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Specialty depth, evaluated at group scale

Multi-provider pulmonology billing spans offices, hospitals, and sleep labs — and most billing vendors demo well at scale they can't operate at. Here's the evaluation framework your administrators should run.

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What changes when pulmonology gets big

Charge capture fragments across sites — office, hospital rounding, the sleep lab — and professional-component work slips between them. Provider onboarding creates credentialing gaps that cost real revenue per idle month. Payer contracts multiply. And leadership needs numbers by provider, by site, and by procedure line, not a single blended total.

The evaluation framework

What to require in any group-scale proposal

Reporting by provider, site, and service line. Denial rates, days in A/R, and collections where decisions actually get made. Require a sample report pack, exportable, on your close calendar.

EHR and workflow integration. The vendor works inside your existing systems, whichever EHRs your sites run. No forced migrations, no parallel data entry. Require named references on your platform.

Compliance discipline. Documented coding policies, audit trails on appeals, and a process for when CMS or payer rules shift. Your compliance office should interview them directly.

Cross-site component billing. Standing professional/technical rules per location. Ask them to walk through a hospital-read PFT and a sleep-lab read; fumbling predicts duplicates and denials.

Escalation in writing. A named account lead, backed by a team sized to your volume, with escalation paths documented before go-live.

Switching at scale, without the cliff

Group transitions fail when old A/R gets orphaned and go-live slips. Require a staged cutover plan in the proposal itself: site by site or provider by provider, old receivables worked in parallel, weekly status against a published schedule. A vendor who can't produce that plan during the sales process won't produce it after.

Collect proposals worth comparing

Free competitive quotes, typically within a business day — then run this framework against every one.

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Takes 30 seconds. Free for practices. No obligation.

Free for practices. No obligation.