- Schedule a free 30-minute appointment with a billing advisor today!
- Schedule a free 30-minute appointment with a billing advisor today!
Pulmonology medical billing requires high accuracy and expertise for proper documentation, coding, and submission of claims. Our pulmonology billing solutions will help handle all the complexities of your practice, right from diagnostic codes to compliance with CMS guidelines. Our focus on accurate pulmonology billing can help minimize claim denials, improve collections, and sustain the financial health of your practice.
Medical advancements have brought tremendous improvements to pulmonology practices, but they have also created complex medical coding and billing challenges. Pulmonology medical billing requires precision to ensure accurate documentation and reimbursement for services. The intricate nature of pulmonary billing codes means that errors can lead to significant revenue losses. A skilled pulmonology billing team can reduce these errors and efficiently address denied or rejected claims, unlike inexperienced office staff who may struggle with resolving complex cases on time.
Pulmonology billing starts even before treatment; it begins with the critical scheduling process. Insurance coverage and payer requirements must be verified to avoid delays in reimbursement. Pulmonology practices often face the added complexity of rescheduling appointments to align with specialists, hospital procedures, and recurring annual processes. Seasonal services like flu shots and vaccines further complicate billing, requiring careful tracking and coding to ensure proper payment.
In pulmonology, every claim matter because the value of treatments and procedures is so high. Unlike general medical practices, which have hundreds of low-value claims filed daily, pulmonology billing involves fewer claims but with a much greater financial impact. One unpaid claim can have a huge effect on a practice’s revenue, making it crucial that claims are submitted accurately and timely.
Pulmonology requires very detailed coding for any medical billing because the treatment process is so complex and is considered an advanced procedure. Proper use of modifiers should be used to obtain complete reimbursement for services provided. Inexperienced coders may miss important details or not apply the proper level of coding, resulting in denials, delays, and underpayments that hurt the revenue stream of a practice.
Our expert coders are fluent with pulmonology medical billing. We use our expertise in coding for complex procedures to ensure accurate reimbursements and compliance. Our team is proficient in handling the unique coding requirements of pulmonology practices, ensuring all claims are submitted with the highest accuracy. Below are some of the commonly used CPT codes in pulmonology procedures that our experts are skilled in managing:
CPT 31622: Used when only a diagnostic bronchoscopy is performed.
CPT 31625: Used for a biopsy performed in conjunction with a bronchoscopy.
CPT 31628: Refers to bronchoscopy with a transbronchial lung biopsy, which is an advanced diagnostic procedure.
CPT 31635: Refers to bronchoscopic cryotherapy procedures.
CPT 94010: Used for basic spirometry to measure lung function.
CPT 94060: Refers to spirometry performed before and after the administration of a bronchodilator.
CPT 94726: Refers to lung volume measurements by plethysmography or gas dilution.
CPT 94729: It refers to the measurement of carbon monoxide diffusion capacity of lungs (DLCO).
Partner with Integrity RCM for expert pulmonology billing services, and let our team handle the complexities of coding and billing so you can focus on delivering exceptional care to your patients.
Proactively minimize revenue disruptions through specialized Pulmonology medical billing strategies that prevent claim denials before they occur.
Conduct in-depth audits of Pulmonology billing processes to identify, analyze, and systematically address potential revenue loss sources.
We use deep insights in Pulmonology billing and coding to develop strategic appeal management, ensuring maximum reimbursement and systematic rejection resolution.
Perform routine compliance audits to proactively identify potential issues, prevent future denials, and maintain exceptional coding accuracy in Pulmonology medical billing.
Provide comprehensive Pulmonology medical billing services including patient enrollment, insurance verification, authorization management, specialized coding, payment posting, account reconciliation, AR management, patient collections, coding audits, and credentialing.
We work closely with our clients. Feel free to interact with expert billers and a dedicated account management team. Each healthcare center partners with seasoned professionals who understand your unique challenges and goals. Your dedicated team delivers hands-on support, proactive problem-solving, and industry-leading expertise to optimize your revenue cycle.
| Performance Metrics | Integrity RCM | Industry Average | Benefits of Integrity RCM |
|---|---|---|---|
| Clean Claims Rate | 98-99% | 75-85% | Higher first-pass acceptance, faster reimbursement |
| Days in A/R | 14-30 days | 45-55 days | Improved cash flow and revenue cycle |
| Collection Rate | 96-98% | 85-90% | Maximum revenue capture |
| Denial Rate | <3% | 5-10% | Fewer rejected claims, reduced administrative burden |
| Coding Accuracy | 99% | 90-95% | Minimized compliance risks, optimal reimbursement |
| Patient Satisfaction | 95% | 80% | Better patient experience, fewer billing complaints |
| Customer Support | 24/7 dedicated support team | Limited business hours | Faster issue resolution |
Track what matters with our comprehensive medical billing KPIs. We turn complex data into actionable insights, ensuring faster reimbursements, reduced denials, and optimized revenue cycles.
Our billing solutions are designed to streamline the unique financial processes of ambulatory surgery centers and medical offices, optimizing reimbursement for procedures and consultations in these outpatient settings.
We are a medical billing company that knows the features and workaround of your EHR system. At Integrity RCM, we work with your
existing EHR to remove the hassle of shifting to a new one.
As a leading medical company in the USA, we deliver exceptional medical billing services across all 50 states. Integrity RCM combines cutting-edge technology with expert knowledge to make your collection process smooth and efficient. Our certified specialists ensure compliance, optimize reimbursements and maintain the highest clean claims rates in the industry.
Don’t let coding errors and billing inefficiencies hold your practice back. Get data-driven medical coding
solutions from Integrity-RCM.
Integrity RCM services a broad cross-section of healthcare providers: private medical practices, hospitals, private clinics, specialty practices, mental health providers, dental offices, and ambulatory surgical centers. Our billing solutions are flexible and meet the needs of every medical specialty.
Our expert medical billers have a rigorous quality control process that verifies the accuracy of every claim. Our certified coders and billers are constantly updated on the latest coding and billing compliances and regulations to minimize the chances of any errors and delays.
Integrity RCM is HIPAA compliant, and we adhere to all compliance measures and ensure that patient information is not made widely available. We take care of the information very confidentially. Advanced security measures include encryption and secure data transfer protocols.
You can reach us through our customer support team by dialing (281) 404-5503, sending an email to info@integrity-rcm.com, or through our online contact form. Our committed support team will be ready to answer your questions or assist you in any way possible.
Getting started is easy. We offer a complimentary initial consultation to analyze your current billing processes, understand your specific needs, and provide a tailored solution. Contact our team to schedule a comprehensive review and discuss how we can best optimize your medical billing operations.
