Summary: Transcure stands out as one of the top pulmonology billing companies in the U.S., with a 99% clean claim rate. Pulmonology-Cloud, PulmoCare, TriumpHealth, and ImmediCare are other strong options for pulmonary practices.
Pulmonary practices face mounting billing challenges as patient volume continues to climb. According to the CDC, over 27.8 million Americans have asthma, and COPD affects over 15 million people, with insured COPD patients alone numbering 11.7 million. This scale of demand means pulmonary practices need more efficient billing services.
However, pulmonology billing hasn’t kept pace with this growth. As a result, the denial rate for pulmonary claims has jumped to 18%, according to the Medscape Physician Compensation Report. Many of these stem from missing modifier 25 on same-day E/M and PFT visits, NCCI bundling conflicts, and unspecified COPD or asthma severity codes that fail medical necessity review.
Even though these claims can be resolved, reworking them costs $25 to $118 per claim, as per the Journal of AHIMA. In addition, general billing staff cannot keep up with the quarterly changing rules, which is why pulmonary practices need companies that offer pulmonology-specific billing support.
Here are the top 10 pulmonology billing companies in 2026 that can help you reduce claim denials and increase overall revenue.
| Company | Rating | Best For |
|---|---|---|
Transcure
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Best For: AI-powered pulmonary RCM, AAPC-certified coders, 99% first-pass clean claim rate, and 40+ EHR integrations | |
Pulmonology-Cloud
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Best For: Cloud-based practice management built specifically for pulmonology workflows | |
PulmoCare RCM
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Best For: Pulmonology-focused RCM, claim scrubbing, and denial tracking | |
Atlantic RCM
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Best For: Multi-specialty RCM with pulmonology support and A/R follow-up | |
TriumpHealth
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Best For: Full-service billing, credentialing, and compliance-focused RCM for specialty practices | |
Mastermind Healthcare
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Best For: Claims a 98% clean claim rate and a revenue growth focus for specialty practices | |
BillingParadise
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Best For: Pulmonary billing experience, denial management, and A/R recovery services | |
Unify RCM
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Best For: End-to-end RCM, eligibility verification, and claims submission support | |
Neo MD
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Best For: Deep pulmonology coding expertise and bi-weekly CMS policy updates | |
Precision Practice Management
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Best For: Certified coders with dedicated pulmonology RCM experience |
Transcure is a leading pulmonology billing company trusted by 500+ physicians across the U.S. We combine AI-powered RCM with over 1,100 certified billers and coders to help practices reduce denials, improve collections, and stay compliant with changing payer requirements. Every stage of the billing process is managed by specialists who understand the financial challenges respiratory practices face.
Our AI agents (ELIXA, PRIA, CODIN, and DEXA) automate eligibility verification, coding validation, denial management, and A/R follow-up. Certified billing specialists oversee every stage of the process that helps practices achieve a 99% first-pass clean claim rate.
We offer a turnaround time of 24 to 48 hours, A/R reductions of up to 30%, and collection improvements of 5 to 10%. With Transcure, you get a billing partner focused on your long-term financial performance rather than simply processing claims.
| Features | Detail |
|---|---|
| Who They Serve? |
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| Key Highlights |
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| Experience | 24 Years |
2. Pulmonology-Cloud
Pulmonology-Cloud is a cloud-based EHR and practice management platform built exclusively for pulmonary practices. In addition to managing clinical workflows, it offers integrated billing services that enable practices to handle patient care and RCM within a single system.
The platform combines appointment scheduling with insurance verification, so pulmonary practices can manage patient visits and verify coverage in a single system. They offer financial reporting in addition to billing, which keeps financial data organized.
| Features | Detail |
|---|---|
| Who They Serve? |
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| Key Highlights |
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| Experience | 12 Years |
3. PulmoCare RCM
PulmoCare RCM is a medical billing company that provides RCM services for pulmonary and critical care practices. They offer end-to-end billing support that handles day-to-day revenue cycle tasks, so providers can focus more on treating patients.
The company manages medical coding and claim submission, helping practices reduce billing errors before claims reach the payer. It also handles denial management and insurance follow-ups, which give practices a better chance of recovering delayed reimbursements.
| Features | Detail |
|---|---|
| Who They Serve? |
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| Key Highlights |
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| Experience | 27 Years |
4. Atlantic RCM
Atlantic RCM is a revenue cycle management company with 20+ years of experience serving physician practices across the United States. It offers dedicated billing services to pulmonary practices backed by its own automation platform.
