Serving Pulmonologists Across the United States

Pulmonology Billing Services That Actually Work for Your Respiratory Practice

Pulmonary Billing Service by BellMedEx manages the complete billing and coding cycle for pulmonologists and respiratory care practices across the United States. You are managing COPD panels, sleep diagnostics, PFT interpretations, and critically ill patients all in one week. The last thing you need is your revenue cycle running on guesswork. BellMedEx handles the financial operations of pneumology clinics so pulmonic physicians get paid by insurance payors for respiratory disease management services.

USA -Based Operations

HIPPA Compliant

Speciality Coders

No Long-Term Contract

96%+

First-Pass Claim Acceptance

<30

Days Avg. Reimbursement Turnaround

85%+

Denial Reversal Rate on Appeals

Setup or Onboarding Fee

“We were collecting maybe 70 cents on every dollar we were owed. Nobody had told us that. We only found out when we switched billing companies.”

A COMMON STORY FROM PULMONOLOGY PRACTICES WE TALK TO

THE REAL PROBLEM

What Pulmonary practices keep running into

These are not edge cases. If any of this sounds familiar, you are not aloneand the fix is more straightforward than you think.

"Our coders treat spirometry like a routine office visit."

"Pulmonary function testing, CPAP titration, polysomnography, and bronchoscopy have their own coding rules entirely. A generalist biller applying primary care logic to these chest medicine procedures will cost your practice money every single month without anyone noticing the pattern."

"Claims keep bouncing back and we don't know why."

"Payers have sharpened their appetite for finding technical reasons to push respiratory claims back. A missing modifier on a pulmonary assessment panel. A prior authorization number in the wrong field. A diagnosis code that doesn't support the procedure billed. Each one costs you a reimbursement cycle."

"Our front desk is buried in payer portals."

Your administrative staff was hired to help patients, not spend three hours a day chasing claim statuses across six different insurance websites. That workload belongs to an outsourced billing agency that does it professionally, not to people who are supposed to be greeting patients at check-in.

"We switched EHR platforms & our AR turned into a mess."

Nobody tells you that a platform migration is also a billing event. The financial damage takes months to show up. Claims submitted during the switchover period get stranded in the handoff, and prior authorizations linked to the old system lose their trail. By the time anyone notices the AR is bleeding, 60 or 90 days of receivables have already aged past the comfortable recovery window (where most payers stop engaging seriously on appeals).

Here’s something worth knowing: most pulmonology practices that reach out to us have between 12% and 22% of their total collectible revenue sitting in avoidable write-offs or unresolved AR. That’s money already earned through clinical work, just not collected.

WHAT WE DO

End-to-end Pulmonology Billing and Revenue Cycle Management Services

BellMedEx manages every step between the patient visit and the payment hitting your account. Here’s what that covers for a pulmonologist that chooses to outsource pulmonology medical billing:

Respiratory Procedure Coding

Our coders know the difference between 94010 & 94060. They understand when a bronchoscopy requires an add-on code and when it doesn’t. Charge capture for pulmonary medicine requires specificity, and that’s what we bring.

CPT + ICD-10

Insurance Claims Management

We submit clean claims across commercial carriers, Medicare Part B, Medicaid, & managed care organizations. Every claim is reviewed before it goes out. We don’t batch-submit and hope for the best.

ALL PAYER TYPES

Denial Resolution and Appeals

When a claim comes back rejected, we don’t just refile it. We find the root cause, check the clinical documentation, review the payer-specific policy that applies, and build a formal appeal if the record supports it.

85%+ REVERSAL RATE

Prior Authorization Support

Pre-certification for high-cost diagnostics like polysomnography and advanced pulmonary imaging takes time your staff doesn’t have. BellMedEx keeps high-cost diagnostics from getting stuck in authorization delays by handling the submissions, follow-ups, and peer-to-peer requests when needed.

PRE-AUTH MANAGEMENT

Accounts Receivable Recovery

Old AR is not automatically dead money. We work aged receivables that practices have written off prematurely, and we recover a meaningful percentage of AR that still has collectible value. It is one of the fastest ways to strengthen a pulmonology practice’s financial health through pulmonary medical billing service outsourcing.

AR RECOVERY

Provider Credentialing

Getting enrolled with payers correctly and on schedule is the foundation of everything else. We manage the entire credentialing process for new pulmonology providers and handle
re- credentialing cycles so your panel status stays current.

ENROLLMENT + CREDENTIALING

Revenue Cycle Reporting

Monthly financial reports that translate billing activity into business insight. We show you your net collection rate, denial trends by payer, AR aging by bucket, and where your highest-volume revenue is coming from. No spreadsheet archaeology required on your end.

MONTHLY REPORTING

EHR & Practice Management Integration

We plug into the platforms your practice already uses. You don’t need to change systems or retrain your staff on new software. Our team fits into your workflow instead of forcing your workflow to fit us.

