Accurate Billing for Lung & Sleep Specialists
From complex pulmonary diagnostics and critical care services to home sleep studies and CPAP management—we handle every layer of your billing with precision and compliance.
Revenue Cycle Management Built for Respiratory Medicine
Pulmonology billing is a different beast—it spans inpatient critical care, outpatient spirometry, diagnostic imaging, and sleep testing. Each service has strict requirements for medical necessity, time-based reporting, and diagnosis linkage.
At RCM firms, we help pulmonologists, sleep centers, and multi-specialty practices stay ahead of coding guidelines, authorization requirements, and payer updates—so your billing is accurate the first time.
Why Practices Choose Us
- Proficiency in CPTs like 94010, 94640, 95805, 94762 & 99497
- Sleep study billing including home testing (G codes) & CPAP follow-ups
- ICD-10 coding accuracy for conditions like COPD, asthma, OSA, ILD, and COVID-19 sequelae
- Time-based billing support for critical care and E/M prolonged visits
- EHR integration with PCC, AthenaOne, EpicCare, and Allscripts
Our Mission
We help pulmonologists unlock more revenue by reducing rejections, correcting documentation gaps, and submitting clean claims—every time.
Why Pulmonologists Rely on RCM firms
Pulmonology billing demands attention to time-based care, modifier use in critical services, and split/shared visit rules. Our expertise ensures no detail is missed—from home sleep study codes to complex ICU ventilator billing.
Critical Care & Time-Based Billing
We capture prolonged services, initial/subsequent ICU care, and use modifiers like 25 & 59 accurately for concurrent E/M visits.
Pulmonary Function Testing (PFT)
We bill complete PFT panels and individual tests (94010–94729), ensuring NCCI compliance and appropriate documentation.
Sleep Study & CPAP Billing
From G0399 to 95810 and E0601 claims, we help sleep labs and pulmonary clinics manage HST and DME compliance with ease.
COVID & Long-Term Respiratory Care
Billing for post-COVID lung rehab, nebulizer treatments, and oxygen therapy is handled with updated ICD-10 and coverage guidelines.
Flexible Pricing for Pulmonology Practices
We offer billing solutions tailored to solo pulmonologists, critical care groups, and sleep labs—with transparent rates, no long-term contracts, and full compliance support.
Independent Pulmonologists
Ideal for office-based specialists billing for E/M, spirometry, chest x-rays, and bronchodilators.
Pulmonary Clinics & Sleep Centers
Perfect for teams offering PFTs, overnight sleep studies, hospital care, and DME support.
What’s Included
- Sleep study coding & documentation review
- Critical care time tracking & modifier support
- PFT panel validation & LCD guidance
- Monthly collections report with CPT-level trends
Have a hybrid practice or manage inpatient consults? Let’s build a custom billing model that fits your scope.
Billing That Breathes Easy
Whether you run a busy asthma clinic or a high-acuity ICU service, our process adapts to your workflow—delivering accurate billing, clean claims, and faster reimbursements.
1
Clinical Review & Intake
We review chart notes, oxygen orders, and test results to ensure all services meet payer policy before submission.
2
Coding & Charge Entry
We assign CPTs and ICDs for E/M, PFTs, nebulizer use, sleep studies, and critical care—with compliance to NCCI edits.
3
Claims Submission & AR
We submit claims daily, manage denials, and track each payer’s response to speed up cash flow.
Analytics & Insights
Receive monthly reports with payer trends, coding gaps, modifier usage insights, and reimbursement benchmarks.
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Coding Accuracy for PFT, CPAP, and Critical Care Services
0 Days
Average Time to Payment on Clean Respiratory Claims
0%+
Increase in Reimbursements for Sleep Labs & ICU Services
End-to-End Billing for Pulmonology & Sleep Medicine
We specialize in billing services tailored to respiratory care—whether you manage outpatient pulmonary visits, inpatient critical care, or run a sleep center. From coding complex ventilator management to validating CPAP compliance, we’ve got you covered.
Office & Inpatient E/M Billing
We ensure correct use of CPTs and modifiers for new patient consults, split/shared visits, and inpatient rounding.
Pulmonary Function Testing (PFT)
From spirometry (94010) to full panels (94729), we ensure proper LCD application and code bundling prevention.
Sleep Studies & CPAP Billing
We manage claims for home sleep tests (G0399), PSG (95810), and CPAP equipment with HCPCS tracking and compliance rules.
Critical Care & Vent Management
We handle time-based billing, initial/subsequent ICU visits, ventilator checks (94002), and prolonged services (99356–99357).
Credentialing & Enrollment
We handle payer enrollments for pulmonologists and sleep labs, including DME contracts and PECOS updates.
RCM & Denial Insights
Access real-time reports on denial trends, reimbursement delays, and payer-specific denial reasons—so you can act fast.
Frequently Asked Questions
Get answers to common questions about billing for PFTs, sleep studies, ventilator management, and pulmonary consults.
Talk to a Pulmonology Billing Specialist
Whether you're billing for CPAP therapy, ICU critical care, or outpatient consults, our team understands the respiratory billing codes, documentation, and compliance needed to maximize revenue. Book your free consultation now.
Chicago, IL 60601, USA