Pulmonology Billing Services
Simplify Your Practice with Experienced Pulmonology Billing
A specialized pulmonary billing service would greatly benefit pulmonology practice, which specializes in the diagnosis and treatment of lung diseases like asthma, COPD, pulmonary fibrosis, and sleep apnea. Pulmonology is a very wide scope of service and diagnostics, including PFT (pulmonary function tests) and bronchoscopy with sleep studies plus long-term management of chronic lung conditions. The chronic nature and the complexity of many conditions to be treated by pulmonologists require detailed and accurate billing and coding to ensure that these specialists receive proper reimbursement for their offered service.
Pulmonary billing is unique due to the wide range of diagnostic and therapeutic services delivered to address various pulmonary disorders. From the lung biopsies and caring for ventilator-dependent patients to sleep study data interpretation, each process in the department involves comprehensive coding, often a combination of CPT codes with modifiers. The entire billing process would involve outpatient visits, consultations with an inpatient, and follow-up care, all of which have specific documentation and coding requirements. Therefore, someone without the proper knowledge could easily attract unnecessary denials due to claim errors, delayed payment, or underpayments.
Another challenging element of pulmonology medical billing is the management of payer-specific rules in chronic conditions that should be followed over a long period of time, similar to COPD or interstitial lung disease. Carriers may query the medical necessity of a series of repeating diagnostic tests or an ongoing course of treatment; hence, detailed clinical documentation must be achieved to support care rendered. Moreover, Medicare as well as other private insurers will have different policies related to sleep service, such as how much of the CPAP devices or polysomnography is covered, and therefore would cause a fog in the billing process.
Outsourcing pulmonary billing service to our experienced billing company offers you a streamlined solution for these challenges. It enables your pulmonology practice to file claims correctly and avoid denial while staying compliant with payer rules. Our experts handle the intricacy of procedure coding for bronchoscopy, PFTs, and thoracentesis, as well as handling the complications of managing long-term respiratory conditions. Our optimized revenue cycle management service will help you to ensure financial stability and operational efficiency while focusing more on patient care.
Advanced Pulmonology Billing Solutions
Patient Demographic Recording Service
Our team of professionals records and verifies the patient and insurance information accurately so that the possibilities of denying a claim for improper data are reduced. Accuracy and compliance improved, thus improving reimbursements.
Insurance Verification Service
We verify the patient's insurance prior to scheduling an appointment and obtain pre-authorizations if necessary. Early detection of potential errors reduces claim denials and results in smoother billing processes.
Charge Entry Service
Our specialists record charges provided by pulmonologists using proper charges for billings. The detailed record reduces errors and accelerates reimbursement processes.
Claim Submission Service
We prepare and submit accurate claims to respective insurance companies, making sure all necessary data is included. The completeness of this process speeds up the reimbursement cycle while simultaneously bringing down claim denials to return a regular inflow of revenue for your business.
Accounts Receivable (AR) Management
Our team reviews the claims submitted and responds promptly in case of rejections or delays. This systematic approach will enable your practice to quickly solve problems with insurance providers for continuous revenue and reduced accounts receivable outstanding.
Payment Posting Service
We track payments from insurance companies and patients against billed amounts. Accurate record-keeping of all financial transactions makes reconciliation and reporting easier as your practice stays compliant and financially organized.
Denial Management
Specialists will research why claims were denied and file an appeal, if needed. They also make necessary process changes to limit denials in the future. This proactive approach optimizes your collection rates while limiting the disruption in the revenue cycle and thereby reducing the administrative burden of your practice.
Collection Support
We provide professional service in patient billing and collection, including clear communication. The whole process efficiently supports increased collection rates.
