Pulmonology Billing Services
Proven Pulmonology Billing Services for Respiratory Practices
Pulmonology billing involves complex procedures, diagnostic testing, and device reimbursements — from pulmonary function tests to ventilator support, sleep studies, and chronic respiratory therapies. Errors, miscodes, or documentation lapses can cost practices thousands each month. At The Ashez Group, we provide proven pulmonology billing services designed to reduce denials, speed payments, and maximize revenue for respiratory physicians and clinics.
Our pulmonology billing specialists handle coding, claim submission, denial appeals, device billing, and full revenue cycle management. Whether you manage a lung disease clinic, COPD care center, or pulmonary diagnostics lab, we ensure your billing is accurate, compliant, and profitable.
Why Pulmonology Billing Needs Specialty Expertise
Pulmonology is a high-risk specialty because it combines diagnostic testing, procedure codes, implantable devices, and respiratory equipment. Key challenges include:
Pulmonary function tests (PFTs), spirometry, diffusion, and plethysmography coding complexities
Device / equipment billing for ventilators, CPAP/BiPAP, nebulizers, oxygen supplies
Modifier usage for repeat measurements, multiple body parts, and serial studies
Diagnostic bundling and payer edits rejecting overuse or repeated tests
Documentation & medical necessity demands for chronic lung disease, asthma, COPD, sleep apnea
Regulatory oversight in respiratory care, including Medicare and private payer audits
A generic billing service may miscode or underbill key pulmonary services and devices. You need a specialist partner.
✅ Top 3 Proven Pulmonology Billing Services We Provide
1️⃣ Accurate Diagnostic & Procedure Coding Review
Our team audits your PFT reports, bronchoscopy documentation, exercise tests, and sleep study records to ensure proper CPT/ICD-10 code selection. We check for payer edits, multiple-test bundling, and proper modifier use (e.g. –52, –76, –77) to avoid denials.
2️⃣ Clean Claim Submission & Device / DME Integration
Before submitting, we scrub every claim for payer compliance, device billing rules, and code validation. We properly bill CPAP/BiPAP, ventilators, oxygen, and other DME — aligning documentation and billing so that claims clear the first pass.
3️⃣ Denial Management, Appeals & Recovery
Denied claims are categorized, corrected, and resubmitted quickly. Our A/R team tracks patterns and works with you to improve documentation. With continuous process optimization, many pulmonology clients see denial rates drop by ~30% in 90 days.
Why Choose Us for Your Pulmonology Billing Needs?
Sleep Study & CPAP Billing Expertise
Hospital Rounding & Critical Care Billing
Dedicated Pulmonology Billing Team
🌐 Extended Services & Support
In addition to the Top 3, we also provide:
Eligibility & prior authorization for respiratory therapies
Homecare, DME, and equipment billing workflows
Hybrid clinic + telehealth lung care billing
Analytics dashboards showing test volume, rejection rates, and collections
Credentialing, payer enrollment, and audit support
Integration with pulmonology software, sleep labs, and EMR platforms
We adapt to practices of all sizes — from solo pulmonologists to large respiratory care networks.
The Ashez Group for Pulmonology Billing
Certified pulmonology billing specialists with deep domain knowledge
Proven 98%+ clean-claim targets
Transparent reporting and dashboards
HIPAA-compliant infrastructure
Nationwide service with multi-payer support
Personalized account support and performance reviews
Let us handle your billing so you can breathe easier.
We adhere to all payer and CMS guidelines, and utilize HIPAA-compliant systems to safeguard your practice and patient data.
https://theashezgroup.com/At The Ashez Group, we’re more than a billing company — we’re your trusted RCM partner for respiratory and pulmonary health. Our experts track CPT updates, payer rule changes, and audit trends to keep your collections secure. Whether you manage sleep labs, COPD clinics, or critical care units, our pulmonology billing services deliver accuracy, compliance, and financial stability every step of the way.
Let Us Handle the Billing So You Can Focus on Breathing Easier
At The Ashez Group, we help pulmonologists eliminate administrative headaches while ensuring steady, healthy cash flow. Whether you operate a solo office, a multi-specialty group, or hospital-affiliated practice, we customize our services to match your needs.
