The burden on doctors has increased as well with the steady evolution of pulmonology once an associated branch of medicine into a specialised field for the diagnosis and treatment of disorders pertaining to the chest and respiratory system. Consequently, for seemingly complex and expensive patient care, doctors have little choice but to turn to professional medical billing services in order to avoid jeopardising their clinical efficiency.

How can PBC assist you with coding and billing?

Our professional pulmonology medical billing services are perfect for a variety of billing requirements. They are integrated into a step-by-step system of medical billing management, which includes charge entry, coding, billing and account reconciliation, physician credentialing, insurance verification, scheduling, denial management & appeals, and patient enrollment. Additionally, we promote coding culture that guarantees proper coding of diagnostic and therapeutic operations, as well as HIPAA-compliant patient privacy reporting on any EMR software of your choice for error-free medical billing.

PBC’s range of coding and billing services
Our knowledgeable billers can code for the entire spectrum of pulmonology medical services, including: They can carefully gather the data from your electronic medical record (EMR) systems.

• 94060 for pre- and post-spirometry;
• 94010 for expiratory spirometry only
• 94150 for slow vital capacity 
• 94375 for flow volume loop
• 94375 for flow volume loop 
• 94200 for mvv when provided alone without a standard spirometry
• 94240 for lung volumes.
• 94720 for diffusion research (dlco)
• 94070 for tests with numerous challenges
• 94350 the helium equilibration time 
• 95070 for the challenge agent’s administration 
• 95831 for lung mechanics
• 94664 for total body plethysmography,
• 94260 for thoracic gas volume
• 94664 for bronchodilator administration.

When required, appropriate modifiers are also used to eliminate unfavourable audit concerns, insurance carrier denials, or delays.

Value provision to hospitals and doctors

The majority of solo practitioners, clinics, and hospitals use our services because of best practices in pulmonology medical billing management, which include a compliant electronic medical record system, a coding schedule that complies with CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis codes, as well as a technology interface for billing and coding. Medicare, as well as top commercial insurance companies like United Health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, etc., can be effectively negotiated on your behalf.

The solution for increasing client collections, cutting operating costs, and enhancing medical efficiency is thus our medical billing management, which ensures competitive advantage through medical billing reports in electronic form, analyses denied claims and follows up for effective claim realisation, provides daily, weekly, and monthly pulmonary medical billing reports including ICD and CPT code analysis reports, covers all leading major health insurance providers, and schedules weekly meetings to discuss clients’ work status.

In addition, our pulmonology medical billing specialists are pre-qualified for the current medical billing management system and proactive in assisting you with a seamless transition to the upcoming ICD-10 system of coding compliance, as well as HIPAA 5010 compliant data privacy and security.