World-Class Pulmonology
Billing Services
- Medical Credentialing
- Medical Billing Audit
- Patient Eligibility Verification
- Accounts Receivable Management
Why Outsourcing Pulmonology Billing Services Transforms Practices
The backbone of the financial stability of your practice is precise and effective medical billing, which goes higher than simple documentation. The swift processing of reimbursements and proper submission of claims are guaranteed by outsourcing your medical billing services. This approach decreases the workload of your staff while increasing revenue flow. Better financial predictability, more rapid payments, and fewer denials are all advantages to practices. In the final, it allows your team to solely focus on what really matters, which is providing exceptional patient care.
Denial Management
We skillfully handle every claim denial, observe patterns, and submit amendments for reduced denials and timely payments.
Complete RCM Services for Physician Practices
At iSolve RCM, we follow a complete approach to Pulmonology Billing Services, covering every step of revenue cycle management.
Accounts Receivable
Our team of professionals tracks unpaid claims, checks immediate follow-ups, and supports practices in preserving consistent cash flow, all of which improve financial stability.
Medical Coding
Professional medical coders translate every patient encounter into proper codes for insurance claims, providing pulmonology billing and coding precision and maximizing reimbursements.
Medical Billing Audit
We perform detailed audits to discover discrepancies, prevent revenue loss, and improve pulmonology medical billing services workflows for consistent effectiveness.
Medical Credentialing
We simplify provider enrollment and credentialing with insurance networks, guaranteeing no delays in reimbursement or claim approvals.
Unlock Faster Reimbursements with Pulmonology Billing Services
Take control of the cash flow of your healthcare practice and reduce delays in payments. Our medical billing team handles claims and coding with precision for quicker reimbursements.
Simplify Your Medical Billing Services Now
Outsource your pulmonology medical billing to iSolve RCM and focus on patient care while our medical billers and coders handle claims, pulmonology billing and coding, and reimbursements with precision.
Our Professional Pulmonology Billing Services and Coding
Pulmonology Evaluation Codes
- Correct and proper billing of pulmonary function tests allows for the collection of maximum reimbursement.
- CPT billing code is 94010 for the pulmonary function test, and the CO2 monitoring assessment CPT billing code is 94726.
Respiratory Therapy Codes
- The pulmonary billing department provides help with submitting claims for both rehabilitation sessions and inhalation therapy.
- 94640 is the CPT code for Inhalation Therapy, and that for submitting pulmonary Rehabilitation Sessions is CPT 94664.
Sleep Study and Diagnostics Codes
- Submitting the claims for sleep studies and diagnostic tests in accordance with the proper billing process ensures the greatest accuracy of reimbursement and compliance with payer policies and requirements.
- CPT 95810 is for the overnight polysomnography, and CPT 95806 is for home sleep apnea testing.
Chronic Lung Disease Codes
- The billing specialists within our organization guarantee that the claims for chronic lung disease are submitted accurately, thereby ensuring the maximum possible revenue flow.
- Chronic obstructive pulmonary disease is described under ICD J44.9, while Asthma is included under ICD J45.909.
Intensive Care Codes
- Every aspect of the ICU billing process is done in such a way as to identify and capture all services rendered in connection with critical care.
- Time increments of thirty minutes after the first hour are submitted utilizing CPT code 99292, and the first hour of critical care is documented utilizing CPT code 99291.
Procedure and Intervention Codes
- The billing for procedures performed, such as bronchoscopy and thoracentesis, is performed in an organized manner to facilitate successful claim approval.
- CPT 31622 is used for bronchoscopy with biopsy, and CPT 32551 for thoracentesis procedures.
Common Pulmonology Billing Challenges and Our Solutions
| Challenges | Solution |
|---|---|
| Coding errors | Certified coders apply proper pulmonology billing and coding to improve approvals and revenue. |
| Delayed provider enrollment | Professional credentialing specialists’ complete enrollments quickly to prevent payment interruptions. |
| Aging and unpaid claims | Comprehensive AR management monitors unpaid claims and guarantees timely payer follow-ups. |
| Changing payer regulations | Continuous compliance monitoring keeps billing aligned with updated payer and CMS guidelines. |
| Lack of reporting visibility | Complete financial reporting provides clear insights into performance and revenue trends. |
Unlock Consistent Cash Flow
Our dependable pulmonology billing services at iSolve RCM are designed for consistent and stable cash flow.
- Chicago
- Loss Angeles
- Alabama
- California
- Indiana
- New York
Integrated Pulmonology Billing with Your EHR Systems
Our Pulmonology Medical Billing Services offer proper patient data, claim submission, and real-time reporting for better operations by completely integrating with your EMRs or EHRs.
Advantages of Outsourcing Pulmonology Medical Billing Services to iSolve RCM
iSolve RCM partners with pulmonology practices to deliver dependable and compliant pulmonology medical billing solutions.
Improved Revenue Performance
Our pulmonology billing procedure improves overall reimbursement rates, tracks missed charges, and reduces denials.
Precise Medical Coding
Certified coders confirm precise and up-to-date pulmonology coding, improving compliance and defending your practice from costly mistakes.
Effective Claims Management
Faster payments and more smooth cash flow are achieved through timely claim submission, frequent follow-ups, and proactive denial resolution.
Provider Credentialing Support
By professionally overseeing payer enrollments, our credentialing experts avoid interruptions to patient services and billing.
Professional Revenue Cycle Management
We carefully handle every step of the revenue cycle with transparency and control, from patient eligibility to the payment posting.
Regulatory Compliance Assurance
We stay updated on payer policies and healthcare regulations to keep your practice fully compliant.
Frequently Asked Questions
What are Pulmonology Billing Services?
Pulmonology billing services are the process of coding, submitting, and overseeing insurance claims for pulmonary medical services.
What is included in Pulmonology Medical Billing Services?
Pulmonology billing and coding services include:
- Medical billing audits
- Accounts receivable management
- Denial management
- Credentialing
- Claims processing and more.
Which are the most generally utilized billing procedures in pulmonology?
The most normally billing procedures in pulmonology include:
- Bronchoscopy
- Sleep Studies
- Arterial Blood Gas Analysis
- Home Oxygen Therapy
- Pulmonary Function Tests
Absolutely! Our pulmonology billing services at iSolve RCM HIPAA compliant.
Are pulmonology billing services HIPAA compliant?
Absolutely! Our pulmonology billing services at iSolve RCM HIPAA compliant.