Pulmonology Medical Billing Services For Medical Practices Across U.S.
Partner with Transcure for Pulmonology billing services for these benefits:
- Maximize reimbursements for pulmonary function tests
- Expertise in complex CPT and ICD-10 codes
- Reduce claim denials for respiratory services
- Stay compliant with the latest billing regulations
- Accelerate cash flow for your pulmonary practice
Common Challenges in Pulmonology Medical Billing
- Denial rate at 18% creates major cash flow interruptions for clinics.
- Lengthy prior authorizations delay care and overload already stretched staff teams.
- Complex pulmonary procedures and coding errors lead to frequent claim rejections.
- Poor Pulmonary Rehabilitation reimbursement threatens financial viability despite proven clinical benefits.
- Regulatory session limits on PR reduce revenue opportunities for pulmonary practices.
- Value-based care shift demands costly tech without guaranteed financial returns.
- COPD outcome penalties under readmission programs add heavy compliance burdens.
Solve Pulmonology Billing Challenges with Transcure
Practices need an advanced podiatry billing solution to navigate complexities with precision and deep domain knowledge. Experts at Transcure deliver just that to ensure your practice gets paid faster, more accurately, and with fewer denials. Here’s how we help your podiatry practice thrive on financial grounds:
Pre‑Authorization Processing
Our Pulmonology medical billing team gets pre-authorization for high‑cost procedures, such as sleep apnea, lung biopsies, and PFTs.
Credentialing and Enrollment
Transcure provides provider enrollment and contract negotiations to ensure you’re set up with every major U.S. insurance organization
Coding for Pulmonology Practices
We apply the correct ICD‑10, CPT, and HCPCS codes for services like lung, interventional bronchoscopy techniques, and thoracentesis to minimize claim rejections
A/R Follow-Up
Pulmonary rehabilitation codes often fail to reimburse due to missing COPD documentation. Our dedicated A/R recovery team resolves stalled payments to ensure faster reimbursements.
Everything Your Practice Needs for Pulmonology Medicine Medical Billing
Pulmonology practices across the United States face growing pressure to manage the revenue cycle efficiently. We provide the following pulmonology billing services to simplify your workflow and maximize collections:
- Pulmonology Specialist Credentialing
- Pulmonology Appointment Scheduling
- Pulmonology Procedure Pre-Authorization
- Patient Eligibility Verification
- Pulmonology Medical Billing
- Pulmonology Medical Coding
- Pulmonology Revenue Cycle Management
- Pulmonology EHR Integration
- Pulmonology Clearinghouse Transmission
- Pulmonology EOB Posting
- Pulmonology Claim Submission
- Pulmonology Denial Management
- Billing Appeal Creation
Our Success in Numbers
Value of claims processed
Accounts Receivable Days
Turn Around Time (TAT)
Customer Retention
Number of Claims Processed
First Pass Clean Claims Rate
Revenue Improvement
Reduction in A/R
Why Pick Transcure for Pulmonology Billing Services
Pick our one-stop shop podiatry medical billing solution to enjoy the following benefits. With these services, Transcure becomes your go-to partner for Pulmonology Billing
Pulmonology Billing Specialists
Expertise in Pulmonology coding and billing for bronchoscopies, PFTs, and imaging studies.
Payer Compliance and Updates
Proactive monitoring of Medicare, Medicaid, and private carrier changes to maximize revenue.
Transparent Pricing
Percentage-based Pulmonology medical billing pricing models that cut back‑office expenses by 30%.
Certified Pulmonology Coders
A team of 1100+ AAPC‑certified coders focused entirely on Pulmonary CPT and ICD‑10 accuracy.
Dedicated Account Management
Transcure assigns a single point of contact who knows your Pulmonology practice inside out.
Custom Reporting and Dashboards
Our Pulmonology billers provide on‑demand and daily reports covering AR aging and denial rates.
Our Expertise in Pulmonology CPT Codes & Pulmonology Medical Coding
At Transcure, our AAPC-certified billers and coders perform precise coding for all Pulmonology diagnoses and procedures. Our expert billing and coding team follows the latest payer guidelines to help your practice achieve more collections. Our Pulmonology billing and coding expertise includes, but is not limited to:
94010
- Basic spirometry
94060
- Spirometry with bronchodilator
94726
- Lung volume measurement
94729
- Diffusion capacity (DLCO)
94760
- Spot-check pulse oximetry
94761
- Continuous pulse oximetry monitoring
31622
- Diagnostic bronchoscopy
31628
- Transbronchial lung biopsy
94618
- Pulmonary stress test
Pulmonology Credentialing Services For Quick Reimbursements
Credentialing often drags on for 90 to 120 days for most specialties, and pulmonology is no exception. These delays can cost a practice roughly $6,000 to $8,000 per provider each month in lost revenue. That’s not counting the $7,500 a day providers might miss when credentialing drags out even longer.
