Pulmonology Billing Services
With 12+ years of pulmonology billing experience, we simplify your billing process, enhance revenue cycle management, and offer software solutions that can increase your revenue by up to 30%.
Pulmonology Medical Billing Services
Medical and technical advancements in recent years have improved treatment outcomes in pulmonary practices but have also introduced new, more complex medical coding and billing challenges.
Stands to Lose Greater Amounts
As a high-cost specialty, pulmonology is especially vulnerable to significant revenue loss from billing and coding mistakes. Constant updates to complex pulmonary billing codes can lead to errors—but a billing team with deep expertise in pulmonology can reduce those mistakes and quickly manage denied or rejected claims. In contrast, an inexperienced in-house team might spend hours on each case and still fail to resolve the more difficult claims on time, ultimately causing substantial revenue setbacks.
Challenges Associated with Pulmonology Billing
Complications Start With Scheduling
The medical billing process begins at the scheduling stage, where insurance coverage and payer requirements must be verified. In pulmonology, appointments are often rescheduled due to coordination with other specialists—such as general surgery, oncology, radiology—as well as hospital procedures and recurring annual services that require accurate tracking and documentation.
Seasonal Services Must Be Part Of The Cycle
Flu shots, vaccines, and other preventive care services that occur seasonally or annually must be carefully tracked and scheduled—adding another layer of coverage verification and coding accuracy that needs to be managed efficiently.
High-Loss Claims
In general medical practice, hundreds of patients may be seen daily, leading to a high volume of low-dollar claims. Pulmonology, however, involves more in-depth and time-intensive examinations and treatments. A physician may only see 10 to 15 patients a day, so even a single unpaid claim can result in a significant loss of revenue.
Complicated Procedures And Treatments Involve Complex Coding
Modifiers are a crucial part of medical coding, providing the detailed information needed to ensure full reimbursement for all services rendered. While inexperienced coders may find a general procedure code, they often miss the deeper levels and specific numeric modifiers required—leading to incomplete or denied claims.
A Medi Solution Increases Revenue and Reduces Pulmonology Billing and Coding Headaches
Our Specialists Will Handle Your RCM From Start To Finish
As payers and healthcare institutions continue seeking ways to reduce costs—and pulmonology billing grows increasingly complex—having a strong revenue cycle management (RCM) system is more crucial than ever. By outsourcing your billing to A Medi Solution, you can stay focused on patient care while certified, experienced specialists manage your RCM from beginning to end.
A Medi Solution’s Services Begin With Scheduling
A Medi Solution’s services start at the scheduling phase and extend through every stage of the billing cycle—including debt collection when needed. Our certified coders bring expertise across 40+ medical specialties, including pulmonology billing. They’re trained to spot under-coding and over-coding issues, ensuring that clean, accurate claims are submitted every time.
We Stay Up To Date On Government Offers
Specializing in pulmonology billing allows us to stay current on government programs and maximize revenue through available incentives. We manage daily billing, quickly address denials and rejections, and handle annual payer adjustments and repayments to keep your practice financially healthy.
A Medi Solution’s medical billing software is an integral part of our service. We strive to bring innovation to medical coding and billing to assure all our clients receive the compensation they deserve. Get a free demo today to see how we can increase your revenue and relieve you from the stress of managing billing and coding.