Services · Pulmonology medical billing
What end-to-end pulmonology billing should look like
Every claim your practice produces — office visits, PFT panels, bronchoscopies, sleep studies, hospital rounding — captured, coded, submitted, and followed until it pays. That's the standard. Here's how to tell whether a billing company can actually meet it.
Compare free quotesWhat “end-to-end” must include
Charge capture from your EHR. Claim scrubbing against specialty-specific edits before submission — not after denial. Daily electronic submission. Payment posting with line-item reconciliation. Denial work started the day the denial lands. A/R follow-up on everything over 30 days. Monthly reporting a physician can read in five minutes.
Anything sold as “full service” that's missing one of these is claims processing with extra steps. And you should keep full access to your own data at all times — if your history lives only in the biller's system, leaving them gets expensive.
Where pulmonology billing actually breaks
Five failure points to interrogate
The interpretation gap. PFT claims need the technical component and a signed physician interpretation. Ask any biller: “at what point do you confirm the interpretation is documented?” The right answer is before submission — as a hard stop.
Bundling edits. Multi-procedure bronchoscopy sessions live and die on NCCI edits. Ask which combinations are separately billable and when modifier 59 applies. Vague answers here predict written-off revenue.
Component billing. Hospital PFTs and sleep lab reads mean modifier 26 professional components. Ask how they set site-of-service rules. Billed globally by mistake, the whole claim bounces.
Authorization timing. Sleep studies and biopsies performed before authorization clears are revenue you may never see. Ask who owns the prior-auth queue and when it runs.
E/M discipline. Chronic COPD and asthma management means heavy E/M volume. Ask whether levels are coded to MDM or time from documentation — or from habit.
A transition shouldn't stop your cash flow
A competent transition maps your workflow, verifies credentials, sets a fixed go-live date, and keeps claims moving throughout. Ask every bidder for their transition plan in writing, including what happens to your old A/R — worked, or orphaned? Any provider who needs your revenue to pause is telling you something.
Demand reporting you can actually read
Monthly performance in plain English: charges, collections, denial rate and reasons, days in A/R, payer mix — plus on-demand access to the working data. If a biller's sample report needs an interpreter, the relationship will too. Ask for a sample report before signing. All of them have one; the good ones aren't embarrassed by it.
Pulmonology medical billing, answered
What should pulmonology medical billing cost?
Percentage of monthly collections, typically 4–9% industry-wide depending on volume and scope. A full breakdown of what moves the number is on the pricing page.
Should a biller work inside our existing EHR?
Ideally yes — billing from your system avoids a forced migration and keeps your data yours. Ask every bidder whether they support your EHR natively or require theirs.
How do we compare quotes that look identical?
Normalize scope, then ask the five failure-point questions above. Identical rates with different answers on PFT interpretation and NCCI review are not identical services.
Put the standard to work
Get competitive quotes, then hold every one of them against this page.
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