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Pulmonology Billing Services.

Significant advancements in medical and technical fields have greatly improved the effectiveness of treatments in pulmonary practices. However, these advancements in pulmonology billing services have also led to new and more intricate medical coding and billing requirements.

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pulmonology billing services
Delivering value to physicians and hospitals.

Delivering value to physicians and hospitals.

Our pulmonology medical billing management services are highly sought after by individual physicians, clinics, and hospitals due to our adherence to best practices. These include using a compliant electronic medical recording system, a coding regimen that conforms to CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis codes. Additionally, our technology interface for billing and coding further enhances the appeal of our services. We have the expertise to effectively negotiate your insurance claims with various providers, including Medicare, leading private insurance carriers such as UnitedHealth, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and more.

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Navigating Pulmonology Billing Services Breathing Life into Revenue Streams

Claims with High Losses

In a typical medical practice, hundreds of patients often come in daily, leading to a large volume of low-value claims being filed daily. However, in pulmonology billing, the examinations and treatments are different. They require more detailed and time-consuming procedures. A physician may see around 10 to 15 patients on a typical day. Consequently, the financial impact of a single unpaid claim can be significant.
Claims with High Losses
Coding Complex Procedures and Treatments

Coding Complex Procedures and Treatments

Modifiers are essential to coding as they provide the necessary information to ensure reimbursement for all services provided. Inexperienced coders can refer to the general code for a procedure, but they may struggle with determining the appropriate depth and the specific numerical details that need to be included.

Seasonal Services Are Required

Tracking and scheduling flu shots, vaccines, and other preventive practices required on a seasonal or annual basis introduces additional coverage and coding questions that must be addressed.
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Seasonal Services Are Required

Why Outsource DSO Med Plus for Your Pulmonology Practice?

Most of your time as a pulmonologist will be dedicated to outpatient consultations and follow-up appointments. However, you will also be involved in inpatient visits and conducting various tests and procedures for conditions such as COPD. The various diagnostic codes ensure that patients' medical records are accurately represented during the billing process. However, managing the complexity of these codes can be a time-consuming task.
A medical billing and coding partner can assist you in ensuring that you accurately code your services, avoiding under-coding and over-coding. This way, you can optimize your reimbursements while adhering to billing regulations.