Accurate coding, clean claims, and fewer denials. our pulmonology RCM experts manage everything from PFTs to sleep studies, so you can focus on patient care while we maximize your reimbursements.
E/M with spirometry or other diagnostic testing billed same day without Modifier 25.
Missing clinical time logs or COPD diagnosis when billing Medicare pulmonary rehab (G0424).
Multiple sleep study claims submitted without clear titration or follow-up documentation.
Bronchoscopy codes (e.g., 31624, 31625) denied due to lack of modifier or incorrect bundling.
TC/26 errors on imaging (e.g., chest X-rays, PFTs) causing incorrect reimbursement splits.
Missing time logs or consent forms for CCM or RPM services tied to chronic respiratory care.
CPAP or oxygen equipment billed under DME without supporting usage or compliance reports.
No proof of oxygen qualification (e.g., missing SpO2 levels or test documentation).
Incorrect place-of-service or billing discrepancies between inpatient and outpatient care.
Accurate coding for sleep studies (in-lab and home), CPAP therapy, and DME management.
xpert billing for spirometry, lung volume, and diffusion capacity with proper bundling and modifiers.
Billing for bronchoscopies, biopsies, thoracentesis, and ablation procedures.
Specialized coding for COPD, asthma, and long-term oxygen therapy including time-based care codes.
Precise billing for inpatient consults, ventilation management, and ICU procedures.
Billing for pulmonary-related allergy testing, immunotherapy, and biologic drug.
Accurate claim submission for monitored exercise, education, and breathing therapy sessions.
Niche billing expertise for advanced therapies, genetics, and case management services.
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Our team is made up of certified coders, RCM analysts, and compliance experts trained specifically in pulmonary function testing, sleep medicine, interventional procedures, and chronic care billing. We build and manage a system that’s designed to reduce rework, boost first-pass acceptance, and recover underbilled revenue month after month.
Whether you’re a solo pulmonologist, a hospital-based provider, or managing a multi-location group, we tailor our workflow around your care model, EHR setup, and payer mix. Cleaner claims, faster payments, fewer denials, and full visibility into where your revenue stands.
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