Their team includes billing experts who handle eligibility verification and prior authorizations before services are billed to help practices reduce claim denials. They have a 90%+ customer retention rate and help improve revenue by up to 30%.
| Features | Detail |
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| Who They Serve? |
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| Key Highlights |
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| Experience | 22 Years |
5. TriumpHealth
TriumpHealth is a specialty-focused billing company that offers dedicated pulmonary billing support, contract negotiations, coding audits, and MIPS consulting. They manage insurance eligibility verification and prior auth before claims are submitted.
Moreover, it conducts medical coding audits and manages claims to reduce billing errors before submission. You can also benefit from the revenue cycle assessments to identify workflow gaps and uncover new reimbursement opportunities for growing practices.
| Features | Detail |
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| Who They Serve? |
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| Key Highlights |
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| Experience | 15 Years |
6. Mastermind Healthcare
Mastermind Healthcare is a U.S.-managed billing company that supports pulmonology practices with end-to-end revenue cycle management. With 15+ years of experience, the company focuses on reducing claim denials and improving reimbursement.
Its team manages medical coding and claim submission with a reported 95%+ clean claim rate that improves billing accuracy for practices. They also provide a free revenue cycle audit that uncovers missed revenue opportunities and identifies billing gaps.
| Features | Detail |
|---|---|
| Who They Serve? |
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| Key Highlights |
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| Experience | 15+ Years |
7. BillingParadise
BillingParadise is an established RCM company supporting over 30 medical specialties, including pulmonology. They combine specialty billing teams with AI-enabled workflows to help practices manage complex reimbursement requirements.
To improve claim accuracy from the start, BillingParadise uses AAPC-certified coders alongside AI-powered coding and claim validation tools. By working with BillingParadise, you get to use your existing EHR, as the company works with 50+ EHR platforms.
| Features | Detail |
|---|---|
| Who They Serve? |
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| Key Highlights |
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| Experience | 22 Years |
8. Unify RCM
Unify RCM is a medical billing and RCM company that supports more than 30 medical specialties alongside pulmonary. They provide eligibility verification and medical coding to reduce claim errors before they reach the payer.
With 600+ employees and 24/7 support, Unify RCM is built to support practices that want to outsource their billing operations. Additionally, the company generates detailed financial reports that help practices track collections and identify billing trends over time.
| Features | Detail |
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| Who They Serve? |
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| Experience | 10 Years |
9. Neo MD
Like the others on our list, Neo MD is U.S.-based and provides RCM services to pulmonary and other medical practices. They focus on simplifying day-to-day billing operations through dedicated account support and specialty-focused reimbursement services.
To minimize payment delays, Neo MD completes insurance verification and patient eligibility checks before submitting claims. The company continues its support even after submission through denial management, payment posting, and A/R follow-up.
| Features | Detail |
|---|---|
| Who They Serve? |
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| Key Highlights |
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| Experience | 16 Years |
10. Precision Practice Management
Precision Practice Management is a healthcare revenue cycle and consulting company that handles medical billing for multiple practices and health systems. The company combines billing expertise with healthcare IT solutions to strengthen both financial and clinical operations.
Beyond billing, Precision Practice Management supports EHR implementation and workflow optimization. They offer detailed financial reports that track collections and dedicated RCM specialists who manage denials and A/R until payments are resolved.
| Features | Detail |
|---|---|
| Who They Serve? |
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| Key Highlights |
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| Experience | 33 Years |
How Our Editors Selected the Top Pulmonology Billing Companies in the U.S.?
Our editors focused on pulmonology billing companies that show real experience with pulmonary practices rather than general medical billing services. We evaluated each company based on specialty expertise, service quality, and revenue cycle capabilities.
Other parameters that we used for evaluation included service scope, coding expertise, denial management, technology, customer reviews, and years of experience. Pulmonology-specific billing services and compliance support were also verified through official company sources.
The final rankings reflect overall value for pulmonary practices. Companies that offer stronger specialty expertise, reliable customer support, and modern billing technology ranked higher than providers with less specialized services.
Which Factors Should You Consider Before Choosing a Pulmonology Billing Company?
Here are five factors that you should consider before choosing a pulmonology billing company for your growing practice:
1. AI-Powered RCM
Don’t choose a billing company simply because it says it uses AI. Ask where AI is actually used in the billing process. The best providers use automation for eligibility verification, coding validation, claim scrubbing, denial prediction, and payment posting.
