[vc_section content_placement=”middle” align_center=”aligncenter” bg_position=”right center” responsive_bg_none=”respo-bg-none” wn_class=”wn-section-5d0d51dfdd27b” css=”.vc_custom_1567167107531{background-image: url(http://integritymedicalbillingcompany.com/wp-content/uploads/2019/06/background.png?id=9029) !important;}”][vc_row][vc_column][distance desktop_type=”60″][/vc_column][/vc_row][/vc_section][vc_section content_placement=”middle” wn_class=”wn-section-5d1c83137d6b3″ css=”.vc_custom_1638184945717{background-image: url(https://integritymedicalbillingcompany.com/wp-content/uploads/2021/11/Pulmonary-Billing-Services.webp?id=10507) !important;}” wn_section_height=”300px”][vc_row content_placement=”middle” wn_class=”wn-row-5ab753d23f23b”][vc_column width=”1/2″][/vc_column][vc_column width=”1/2″ wn_class=”wn-column-5d712bbc3bdb5″ css=”.vc_custom_1567697863263{background-color: rgba(13,158,100,0.55) !important;*background-color: rgb(13,158,100) !important;}”][distance desktop_type=”30″][vc_custom_heading source=”post_title” font_container=”tag:h1|text_align:center|color:%23ffffff” use_theme_fonts=”yes”][distance desktop_type=”30″][/vc_column][/vc_row][/vc_section][vc_section content_placement=”middle” align_center=”aligncenter” bg_position=”right center” responsive_bg_none=”respo-bg-none” wn_class=”wn-section-5d0d51dfdd27b” css=”.vc_custom_1567167107531{background-image: url(http://integritymedicalbillingcompany.com/wp-content/uploads/2019/06/background.png?id=9029) !important;}”][vc_row gap=”10″ align_center=”aligncenter” wn_class=”wn-row-5ab87d23a0dc4″ el_class=”dp-ch-iconbox-sec”][vc_column wn_class=”wn-column-5d0d25bcaacaf”][distance desktop_type=”40″ phone_type=”30″][vc_column_text]Integrity Practice Solutions has worked with a number of Pulmonology practices and deeply understand the specialty along with its challenges. Many pulmonologist also provide Internal medicine services and sleep medicine. It is important for a billing company to understand all these specialties and how to bill so as to get paid on all visits. Many dual board certified providers have a tough time getting paid either on their capitated contracts or fee-for-service. For example, a patient might see a provider for their sick visit under a capitated contract but another patient can see the provider for a specialist visit even though they may have a different PCP on file with the Payor. It is very important for the billing team to understand these difference and how each Payor’s approach to them.
In pulmonology, coding can be very confusing. For example, when an inhaler is prescribed. In this case, you need a code for an inhaler, a code for the underlying issue, and a code for demonstrating the usage of the inhaler. The code for inhaler technique (94664) comes with its own intricacies. For this code, you can only bill it once a day for one patient and you can’t use it with code 94640. If you don’t properly document and code this accordingly, your practice will lose income.
Pulmonology practices can increase their revenue by adding ancillary service like Remote Physiological Monitoring of parameters like blood pressure and oxygen saturation levels.[/vc_column_text][distance desktop_type=”40″ phone_type=”20″][/vc_column][/vc_row][/vc_section][vc_section content_placement=”middle” align_center=”aligncenter” white_text_color=”yes” bg_position=”right center” responsive_bg_none=”respo-bg-none” wn_class=”wn-section-5d0d51dfdd27b” css=”.vc_custom_1638183523316{background-color: #000000 !important;}”][vc_row content_placement=”middle”][vc_column width=”1/2″][vc_single_image image=”10508″ img_size=”600×600″ alignment=”right” css_animation=”none” enable_animation_pro=”” css=”.vc_custom_1638183671056{margin-top: 0px !important;margin-right: -18px !important;margin-bottom: 0px !important;margin-left: 0px !important;border-top-width: 0px !important;border-right-width: 0px !important;border-bottom-width: 0px !important;border-left-width: 0px !important;padding-top: 0px !important;padding-right: 0px !important;padding-bottom: 0px !important;padding-left: 0px !important;}”][/vc_column][vc_column width=”1/2″][distance desktop_type=”50″ phone_type=”30″][vc_column_text css_animation=”none”]Sleep medicine billing is another area practiced by many pulmonary providers. There are different types of services provided by each practice. Some provide HST (Home sleep study) devices to patients while some send their patients to dedicated sleep labs and others provide reading service to sleep labs. All of these require the biller to understand modifiers 26 based on professional service they provide or bill the claim as global without any modifiers.
Integrity Practice Solutions provides knowledge and support to make your day-to-day responsibilities easier. Our employees are all trained in medical billing coding and have dedicated their careers to the industry. Our high tech revenue management systems do not accept denials.
