Insurance Verification
Review coverage, eligibility, benefits, patient responsibility, and applicable payer requirements.
Insurance Verification →
PULMONOLOGY SERVICES
Pulmonology Services Built Around the Complexity of Respiratory Care.
Pulmonology practices manage office visits, pulmonary function testing, bronchoscopy, sleep studies, respiratory treatments, chronic lung disease management, pulmonary rehabilitation, and other specialized services. Your revenue cycle needs to keep those service lines connected.
Our pulmonology medical billing services connect insurance verification, prior authorization, charge entry, pulmonary coding, claim submission, payment posting, denial management, accounts receivable, credentialing, and revenue cycle management.
PULMONARY BILLING
Tell Us About Your Practice
Share your practice details and the areas of pulmonology billing, coding, claims, or RCM support you need.
SPECIALTY-SPECIFIC BILLING
Why Pulmonology Billing Requires a Specialty-Specific Revenue Cycle.
Pulmonology combines office-based evaluation with pulmonary function testing, bronchoscopy, sleep services, respiratory treatment, chronic disease management, and in some practices critical or inpatient care. Each service line can create different coding and payer requirements.
01
Diagnostic Testing
PFTs, spirometry, lung volumes, diffusion capacity, stress testing, and other pulmonary diagnostics require service-specific workflows.
02
Bronchoscopy Procedures
Diagnostic and therapeutic bronchoscopy can involve biopsies, lavage, EBUS, stent services, and other procedure combinations.
03
Sleep Medicine
Sleep studies and polysomnography can involve distinct documentation, credentialing, authorization, interpretation, and facility requirements.
04
Chronic Respiratory Care
COPD, asthma, interstitial lung disease, pulmonary hypertension, and other chronic conditions require ongoing care workflows.
05
Professional & Technical Work
Certain diagnostic services may involve professional and technical components that require appropriate billing and modifier review.
06
High-Acuity Care
Pulmonary and critical care practices may also handle time-based critical care, inpatient services, and respiratory management.
PULMONOLOGY MEDICAL BILLING SERVICES
End-to-End Billing Services for Pulmonary Practices.
From insurance verification and prior authorization to pulmonary coding, claims, payment posting, denials, and A/R, our workflow connects each stage of the pulmonology revenue cycle.
Prior Authorization
Support applicable authorization workflows for sleep studies, procedures, specialty medications, and other pulmonary services.
Authorization Support →Charge Entry
Capture office visits, PFTs, bronchoscopy, sleep studies, respiratory services, and other documented charges.
Charge Entry →Pulmonary Coding
Support CPT, HCPCS, ICD-10-CM, E/M, modifier, and documentation-based coding workflows.
Medical Coding →Claims Submission
Review claim information and submit pulmonary services through the applicable payer workflow.
Medical Billing →Denial Management
Analyze coding, authorization, medical necessity, documentation, bundling, and payer-related denial issues.
Denial Management →Payment Posting
Post payer and patient payments, adjustments, remittance information, and remaining balances.
Payment Posting →A/R Follow-Up
Follow aging claims, payer responses, outstanding balances, and potential underpayments.
A/R Services →
PULMONARY FUNCTION TESTING
Billing Support for Pulmonary Function Tests and Respiratory Diagnostics.
Pulmonary function testing can include multiple diagnostic components, documentation requirements, interpretation, and payer considerations. Our workflow keeps the study details connected from order through claim.
SPIROMETRY
Spirometry Billing
Support applicable baseline and bronchodilator-response spirometry workflows with coding and documentation review.
LUNG VOLUMES
Lung Volume Testing
Capture applicable lung-volume testing and connect the study with diagnosis and documented service details.
DLCO
Diffusing Capacity
Support applicable diffusion-capacity testing and documentation-based pulmonary coding.
AIRWAY
Airway Resistance Testing
Support applicable airway resistance and advanced pulmonary function testing services.
STRESS
Pulmonary Stress Testing
Support applicable exercise and pulmonary stress testing with documentation and coding review.
SIX-MINUTE WALK
Six-Minute Walk Testing
Support applicable walk-testing workflows and keep test documentation connected to the claim.
OXYGEN
Pulse Oximetry
Support applicable oxygen saturation and pulse-oximetry service billing based on documentation.
COMPONENTS
Professional & Technical Components
Review applicable professional and technical component requirements according to the service and payer.
PFT-to-Claim Workflow
Order → Test → Interpretation → Documentation → Coding → Claim
Explore Medical Coding →
BRONCHOSCOPY BILLING SERVICES
Billing Support for Diagnostic and Therapeutic Bronchoscopy.
Bronchoscopy can involve a base procedure along with biopsies, lavage, ultrasound, foreign-body work, stent placement, or other services. Accurate coding starts with the documented procedure report.
