Pediatric Billing General Pediatrics & Adolescent Care Memphis, TN (11 Pediatricians)
St. Jude Pediatric Clinic: Optimizing Vaccine Coding & Medicaid Claims
Eliminating vaccine administration coding errors and Medicaid reimbursement delays for a high-volume pediatric group.
Published April 2026 5 min read
99.3%
Clean Claim Rate
First-pass clean claim rate
20 Days
Medicaid A/R
Down from 58 days
+26%
Immunization Yield
Higher vaccine administration yield
The Challenge
- Frequent Medicaid denials on immunization administration CPT codes (90460/90461).
- Well-child visit E/M codes bundled incorrectly with preventive screening codes.
- High volume of uncollected copays during seasonal back-to-school checkups.
The Solution & Strategy
- Configured automatic EHR crosswalks pairing vaccine serum codes with exact counseling administration codes.
- Automated Medicaid eligibility checking 24 hours before every scheduled well-child visit.
- Implemented pre-check-in SMS links allowing parents to pay copays on their smartphones.
Quantifiable Key Results
Vaccine Claim Rate
99.3%
First-pass clean rateMedicaid A/R
20 Days
65% reductionCopay Collection
97.5%
Up from 71.0%"Medicaid vaccine billing used to be a headache. YAKKAY Healthcare automated our immunization coding and cut Medicaid A/R to 20 days."
Dr. Emily Thorne, MDLead Pediatrician at St. Jude Pediatric Care
Actionable Takeaways for Practice Leaders
1
Pair vaccine serum CPT codes automatically with corresponding physician counseling administration codes in your billing engine2
Run Medicaid 270 eligibility checks 24 hours prior to pediatric well-child checkupsReady to Achieve Similar Results?
Schedule a complimentary Revenue Cycle Audit for your practice to pinpoint billing leaks and clean claim opportunities.
Organization Profile
Organization:St. Jude Pediatric Care
Specialty:General Pediatrics & Adolescent Care
Location & Scale:Memphis, TN (11 Pediatricians)
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