EHR COMPATIBLE

Patient Responsibility Collections

High-deductible plans have shifted a much larger portion of the financial burden onto patients themselves. Our pulmonology billers handle patient billing statements, payment plan setup, and follow-up in a way that preserves the clinical relationship while still recovering what’s owed.

PATIENT BILLING

GETTING STARTED

Starting with BellMedEx's Pulmonology Billing Service is straightforward

We know practices are skeptical of transitions. So we built an onboarding process that’s fast, low-lift on your end, and produces visible results within the first billing cycle.

Free Practice Audit

We look under the hood of your revenue cycle. This includes reviewing the critical pressure points in your billing operation, like denial patterns, coding quality, and AR aging report. No fee, no commitment. You can walk away knowing where the gaps are even if you don’t move forward with us.

Onboarding in Days, Not Months

We integrate with your EHR and practice management system and start handling claims within 5 to 7 business days. There’s no months-long handoff period. Your revenue cycle doesn’t wait and neither do we.

Ongoing Reporting & Optimization

You get a clear monthly report covering collection rates, denial reasons, payer-by-payer performance, and any pattern we flagged that month. When something needs your input, we tell you directly. We strive to keep every pulmonology physician’s collection rate
moving upward.

✓ No setup fee

✓ Month-to-month terms

✓ Dedicated account management

✓ HIPAA-compliant from day one

CODE PROFICIENCY

The CPT and ICD-10 Codes We Work With Every Day

Lung care billing for pulmonology hospitals sits in one of the more complicated corners of the CPT universe. Pulmonary function studies alone have over a dozen individual codes that interact with each other in ways that trip up even experienced coders. Add in interventional bronchoscopy, polysomnography, CPAP management, and critical care time billing, and you have a specialty that genuinely requires deep familiarity, not just a coding manual.

This is where the difference between a pulmonology billing specialist and a general medical biller becomes very obvious very fast. BellMedEx’s pulmonology billing and coding team knows these code sets the way your staff knows your scheduling software.

Pulmonary Function Testing (PFT)

Spirometry, including graphic record
Spirometry pre and post bronchodilator
Bronchospasm provocation evaluation
Vital capacity, total
Maximum breathing capacity (MVV)
Respiratory flow-volume loop
Pressurized inhalation treatment
Plethysmography for lung volume
Gas dilution or washout for lung volume
Diffusing capacity (DLCO), single breath

Bronchoscopy and EBUS

Sleep Medicine

Allergy Immunotherapy

Chronic Disease and Rehab

Key ICD-10 Conditions We Code Daily

WHO WE SERVE

We Work Best With Respirologists That Take Their Revenue Seriously

We don’t try to serve everyone. Our team works within pulmonary medicine and related respiratory care fields. If your practice lives in that space, we are built for you.

We also work with pediatric pulmonologists who are leaving hospital employment and setting up private practice for the first time. Credentialing, payer enrollment, and billing systems setup from day one.

Solo and small-group pulmonology practices

Independent practices often carry the highest administrative burden per provider. We take that off your plate entirely so you’re not managing billing on top of everything else.

Multi-physician pulmonology and critical care groups

Larger groups need consistency across providers. We standardize coding and charge capture practices so your revenue cycle runs uniformly regardless of which physician saw the patient.

Sleep medicine centers and independent sleep labs

Sleep diagnostics carry their own payer fine print and medical necessity rules. Our team knows which insurers require prior authorization for polysomnography and how to document CPAP compliance for ongoing coverage.

Hospital-Affiliated Outpatient Departments

Outpatient pulmonology departments attached to hospital systems have facility billing and professional billing running on separate tracks. We coordinate both to avoid overlap and capture all collectible revenue.

Critical Care and Pulmonology Combined Practices

Providers who split time between the ICU and the outpatient clinic face two very different billing environments. We handle both sets of codes and documentation standards without mixing them up.

Academic and Training Programs

Teaching pulmonology practices deal with teaching physician documentation rules and resident billing requirements. We navigate the supervision documentation requirements so attending physicians get properly reimbursed for their time.

REGULATORY POSTURE

Compliant by default, not by accident

Pulmonology practices deal with a heavier than average Medicare patient population. That means government payer scrutiny is real and it’s ongoing. BellMedEx Pulmonology Billing Company treats HIPAA compliance not as a checkbox but as an operating standard layered into each stage of Pulmonic RCM execution.

We stay current with CMS rule updates, LCD and NCD policy changes that affect respiratory diagnostics, & OIG audit priorities that target high-volume pulmonary procedures. When a policy shift could affect your reimbursement, you hear about it from us before it shows up as a denial.

✓ HIPAA-compliant data handling

✓ Medicare Part B specialty billing

✓ OIG compliance awareness

✓ LCD/NCD policy tracking

HIPAA Compliant

Full federal data privacy standards

Medicare Billing

Part B pulmonary diagnostics expertise

Medicaid Coverage

State-specific rules and coding

OIG Standards

Billing integrity and documentation

Certified Coders

AAPC-credentialed specialty team

Audit-Ready Records

Documentation kept to payer standard

REGULATORY POSTURE

We work inside the systems your practice already uses

Switching your EHR to fit a billing company’s preferences is not something you should have to do. We integrate with most major platforms and handle the technical side of the connection so your team doesn’t feel the change.