01 · DIAGNOSTIC
Diagnostic Bronchoscopy
- Diagnostic airway examination
- Procedure documentation
- Diagnosis linkage
- Applicable coding review
- Claim preparation
02 · BAL
Bronchoalveolar Lavage
- BAL documentation
- Specimen-related workflow
- Procedure coding
- Claim review
- Payer requirements
03 · BIOPSY
Transbronchial Biopsy
- Lung biopsy
- Procedure details
- Documentation review
- Code relationship review
- Claim submission
04 · EBUS
Endobronchial Ultrasound
- EBUS procedures
- Image-guided services
- Biopsy workflows
- Authorization
- Procedure coding
05 · AIRWAY
Airway Procedures
- Foreign body removal
- Airway obstruction
- Stent-related services
- Therapeutic bronchoscopy
- Documentation review
06 · CODING
Bronchoscopy Coding Review
- CPT and HCPCS review
- NCCI considerations
- Modifier review
- Procedure relationships
- Payer-specific edits
Bronchoscopy-to-Claim Workflow
Procedure Report → Findings → Intervention → Coding → Claim Review
Explore Medical Coding →
SLEEP MEDICINE BILLING
Billing Support for Sleep Studies, Polysomnography, and Sleep Care.
Sleep-related services can involve facility requirements, physician interpretation, documentation, authorization, testing orders, and payer-specific coverage criteria. Our workflow keeps those requirements connected to billing and claim submission.
CMS describes sleep studies and polysomnography as diagnostic services involving monitoring, physician review, interpretation, and reporting; current CMS guidance also addresses sleep-facility credentialing and documentation requirements.
Explore Insurance Verification →
PSG
Polysomnography
Support applicable facility-based sleep study billing,
documentation, interpretation, and claim workflows.
HSAT
Home Sleep Apnea Testing
Support applicable home sleep testing workflows
based on payer and service requirements.
CPAP
CPAP Titration
Support applicable titration-study billing,
documentation, and payer requirements.
OSA
Obstructive Sleep Apnea
Connect documented sleep-related diagnoses with
applicable testing and billing workflows.
REVIEW
Authorization & Documentation
Keep testing orders, medical necessity, documentation,
authorization, coding, and claims aligned.
PULMONARY & RESPIRATORY CARE
Billing Support Across Chronic Lung Disease, Respiratory Treatment, and Critical Care.
Pulmonology practices may manage chronic respiratory conditions alongside diagnostic testing, treatment, pulmonary rehabilitation, oxygen services, and high-acuity care. Your billing workflow should reflect the full service mix of the practice.
01
COPD Management
Support office visits, pulmonary testing, respiratory treatment, chronic disease management, and follow-up services.
02
Asthma Care
Connect evaluation, pulmonary testing, inhalation treatment, medication management, and applicable follow-up billing.
03
Interstitial Lung Disease
Support ongoing evaluation and specialty care for ILD, pulmonary fibrosis, and related respiratory conditions.
04
Pulmonary Hypertension
Support chronic pulmonary care, diagnostic services, specialty medication, and authorization workflows.
05
Oxygen & Respiratory Therapy
Support applicable oxygen therapy, respiratory treatment, equipment-related, and documentation workflows.
06
Pulmonary Rehabilitation
Support applicable pulmonary rehabilitation services, orders, documentation, attendance, and claim workflows.
07
Critical Care
Support applicable time-based critical-care and high-acuity pulmonary services with documentation-focused coding review.
08
Inpatient Pulmonary Care
Support applicable inpatient evaluation, respiratory management, consultation, and hospital-based pulmonary services.
INSURANCE & PRIOR AUTHORIZATION
Prepare Pulmonary Services for the Payer Before the Claim Is Submitted.
Pulmonology services can involve payer-specific authorization, documentation, coverage, medical-necessity, testing, medication, and facility requirements. A connected front-end process helps keep those details aligned.
01
Eligibility Verification
Verify active coverage and relevant patient and payer information before services move downstream.
02
Benefits Verification
Review benefits, network information, patient responsibility, and applicable plan requirements.
03
Procedure Authorization
Identify applicable authorization requirements for bronchoscopy, diagnostics, sleep studies, and other pulmonary services.
04
Sleep Study Authorization
Support payer authorization workflows for applicable PSG, sleep testing, and related diagnostic services.
05
Specialty Medication Authorization
Support applicable authorization workflows for specialty pulmonary medications and biologic therapies.
06
Medical Necessity & Documentation
Keep diagnoses, orders, test documentation, clinical information, and service details aligned with applicable requirements.
STEP 01
Verify
→
STEP 02
Authorize
→
STEP 03
Document
→
STEP 04
Submit
PULMONOLOGY CLAIMS & A/R
Keep Pulmonary Claims Moving From Submission Through A/R.
PFT, bronchoscopy, sleep-study, respiratory-treatment, and office claims can receive different payer responses. Rejections, denials, payments, adjustments, underpayments, and aging accounts all need defined next actions.
