● Pulmonology Revenue Cycle Specialists

Pulmonology Billing Services for Diagnostic and Chronic Care Claims

Claim Click Solutions manages pulmonary function test coding and chronic condition billing for pulmonology practices, protecting revenue across every diagnosis.
Get My Free Billing Audit
Explore More Specialties

Trusted by urgent care centers and multi-site groups.

97.9%

Clean claim rate

● The Real Cost of Generic Billing

Pulmonology billing breaks in ways general medical billers never catch

Every one of these is a claim your practice has probably already lost money on this month.

Missed or incorrect modifiers

Bronchoscopy, PFT, and interventional procedures require precise modifier stacking — one missed modifier can silently underpay or deny a high-value claim.

DME & home oxygen billing errors

Oxygen concentrators, CPAP, and BiPAP claims require exact documentation of medical necessity and usage compliance, or they're denied outright.

Sleep study coding complexity

Polysomnography and home sleep apnea testing carry strict payer rules on setting, scoring, and interpretation that generalist coders routinely miss.

Prior authorization delays

CPAP, biologics, and pulmonary rehab require prior authorization before the visit — skip it and the claim is denied no matter how well it's coded.

High-loss claims on low volume

With fewer, more in-depth visits per day than general practice, a single unpaid pulmonology claim can wipe out an entire day's revenue.

Referral & scheduling coordination gaps

Pulmonology cases involve coordination with sleep labs, oncology, and radiology — missed referral tracking leads to claims filed with incomplete documentation.

● How We Fix It

A billing team built around pulmonology's complexity, from scheduling to payment

We don't hand your claims to generalists. Every coder on your account is trained specifically on pulmonary function testing, sleep medicine, bronchoscopy, and DME billing.

✓

Pulmonology-certified coders

Specialists who know PFT, bronchoscopy, and sleep study coding — including every required modifier — cold.

✓

Proactive prior authorization

CPAP, biologics, and pulmonary rehab authorizations secured before the visit, so coverage never becomes a surprise.

✓

DME & oxygen billing expertise

Medical necessity documentation and compliance tracking built into every home oxygen and CPAP/BiPAP claim.

✓

Active denial rework

Denied claims are corrected and resubmitted — repeatedly, until paid — not filed away.

● Full-Service Pulmonology RCM

Every stage of pulmonology revenue cycle management

From eligibility checks to appealed denials, we run the parts of your revenue cycle that pull attention away from patient care.

Insurance Verification & Prior Auth

Real-time eligibility checks and proactive prior authorization for CPAP, biologics, and pulmonary rehab before treatment begins.

PFT, Bronchoscopy & Sleep Study Coding

Every procedure captured and coded correctly — with the exact modifiers pulmonology payers require for reimbursement.

DME & Home Oxygen Billing

Oxygen concentrators, CPAP, and BiPAP claims billed with the medical necessity documentation payers demand.

Payment Posting

ERA/EOB reconciliation posted daily so your AR reports always reflect what's actually been collected.

Denial Management

Every denial is diagnosed, corrected, and appealed with the documentation pulmonology payers require.

AR Management & Patient Billing

Aging claims worked back to payment, plus clear, timely patient statements that improve self-pay collections.

● Built For Pulmonology Specifically

We speak fluent pulmonary CPT for every procedure your practice performs

No learning curve, no generic templates — just billers who already know the codes and modifiers your practice uses every single day.


PULMONARY FUNCTION TESTING

Spirometry & Diffusion Studies

Accurate coding of PFT panels, bronchodilator response testing, and diffusion capacity studies with correct code bundling.

SLEEP MEDICINE

Polysomnography & Home Sleep Testing

In-lab and home sleep apnea testing coded to the correct setting and scoring requirements each payer demands.

BRONCHOSCOPY & PROCEDURES

Interventional Pulmonology

Diagnostic and therapeutic bronchoscopy, biopsy, and stent placement coded with every required procedural modifier.

DME & HOME OXYGEN THERAPY

CPAP, BiPAP & Oxygen Concentrators

Medical necessity documentation and compliance tracking built into every home respiratory equipment claim.

● Why Practices Switch to Us

What actually changes when Claim Click Solutions takes over

01

Specialty-trained coders

Not general billers learning modifiers on your dime.

02

Same-week onboarding

Live claim tracking active within days, not months.

03

Volume-flexible bench

Staffing that scales with seasonal respiratory volume.

04

No long-term lock-in

Month-to-month terms — we earn your business every cycle.

● The Bottom Line

What specialized pulmonology billing does for your practice

No learning curve, no generic templates — just billers who already know the codes your center uses every single shift.

+ 0 %

Average revenue lift

Recovered through corrected coding and worked denials in the first 6 months.

- 0 %

Fewer claim denials

Achieved through pre-submission scrubbing built for pulmonology-specific payer edits.

0 Days

Faster reimbursement

Average time from claim submission to posted payment across our client base.

● Case Study

How a pulmonology & sleep group recovered $540K in stalled AR

A regional pulmonology and sleep medicine group came to us with a 31% denial rate driven by modifier errors and unauthorized DME claims, plus over seven months of unworked accounts receivable. We rebuilt their coding and prior-authorization process, cleared the AR backlog, and stood up real-time claim tracking across all locations.

AR recovered
$ 0 k
Denial rate
%→9%
New avg. payment time
0 Days

● Common Questions

Pulmonology billing FAQ

What makes pulmonology billing different from general medical billing?
Pulmonology claims combine complex modifier stacking on procedures like bronchoscopy and PFTs, strict DME documentation requirements for home oxygen and CPAP, and payer-specific rules for sleep study setting and scoring. Fewer, higher-cost visits per day also mean each denial carries more financial weight than in general practice.
Yes. Every DME claim — oxygen concentrators, CPAP, BiPAP, and nebulizers — is billed with the medical necessity documentation and compliance tracking payers require, so you're never denied for missing paperwork.
Yes. Our coders are trained specifically on in-lab and home sleep apnea testing, including the setting, scoring, and interpretation requirements that vary by payer.
Yes. We secure prior authorization for CPAP, biologics, and pulmonary rehabilitation before the visit, so coverage denials don't happen after treatment has already been delivered.
Our billing workflow tracks referrals and scheduling coordination with sleep labs, oncology, and radiology, so claims are filed with complete documentation the first time.

● Case Study

See exactly what your current billing process is missing

We'll review a sample of your recent pulmonology claims and show you where revenue is being left on the table — no cost, no obligation.

Get My Free Billing Audit
View More Specialties