At Transcure we take this off your plate. Our team handles every step, such as CAQH setup, payer submissions, proactive follow-up, status tracking, so your pulmonologists get onboarded accurately and fast. That means fewer delays, zero guesswork, and more time treating patients while billing starts sooner.
Procedure‑Specific Pulmonology Billing Services
Pulmonology practices manage diverse diagnostic, therapeutic, and interventional procedures, each with its own complex CPT and ICD-10 coding. To help you reduce denials and secure faster reimbursements, we cover all essential pulmonology services from testing to advanced interventions.
Pulmonary Function Testing (PFT)
Spirometry with Bronchodilator
Diffusion Capacity (DLCO) Testing
Bronchoscopy (Diagnostic)
Bronchoscopy with Biopsy
Thoracentesis
Arterial Blood Gas Analysis
Pulmonary Rehabilitation
Sleep Studies (Polysomnography)
Home Oxygen Therapy
Endobronchial Ultrasound (EBUS)
Lung Biopsy
Transcure vs In-House Billing Team
From coding errors to delayed authorizations, in-house teams struggle with high-denial pulmonology procedures. Transcure’s specialists fix the gaps and get you paid faster.
Area
Coding Accuracy
Denial Management
Prior Authorization
Regulatory Compliance
Specialty Expertise
In-House Billing
Errors in PFT, DLCO, and bronchoscopy codes trigger denials.
Little follow-up on sleep study or thoracentesis rejections.
Delays approvals for rehab, EBUS, and oxygen therapy.
Misses CMS rules for rehab limits and COPD documentation.
Lacks knowledge of DLCO, lung biopsy, and advanced tests.
Transcure’s Pulmonology
Specialty coders ensure accurate CPT/ICD for all procedures.
A/R team recovers high-value claims quickly and effectively.
Rapid prior-auth processing keeps care timelines intact.
Ongoing compliance checks prevent penalties and claim rejections.
Deep expertise across diagnostic and interventional pulmonology.
Onboarding Process for Outsourced Pulmonology Billing Services
Welcome Call
Your onboarding begins with a personal welcome call from your dedicated account manager. During this session, we will introduce you to our Pulmonology medical billing process.
Implementation Questionnaire
Afterward, you’ll receive a structured questionnaire to share critical information, such as your specialty type, clinic location, EMR requirement, and practitioners' list.
Onboarding Meeting
Our expert team will walk you through a detailed onboarding meeting. During this meeting, we will ask you to provide access to your current EHR and billing platforms
Establishing Workflow SOPs
Upon understanding your needs, we will create customized SOPs that define how every part of your billing workflow will function, from charge capture to coding.
Go-Live Date
Once everything is in place, we officially launch your Pulmonary billing services. On your go-live date, billing operations shift fully to Transcure’s team.
We are adept at using these EHRs
The experts at Transcure are well-versed with the features
and workflows of your EHR system.
Assisting Healthcare Organizations to Flourish
Satisfied Providers are our Testaments
Jackie Judd
Practice Manager
Wilson Creek Internal Medicine
As a practice manager, I was looking to streamline the medical billing process. I tried other companies, but they were all complicated and took too much of my time. Fortunately, I found Transcure. They excel in tailoring solutions to fit my requirements.
Amber Vaughan
Office Manager
Idaho Kidney & Hypertension Institute
We are a large practice with 15 providers. Transcure has been working with us for the last 5 years. This billing company has been a great asset to us. I work with Transcure and they provide everything I ask for. The team is friendly and very pleasant to work with.
Ashlee Rose
Practice Manager
Harding Memorial Healthcare
We’ve been working with Transcure for 8 years now and I just wanted to say how happy we are with their services. They always get back to us quickly and are very easy to work with. They get my bills paid in record time and help us to generate millions in revenue.
Frequently Asked Questions (FAQs)
Why do pulmonology claims get denied?
Common reasons for denials include incorrect coding, lack of proper documentation, missing pre-authorizations, or payer rule violations. Denied claims often lead to lost revenue and require time-consuming appeals.
What are the key procedures billed in pulmonology?
Typical procedures include pulmonary function tests, bronchoscopy, sleep studies, arterial blood gas analysis, and home oxygen therapy. Each service has specific codes and billing requirements that must be followed for reimbursement.
What is the CPT code for pulmonology?
As of now, the CPT code range for Pulmonary Procedures is 94002 – 94799, a medical code set maintained by the American Medical Association.
Which is the best Pulmonology Billing Company in the U.S.?
Transcure is the best medical billing company in the United States for Pulmonology and 40+ other specialties. Its 1100+ AAPC-certified billers and coders handle every claim carefully and ensure a 98%+ First-Pass claim rate.
Is prior authorization required for pulmonology procedures?
Yes, many respiratory tests and treatments, such as sleep studies or oxygen therapy, often require pre-authorization from insurance providers. Lack of authorization can result in claim denials and payment delays.