By hiring Integrity you are hiring a business that cares about your success. We’ll help you get back to focusing on patients while we get your practice the money it is owed.[/vc_column_text][distance desktop_type=”50″ phone_type=”30″][/vc_column][/vc_row][/vc_section][vc_section disable_element=”yes” shape_on_top=”yes” top_shape_divider=”5″ top_shape_bgcolor=”#ffffff” wn_class=”wn-section-5b3cb8b3a39b1″ css=”.vc_custom_1567698045434{background-color: #f2f2f2 !important;}” el_id=”tips”][vc_row row_type=”2″ blox_bgcolor=”#f6f6f5″][vc_column][distance desktop_type=”60″ phone_type=”40″ type=”5″][deep-title title=”Pulmonary Billing Tips” text_align=”center” layer_animation=”wn-layer-anim-bottom” title_heading=”h3″ title_font_size=”32px” title_letter_spacing=”-0.3px” title_font_weight=”500″ title_padding_bottom=”23px” subtitle_heading=”h1″ shape=”%5B%7B%22shape_width%22%3A%2264px%22%2C%22shape_height%22%3A%223px%22%2C%22shape_background_color%22%3A%22%2324bd8c%22%2C%22shape_background_color_2%22%3A%22%23049255%22%2C%22shape_gradient_direction%22%3A%22-45deg%22%2C%22shape_bottom_position%22%3A%220%22%2C%22shape_left_position%22%3A%22calc(%2050%25%20-%2032px%20)%22%2C%22shape_rotate%22%3A%22none%22%7D%5D”][distance desktop_type=”30″ phone_type=”20″ type=”5″][ultimate_icon_list icon_size=”20″ icon_margin=”10″][ultimate_icon_list_item icon=”Defaults-check” icon_color=”#069356″ icon_style=”circle” icon_color_bg=”#f8f8f8″]Is your billing company following up the law firms for your litigation / arbitration cases?[/ultimate_icon_list_item][ultimate_icon_list_item icon=”Defaults-check” icon_color=”#069356″ icon_style=”circle” icon_color_bg=”#f8f8f8″]Coding for Pain management can change based on the place of service. Make sure your billers are sending out the correct POS.[/ultimate_icon_list_item][ultimate_icon_list_item icon=”Defaults-check” icon_color=”#069356″ icon_style=”circle” icon_color_bg=”#f8f8f8″]Many of the injection codes like 64483 for Transforaminal Epidural Injections (TFESI) includes Fluroscopy. Do not bill it separately.[/ultimate_icon_list_item][ultimate_icon_list_item icon=”Defaults-check” icon_color=”#069356″ icon_style=”circle” icon_color_bg=”#f8f8f8″]If you are doing multiple levels, use the addon code like 64484 and NOT the bilateral modifiers unless you are doing bilateral.[/ultimate_icon_list_item][ultimate_icon_list_item icon=”Defaults-check” icon_color=”#069356″ icon_style=”circle” icon_color_bg=”#f8f8f8″]If you do bilateral, keep in mind that many insurances will apply the Multi Procedure Payment Reduction (MPPR)[/ultimate_icon_list_item][ultimate_icon_list_item icon=”Defaults-check” icon_color=”#069356″ icon_style=”circle” icon_color_bg=”#f8f8f8″]Many insurances have strict limit on the number of times in a year, treatment can be provided. Some are strict with the number of times facet injections
can be administered before considering Radio Frequency Ablaation (RFA). Be careful with coding when you are doing multiple levels.[/ultimate_icon_list_item][ultimate_icon_list_item icon=”Defaults-check” icon_color=”#069356″ icon_style=”circle” icon_color_bg=”#f8f8f8″]If you are doing urine drug screens, there has to be a presumptive before dong confirmation. Make sure you don’t miss billing the presumptive else it
can lead to an audit.[/ultimate_icon_list_item][/ultimate_icon_list][/vc_column][/vc_row][/vc_section][vc_section wn_class=”wn-section-5b3cb8b3a39b1″ el_id=”benefits”][vc_row wn_class=”wn-row-61e6af4620047″ row_type=”2″ blox_bgcolor=”#f6f6f5″][vc_column wn_class=”wn-column-5d5a9cfe39ada”][distance desktop_type=”80″ phone_type=”30″ type=”4″][deep-title title=”Benefits of OUTSOURCING” text_align=”center” title_heading=”h2″ subtitle_heading=”h1″ shape=”%5B%5D”][distance desktop_type=”80″ phone_type=”30″ type=”4″][/vc_column][/vc_row][vc_row gap=”10″ wn_class=”wn-row-5d1c959c0b94f”][vc_column width=”1/3″ wn_class=”wn-column-61e6af461ff54″][icon_counter border_size=”1″ border_color=”#069356″ icon=”Defaults-check-square-o” icon_size=”60″ icon_color=”#069356″ bg_color=”#f2f2f2″ block_title_front=”GET PAID FASTER & FOR EVERY PATIENT” block_title_back=”GET PAID FASTER & FOR EVERY PATIENT” block_desc_back=”Our billers will review all the claims and send them out within 24 hours. Any missing information will be promptly discussed with the office so there are no delays in claims processing. We can use our software for billing or bill from your existing EHR. We have worked with Medisoft, eClinicalworks (eCW), Kareo, STI, OmniMD, Meditab IMS, OfficePracticum (OP), Healthfusion among many others.” height_type=”ifb-custom-height” box_height=”320″ cont_align=”on” title_font_style=”font-weight:bold;” desc_font_size=”desktop:16px;” title_font_size=”desktop:16px;” title_font_line_height=”desktop:25px;”][/vc_column][vc_column width=”1/3″ wn_class=”wn-column-61e6af461ff54″][icon_counter border_size=”1″ border_color=”#069356″ icon=”Defaults-check-square-o” icon_size=”60″ icon_color=”#069356″ bg_color=”#f2f2f2″ block_title_front=”REDUCE EMPLOYEE DEPENDENCE WITH MEDICAL BILLING OUTSOURCING” block_title_back=”REDUCE EMPLOYEE DEPENDENCE WITH MEDICAL BILLING OUTSOURCING” block_desc_back=”Cash flow of your office is dependent on your claims going out in a timely manner. You cannot afford to have that stop when someone takes a vacation or has to take time off. With our size, your claims will never stop going out and your collections will always be worked on. You never have to worry about that.” height_type=”ifb-custom-height” box_height=”320″ cont_align=”on” title_font_style=”font-weight:bold;” desc_font_size=”desktop:16px;” title_font_size=”desktop:16px;” title_font_line_height=”desktop:25px;”][/vc_column][vc_column width=”1/3″ wn_class=”wn-column-61e6af461ff54″][icon_counter border_size=”1″ border_color=”#069356″ icon=”Defaults-check-square-o” icon_size=”60″ icon_color=”#069356″ bg_color=”#f2f2f2″ block_title_front=”SAVE MONEY BY OUTSOURCING YOUR BILLING” block_title_back=”SAVE MONEY BY OUTSOURCING YOUR BILLING” block_desc_back=”We get paid only if you get paid. You get the benefit of having a specialized team of experts working on your account without worrying about training, vacation etc. If you go on a vacation, you do not have to pay any of your billing and collections staff.” height_type=”ifb-custom-height” box_height=”320″ cont_align=”on” title_font_style=”font-weight:bold;” desc_font_size=”desktop:16px;” title_font_size=”desktop:16px;” title_font_line_height=”desktop:25px;”][/vc_column][/vc_row][vc_row gap=”10″ wn_class=”wn-row-5d1c959c0b94f”][vc_column width=”1/3″ wn_class=”wn-column-61e6af461ff54″][icon_counter border_size=”1″ border_color=”#069356″ icon=”Defaults-check-square-o” icon_size=”60″ icon_color=”#069356″ bg_color=”#f2f2f2″ block_title_front=”REDUCE PAYER DENIALS” block_title_back=”REDUCE PAYER DENIALS” block_desc_back=”You do not need to live in a vacuum!! We work with hundreds of providers and learn from the denials and push back that we receive from insurance. We learn from this and educate our practices so they do can get paid on the first time.” height_type=”ifb-custom-height” box_height=”320″ cont_align=”on” title_font_style=”font-weight:bold;” desc_font_size=”desktop:16px;” title_font_size=”desktop:16px;” title_font_line_height=”desktop:25px;”][/vc_column][vc_column width=”1/3″ wn_class=”wn-column-61e6af461ff54″][icon_counter border_size=”1″ border_color=”#069356″ icon=”Defaults-check-square-o” icon_size=”60″ icon_color=”#069356″ bg_color=”#f2f2f2″ block_title_front=”FULL TRANSPARENCY” block_title_back=”FULL TRANSPARENCY” block_desc_back=”You and the staff you designate will always have full access to your data. We do not want to hide anything from you. When we do follow up, the notes will be attached to the patient chart and you can review them. We believe in 100% transparency.” height_type=”ifb-custom-height” box_height=”320″ cont_align=”on” title_font_style=”font-weight:bold;” desc_font_size=”desktop:16px;” title_font_size=”desktop:16px;” title_font_line_height=”desktop:25px;”][/vc_column][vc_column