Pulmonology Billing Services for Accurate Claims

check_circle Reduce Denials

check_circle Ensure Compliance

check_circle Maximize Reimbursements

check_circle 100% HIPAA Compliance

2+

Satisfied Providers

26+

Medical Specialties

6+

Billing Experts

Why Choose us?

Pulmonology billing is complex due to the variety of procedures, frequent insurance policy updates, and strict coding guidelines for conditions like COPD, asthma, sleep disorders, and pulmonary function tests. Our billing specialists handle everything from pre-authorization to claims follow-up, ensuring maximum reimbursement with minimal delays

check_circle 98% Clean Claim Rate

check_circle Specialized CPT & ICD-10 Coding for Pulmonology

check_circle End-to-End Revenue Cycle Management (RCM)

check_circle HIPAA-Compliant & Secure Billing Solutions

Professional Billing Guide:

Master Billing & Increase Your Cash Flow

Learn step-by-step methods to streamline your billing process, reduce denials, and get faster reimbursements. This guide offers industry insights, ready-made forms, and best practices to maximize efficiency.

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Eliminate Costly Errors


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Accelerate Claim Processing


Key Benefits

Accurate Pulmonary Function Test (PFT) Coding

Bill spirometry (94010) and complete PFTs (94726) with proper modifiers.

Sleep Study & CPAP Compliance

Ensure correct billing for polysomnography (95810) and CPAP therapy (E0601).

Asthma & COPD Treatment Billing

Optimize claims for nebulizer treatments (94640) and biologic infusions (J0517).

Bronchoscopy & Lung Biopsy Reimbursement

Bill procedures like bronchoscopy with biopsy (31625) accurately.

Ventilator & Home Oxygen Coverage

Navigate Medicare guidelines for ventilator (E0466) and oxygen therapy (E1390).

Modifier Expertise for Pulmonary Procedures

Apply 59, 25, and RT/LT modifiers to prevent denials.

Critical Care & ICU Billing

Maximize reimbursements for ventilator management (94002) and E/M services (99291).

Prior Authorization for Biologics & Specialty Drugs

Expedite approvals for Nucala, Dupixent, and other treatments.

Denial Recovery & Appeals

Successfully overturn claim denials with strong documentation.

24/7 Pulmonology Billing Support

Address urgent claim issues and insurance queries promptly.

How to Get Started ?

1

Schedule a Free Consultation

Connect with our experts to discuss your practice’s billing challenges and requirements.

2

Seamless Onboarding & Data Integration

Our team ensures a hassle-free transition by integrating with your existing systems.

3

Start Optimizing Your Revenue

We handle claims, reduce denials, and accelerate payments for maximum profitability.

How it works

What is the size of your medical practice?

Which medical billing services do you require?

What is your medical specialty?

What is your primary objective for medical billing services?

Please provide your contact information

Case Study

40% Reduction in Claim Denials for a Pulmonary Clinic


A mid-sized pulmonology practice faced a high claim denial rate (25%) due to incorrect modifiers, missing documentation, and insurance coverage issues. This resulted in revenue loss and increased administrative burden. After implementing our specialized billing solutions, the clinic reduced claim denials to 10% and improved claim approval rates to 94%.

Claim Denial Rate
Claim Approval Rate
Before
After

Detailed Insights:

❌ 25% claim denial rate due to coding errors.
❌ Frequent insurance coverage issues causing delayed payments.
❌ High administrative workload affecting patient care.

✅ Implemented AI-powered coding validation to catch errors before submission.
✅ Trained staff on correct documentation & insurance guidelines.
✅ Streamlined pre-authorization process to avoid claim rejections.

✅ 40% reduction in claim denials within 6 months.
✅ Claim approval rate improved from 75% to 94%.
✅ Reimbursement cycle reduced from 45 days to 28 days.

“We saw a huge drop in claim denials thanks to their expertise!”

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Dr. Richard M.

★★★★★

“Their team understands pulmonology billing like no other. Highly recommended!”

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Dr. Sophia T.

★★★★★

“Finally, a billing partner that ensures 100% accuracy in pulmonary function test claims.”

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Dr. Michael K.

★★★★★

“Our sleep study billing is now smooth and hassle-free!”

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Dr. Jennifer L.

★★★★★

“Their pre-authorization support has saved us so much time.”

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Dr. Anthony B.

★★★★★

“Best decision we made for our pulmonology practice!”

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Dr. Linda S.

★★★★★
Pulmonology Billing Services

Simplify Your Pulmonology Billing with Our Expertise!

Maximize reimbursements and minimize claim denials with our specialized pulmonology billing services. From accurate coding to seamless insurance processing, we ensure a smooth revenue cycle so you can focus on patient care.

Get Billing Support

Common Pulmonology Billing Challenges & How We Address Them

28%

Of pulmonology claims are denied due to improper use of CPT codes for respiratory procedures and incomplete patient documentation.

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60%

Of practices experience delayed payments due to complex insurance policies affecting pulmonary function tests and sleep studies.

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$3.5B

Estimated revenue lost annually in pulmonology due to claim denials and reimbursement delays.

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Expert Pulmonology Billing for Faster Reimbursements

Our pulmonology billing experts specialize in accurate medical coding, claim scrubbing, and compliance with evolving insurance guidelines. We streamline billing for asthma treatments, bronchoscopy procedures, ventilator management, and sleep disorder diagnostics.

With real-time claim tracking, proactive denial management, and optimized revenue cycle strategies, we ensure pulmonologists receive maximum reimbursements while reducing administrative burden.

Any Questions?

Billing FAQs

We follow the latest CMS, HIPAA, and payer-specific guidelines to ensure every claim is compliant.

Yes! We specialize in billing for sleep studies, CPAP therapy, pulmonary function tests, and more.

We use AI-driven claim validation, specialized coding audits, and pre-authorization support to prevent denials.

Absolutely! We are 100% HIPAA-compliant and use encrypted systems for data protection.