Not seeing yours? Reach out. If we have not worked with your platform yet, we will evaluate it before we commit, not after.

REGULATORY POSTURE

Things Pulmonologists Usually Ask Us First

Do you work with pulmonologists who are just starting their practice in the USA?

Yes. Whether you are launching a solo practice right out of fellowship or joining an existing group and setting up your own billing entity, we handle the pulmonary revenue cycle infrastructure from the beginning. That includes credentialing with your target payer mix, setting up charge entry workflows, and establishing clean billing from the first patient encounter instead of trying to fix problems after they accumulate.

Which EHR systems do you integrate with for pulmonology billing?

We currently work with Epic, Athenahealth, eClinicalWorks, Kareo, DrChrono, Modernizing Medicine, and NextGen among others. If your platform is not on that list, contact us before assuming it won’t work. We evaluate compatibility on a case-by-case basis and will be honest with you about whether the integration is feasible.

How do you handle denied claims for respiratory procedures?

Every denial goes through a root cause review first. We look at whether it was a technical issue like a missing modifier or a wrong NPI, an incomplete clinical note that didn’t support the billed service, a medical necessity argument from the payer, or a prior authorization problem. The response depends on what we find. If the denial is wrongful and the documentation supports an appeal, we build one. Our reversal rate on formal appeals exceeds 85% because we don’t file appeals on cases that aren’t worth pursuing.

Is there a long-term contract requirement?

No. We work on month-to-month terms with the majority of the respirology practices in the USA. We think a billing company that’s doing its job well doesn’t need to lock clients into multi-year agreements to keep them around. If you want the option of a longer-term engagement for pricing stability, that’s available too, but it’s your choice.

Do you handle Medicare and Medicaid billing for pulmonary procedures specifically?

Yes, and this is a significant part of what we do. Medicare Part B billing for respiratory diagnostics involves LCD coverage policies, ABN requirements, frequency limitations on pulmonary function testing, and medical necessity documentation that varies by procedure. We know where the compliance pressure points are and how to navigate them correctly without letting billable value disappear.

What does the free practice audit actually include?

We look at your AR aging report, your denial rate by payer and procedure type, your current coding accuracy on your highest-volume CPT codes, your net collection rate against charges, and your credentialing status across your payer contracts. You get a written summary of what we find and what we think the opportunity is. No sales pressure attached. If you decide not to move forward, the audit findings are still yours to use.

How do you stay current on pulmonology billing and coding changes?

Our coders track CMS quarterly updates, AAPC guidance, payer LCD policy revisions, and annual CPT code changes as part of their regular workflow. When something affects respiratory billing, we update our internal protocols and notify affected practices. You should not have to monitor CMS bulletins on top of managing a clinical practice.

READY TO GET STARTED

Your Revenue Cycle Shouldn't Be a Second Job

If claims are slipping, AR is aging past 90 days, or you just want an honest look at where your practice stands financially, let’s talk to our pulmonology billing team this week. The audit is free, the conversation is straightforward, and there’s no obligation to move forward.

BellMedEx serves pulmonology practices across all 50 US states. HIPAA-compliant operations. No setup fee. Month-to-month terms available.

Pulmonology Billing Service Specifications

Complete billing & RCM overview for pulmonologists

Service Type	Pulmonology Medical Billing & Revenue Cycle Management
Provider	BellMedEx Full-Service Medical Billing Company
Pulmonologists Served	Solo & Small-Group Practices Multi-Physician Pulmonology Groups Critical Care Practices Sleep Medicine Centers Independent Sleep Labs Hospital-Affiliated Outpatient Depts Pediatric Pulmonologists Academic & Training Programs
Procedures Covered	Pulmonary Function Testing (PFT) Spirometry Bronchoscopy & EBUS Polysomnography CPAP Titration Allergy Immunotherapy Pulmonary Rehab Critical Care Time
Coding Systems	CPT, HCPCS, ICD-10 — including PFT (94010–94729), bronchoscopy (31622–31654), sleep medicine, and chronic care codes
Service Price	$0 Setup Fee No onboarding fee · month-to-month terms · no long-term contract
EHR Compatibility	Epic, Athenahealth, eClinicalWorks, Kareo, DrChrono, Modernizing Medicine, NextGen, and others on request
Availability	Nationwide — all 50 US States
Compliance	HIPAA-Compliant · Medicare Part B · Medicaid · OIG Standards · LCD/NCD Tracking · AAPC-Certified Coders
Key Metrics	96%+ First-Pass Acceptance <30 Days Avg. Turnaround 85%+ Denial Reversal Rate 5–7 Days Onboarding Time
Contact Number	888-987-6250
Business Hours	Mon – Fri: 6 AM – 9 PM (PST)