width=”1/3″ wn_class=”wn-column-61e6af461ff54″][icon_counter border_size=”1″ border_color=”#069356″ icon=”Defaults-check-square-o” icon_size=”60″ icon_color=”#069356″ bg_color=”#f2f2f2″ block_title_front=”NO CONTRACTS” block_title_back=”NO CONTRACTS” block_desc_back=”It is your money and it is your right to work with whomever best serves your need. We do not impose any contracts. We are confident in our service that you will not find a harder working billing service provider.” height_type=”ifb-custom-height” box_height=”320″ cont_align=”on” title_font_style=”font-weight:bold;” desc_font_size=”desktop:16px;” title_font_size=”desktop:16px;” title_font_line_height=”desktop:25px;”][/vc_column][/vc_row][vc_row wn_class=”wn-row-61e6af4620047″][vc_column wn_class=”wn-column-61e6af461ff54″][distance desktop_type=”50″ phone_type=”30″ type=”5″][/vc_column][/vc_row][/vc_section][vc_section shape_on_top=”yes” top_shape_divider=”5″ top_shape_bgcolor=”#ffffff” wn_class=”wn-section-5abb369eac26c” css=”.vc_custom_1561157406087{background-color: #f8f8f8 !important;}”][vc_row align_center=”aligncenter” layer_animation=”wn-layer-anim-bottom” wn_class=”wn-row-5abb38b9498db”][vc_column wn_class=”wn-column-61a4a9c2a412e”][distance desktop_type=”80″ phone_type=”30″][deep-title title=”How It WORKS” text_align=”center” title_heading=”h2″ subtitle_heading=”h1″ shape=”%5B%5D”][distance desktop_type=”50″ phone_type=”20″][vc_single_image image=”9576″ img_size=”full” alignment=”center”][distance desktop_type=”50″ phone_type=”30″][button shape=”square” btn_content=”KNOW MORE” botton_skin=”custom” url=”http://integritymedicalbillingcompany.com/how-it-works/” size=”medium” shadow_top=”0″][distance desktop_type=”80″ phone_type=”30″][/vc_column][/vc_row][/vc_section][vc_section shape_on_top=”yes” top_shape_divider=”5″ top_shape_bgcolor=”#ffffff” wn_class=”wn-section-5b3cb8b3a39b1″][vc_row wn_class=”wn-row-61a4a9c2a41c5″ row_type=”2″ blox_bgcolor=”#f6f6f5″][vc_column wn_class=”wn-column-61a4a9c2a412e”][distance desktop_type=”80″ phone_type=”30″ type=”5″][deep-title title=”Denial MANAGEMENT” text_align=”center” title_heading=”h2″ subtitle_heading=”h1″ shape=”%5B%5D”][distance desktop_type=”50″ phone_type=”30″ type=”4″][/vc_column][/vc_row][vc_row gap=”25″ content_placement=”middle” wn_class=”wn-row-5d3b25bc6e468″][vc_column wn_class=”wn-column-61a4a9c2a412e”][vc_column_text]
Denial management is the key to a successful revenue cycle program. Many companies claim to “automate” RCM but they fail to acknowledge that the problem in denials is the “intention” and not “technology”. There is no other alternative to being on the phone with insurance company for hours on end and fighting for a claim to get paid. Nonetheless, smart billers learn from their interaction with insurances and pass on that knowledge to the offices they work with so they can take care of these “gottchas”. For e.g. many companies will deny a claim if you send a specific (e.g Lt knee pain) and unspecified pain diagnosis on the same claim.
[/vc_column_text][distance desktop_type=”50″][vc_single_image image=”9670″ img_size=”full” alignment=”center”][distance desktop_type=”80″ phone_type=”30″][/vc_column][/vc_row][/vc_section][vc_section content_placement=”middle” shape_on_bottom=”yes” bottom_shape_divider=”9″ bottom_shape_bgcolor=”#0d9e64″ wn_class=”wn-section-5abb673e63920″ wn_section_height=”200px” css=”.vc_custom_1624547170819{background-color: #f2f2f2 !important;}”][vc_row wn_class=”wn-row-60d49e5d42c55″][vc_column width=”1/12″ wn_class=”wn-column-60d49e5d42bdd”][/vc_column][vc_column width=”7/12″ wn_class=”wn-column-60d49e5d42bdd”][vc_column_text css_animation=”none”]
[/vc_column_text][/vc_column][vc_column width=”3/12″ wn_class=”wn-column-60d49e5d42bdd”][button shape=”square” btn_content=”GET IN TOUCH” botton_skin=”custom” url=”http://integritymedicalbillingcompany.com/contact-us/” size=”medium”][/vc_column][vc_column width=”1/12″ wn_class=”wn-column-60d49e5d42bdd”][/vc_column][/vc_row][/vc_section]
