Pulmonary Billing Services

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.