Medical Billing Services in USA

97%

Pulmonology

Respiratory and pulmonary care billing expertise for clinics and sleep centers.

Specialty highlight

97%

Built around payer rules, documentation requirements, and coding nuances.

Diagnostic Test Coding Accuracy

97%

Clean Claim Rate

95%

Overview

Billing in Pulmonology

A practical view of what makes this specialty unique.

Pulmonology billing involves a combination of office-based evaluation for chronic conditions like COPD and asthma, and a high volume of diagnostic testing such as pulmonary function tests (PFTs) and bronchoscopies. Our pulmonology billing service is designed to manage this mix, ensuring accurate coding for all consultations, procedures, and interpretations, while navigating the complex payer policies for respiratory care to maximize your practice's revenue.

Specialized coding for PFTs (94010-94750) and bronchoscopies (31622-31654).

Standardized into our workflow to reduce rework and protect revenue.

Expertise in sleep study coding (95782-95811) and interpretation.

Standardized into our workflow to reduce rework and protect revenue.

Management of billing for allergy testing and immunotherapy.

Standardized into our workflow to reduce rework and protect revenue.

Coding for pulmonary rehabilitation services.

Standardized into our workflow to reduce rework and protect revenue.

Challenges

What slows reimbursement

The common friction points that trigger delays, denials, and rework.

Key challenges

Accurately coding for a variety of pulmonary function tests (PFTs), including spirometry, DLCO, and lung volumes.
Billing for bronchoscopy procedures, including with biopsies, lavage, and navigation.
Ensuring proper coding for sleep studies and the management of sleep-related breathing disorders.
Managing the complexities of billing for prolonged critical care services in pulmonary critical care.
Navigating payer policies for home oxygen therapy and DME for respiratory patients.

Our solutions

Certified pulmonology coders with expertise in respiratory diseases, diagnostic tests, and interventional procedures.
Precise coding for all PFTs, bronchoscopies, and other pulmonary diagnostic studies.
Expertise in billing for sleep medicine, including polysomnography (PSG) and home sleep tests (HST).
Accurate coding for critical care services and ventilator management in the ICU setting.
Proactive verification of coverage and prior authorization for sleep studies and complex procedures.
Detailed support for billing for home oxygen, CPAP, and other DME.

Features