For instance, Transcure deploys seven AI agents across the entire revenue cycle, which reduces manual work.
2. Pulmonology-Specific Billing Expertise
Not every medical billing provider understands pulmonology. Before choosing a provider, confirm they have experience with respiratory practices and understand pulmonary payer requirements and documentation standards.
Remember, a billing partner with real pulmonology expertise is far less likely to make costly billing mistakes.
3. Denial Management & Clean Claim Performance
Ask how the company prevents denials, not just how it appeals to them. Strong billing partners review claims before submission, identify documentation issues early, and actively follow up on unpaid claims.
If a provider cannot explain its denial management process or publish clean claim performance, that’s worth questioning.
4. Transparent Reporting & Revenue Insights
You should always know how your practice is performing financially. Look for a billing company that provides regular reports on collections, denial trends, accounts receivable, and payer performance.
Clear reporting makes it easier to identify problems and measure the impact your billing partner has on your practice’s revenue.
5. EHR Integration & Workflow Automation
Switching billing companies shouldn’t mean replacing your entire workflow. Before making a decision, confirm the company integrates with your existing EHR and practice management software.
With good integration, you won’t have to worry about duplicate work and billing errors, while allowing your staff to continue using familiar systems.
What is the Best Pulmonology Billing Company in the U.S.?
The best pulmonology billing company is Transcure. It combines AI-powered RCM, 1,100+ certified billers and coders, 40+ EHR integrations, and pulmonology-specific billing expertise. Other leading pulmonary-specific billing companies include Pulmonology-Cloud, PulmoCare RCM, and Atlantic RCM, as they offer billing support for pulmonary practices and are fully compliant.
Why Do Pulmonology Claims Get Denied?
Pulmonology claims are often denied because respiratory services have strict documentation and payer requirements. The most common reasons why pulmonology claims get denied include:
- Missing or incomplete physician documentation
- Incorrect CPT or ICD-10 coding
- Missing prior authorization
- Incorrect modifier usage
- Lack of medical necessity
- NCCI bundling edits
You can prevent most of these denials by reviewing claims before submission and verifying payer-specific billing requirements.
How Much Do Pulmonology Billing Companies Charge?
Most pulmonology billing companies charge between 4% and 8% of the monthly collections. However, the exact fee depends on your practice size, claim volume, number of providers, and the scope of RCM services you need. Some companies also offer flat monthly pricing or custom contracts.
As for Transcure, it follows a percentage-of-collections pricing model, typically charging as low as 5% of collections with no upfront fees. The fee includes end-to-end RCM, allowing practices to outsource billing without paying separately for core RCM services.
Is It Better to Outsource Pulmonology Billing?
For many pulmonary practices, outsourcing is more cost-effective than maintaining a full in-house billing department. It gives you access to certified coders, dedicated billing specialists, and advanced billing technology without the expense of hiring additional staff.
Larger pulmonary groups also benefit from dedicated account managers and scalable billing support as patient volumes grow.
What Should I Look for in a Pulmonology Billing Company?
Choosing the right billing partner involves more than comparing prices. A company with pulmonology experience understands respiratory payer requirements and is better equipped to handle specialty billing challenges.
Before signing a contract, ask about:
- Pulmonology billing experience
- Certified coders
- AI-powered billing tools
- Denial management process
- EHR compatibility
- Reporting capabilities
A provider that can clearly explain these areas is usually better prepared to support long-term practice growth.
What Is the Best Medical Billing Company in the U.S.?
Transcure is one of the best medical billing companies in the U.S for practices that need specialty-specific expertise across a full RCM stack. It serves 500+ providers across 40+ specialties, backed by 1,100+ AAPC-certified coders and 7 AI-powered agents, charging a flat 5% rate. Other established medical billing companies include CBS Medical, Provider Care, MBC Inc, and CareCloud.
Can a Pulmonology Billing Company Work with My Existing EHR?
Yes, most established pulmonology billing companies, like Transcure, integrate with leading EHR and practice management systems. These include Epic, athenahealth, eClinicalWorks, AdvancedMD, NextGen Healthcare, CareCloud, and PrognoCIS.
Before switching providers, confirm the company you’re going with supports your current platform instead of requiring a new system. At Transcure, our billing specialists work directly within 40+ EHR/EMR platforms.