01
Claim Submission
Submit validated pulmonology claims through the applicable payer workflow.
Medical Billing →
02
Claim Rejections
Review claim-level issues, correct available errors, and support appropriate resubmission.
Claims Support →
03
Denial Management
Review coding, authorization, medical necessity, documentation, bundling, and payer denial reasons.
Denial Management →
04
Payment Posting
Post insurance and patient payments, adjustments, remittance information, and remaining balances.
Payment Posting →
05
Underpayment Review
Review payment differences against available payer or contractual information and route for follow-up where appropriate.
A/R Services →
06
Aging A/R
Follow unpaid claims, aging balances, payer responses, and unresolved pulmonary accounts.
Explore A/R →
Pulmonology Revenue Cycle Management
Claims → Denials → Payments → Adjustments → Follow-Up → A/R
Explore Revenue Cycle Management →
OUR PULMONOLOGY RCM WORKFLOW
A Connected Workflow From Patient Intake to A/R Follow-Up.
Pulmonology revenue cycle management works best when insurance, authorization, diagnostic studies, procedures, coding, claims, payments, denials, and A/R remain connected.
01
Verify
Eligibility, benefits, payer, and patient information.
02
Authorize
Applicable testing, procedures, sleep studies, and specialty services.
03
Capture
Visits, PFTs, bronchoscopy, sleep services, and diagnostics.
04
Code
CPT, HCPCS, ICD-10-CM, E/M, modifiers, and components.
05
Review
Documentation, medical necessity, NCCI, and payer requirements.
06
Submit
Send validated claims through the appropriate payer workflow.
07
Resolve
Rejections, denials, payments, corrections, and A/R follow-up.
PULMONOLOGY FAQ
Frequently Asked Questions About Pulmonology Services.
Common questions about pulmonary billing, coding, PFTs, bronchoscopy, sleep studies, respiratory care, and RCM.
What are Pulmonology Services? +
Pulmonology Services on this page refer to medical billing,
coding, claims, authorization, payment, denial, A/R,
credentialing, and revenue-cycle support designed around
pulmonary and respiratory care practices.
What are pulmonology medical billing services? +
Pulmonology medical billing services can include insurance
verification, prior authorization, charge entry, pulmonary
coding, claim submission, payment posting, denial management,
accounts receivable, credentialing, and RCM support.
Do you handle pulmonary function test billing? +
Yes. Applicable pulmonary function testing workflows can include
spirometry, lung-volume testing, diffusion capacity, pulmonary
stress testing, pulse oximetry, documentation review, coding,
claims, and payer follow-up.
Do you provide spirometry billing services? +
Yes. Applicable spirometry workflows can include charge capture,
coding, diagnosis linkage, documentation review, claim submission,
and payment or denial follow-up.
Do you support bronchoscopy billing? +
Yes. Applicable bronchoscopy billing workflows can include
diagnostic and therapeutic procedures, BAL, biopsy, EBUS,
stent-related services, documentation review, coding,
NCCI considerations, claims, and follow-up.
Do you handle sleep study and polysomnography billing? +
Yes. Applicable sleep-study workflows can include polysomnography,
home sleep apnea testing, CPAP titration, authorization,
documentation, coding, claim submission, and payer follow-up.
Do you support pulmonary and respiratory therapy billing? +
Applicable workflows can include respiratory therapy,
inhalation treatment, pulmonary rehabilitation, oxygen-related
services, and other documented pulmonary treatment services.
Can you handle COPD and asthma billing? +
Yes. Pulmonary billing workflows can support office visits,
diagnostic testing, respiratory treatment, medication-related
services, chronic disease management, claims, and follow-up
associated with COPD, asthma, and other respiratory conditions.
Can you manage pulmonology prior authorization? +
Yes. Applicable authorization workflows can include sleep studies,
bronchoscopy, diagnostic testing, specialty medications,
and other pulmonary services that require payer review.
How do you handle pulmonology claim denials? +
Denial management can include review of coding, authorization,
medical necessity, documentation, payer responses, bundling,
corrected claims, resubmissions, and appeals where appropriate.
Do you provide pulmonology A/R services? +
Yes. A/R support can include aging review, outstanding claim
follow-up, payer communication, underpayment review, and
unresolved pulmonary account follow-up.
Do you support pulmonology credentialing and enrollment? +
Applicable provider credentialing and payer enrollment workflows
can be incorporated into the broader pulmonology revenue cycle
for providers and payer relationships.
PULMONOLOGY SERVICES
Build a Pulmonology Revenue Cycle Around the Care You Provide.
Connect insurance verification, authorization, pulmonary coding, PFTs, bronchoscopy, sleep studies, claims, payment posting, denials, A/R, credentialing, and complete pulmonology RCM through one structured workflow.