid — the first time.

End-to-End Services Tailored for Neonatal Practices

Neonatology Billing Services

• Accurate coding for daily critical care (e.g., CPT 99468–99476)

• High-risk resuscitation and ventilation coding

• Global obstetric billing separation from NICU claims

• Denial management and timely appeals

• NICU census tracking and daily billing reports

Neonatology Credentialing Services

• Hospital privileging support and NPI registration

• Enrollment with Medicaid, Tricare, and commercial payers

• Sub-specialty taxonomy setup for neonatology

• Credentialing of Neonatal Nurse Practitioners (NNPs)

• Contract negotiation to improve NICU reimbursement

Neonatal Revenue Cycle Management (RCM)

• Eligibility verification prior to delivery

• Coordination with OB/GYN and pediatric providers

• Prior authorization tracking for neonatal procedures

• Payment posting, reporting, and reconciliation

• NICU audit defense and compliance support

CPT Codes in Neonatology Billing

Why Neonatologists Choose Oakview

• 95%+ Clean Claim Rate for NICU and newborn care

• Dedicated billing and credentialing team trained in neonatology

• HIPAA-compliant, cloud-based billing platform with real-time reporting

• Coordination with hospital systems, maternal-fetal medicine, and pediatric subspecialists

• Responsive support team available for urgent billing issues

Let’s Support Your Life-Saving Work

You deserve a revenue partner who understands the critical nature of your work and the administrative precision it demands. Oakview will help you optimize NICU reimbursements, reduce rework, and scale your services with peace of mind.

📞 Schedule your free consultation today — and let us handle the billing so you can focus on saving newborn lives.