We practice pulmonology billing services to ensure that your practice delivers quality patient care, high productivity and increased cash flow. we strive to optimize your business and provide an insight into generative leads.
Stands to Lose Greater Amounts
As a relatively high-cost medical field, pulmonology stands to lose greater amounts of revenue when billing and coding errors are present. The complexity of the ever-changing codes mean that there may be errors—however, a coding and billing team that is experienced in pulmonology billing will minimize them, and will be able to efficiently handle rejected and denied claims, unlike a less experienced office staff, who may spend hours sorting out each claim, and may never get the more complicated ones resolved in the required time frame, resulting in significant losses of revenue.
Challenges Associated with Pulmonology Billing
Complications start with scheduling:
The medical billing process starts in the scheduling phase when insurance coverage and payer requirements have to be confirmed. Pulmonology frequently includes rescheduling appointments due to coordination with other specialists and hospital procedures and annual processes that need to be tracked and accounted for.
Seasonal services must be part of the cycle:
Flu shots, vaccines and other preventive practices that need to occur on a seasonal or annual basis have to be tracked and scheduled, adding another set of coverage and coding questions that have to be addressed.
High-loss claims:
In a general medicine practice, there may be hundreds of patients through the doors daily, resulting in an enormous number of low-dollar claims being filed daily, but in pulmonology billing, examinations and treatments are of a different, more in-depth and time-consuming, nature. A physician may see 10 or 15 people on a normal day, meaning the loss of revenue for a single unpaid claim can be substantial.
Complicated procedures and treatments involve complex coding:
An important part of coding is the modifiers, which are required to give the pertinent details needed to be reimbursed for all services delivered. Inexperienced coders can look up the general code for a procedure, but often do not know how many levels they need to go down and all the numerically-coded details that need to be added.
Our specialists will handle your RCM from start to finish
With payers and medical institutions forever looking to cut their costs and pulmonology medical billing getting more complicated all the time, it becomes even more important to have an effective revenue cycle management (RCM) system in place. Outsourcing billing and coding to Docto Bill allows medical professionals to focus on patients, knowing that certified and experienced specialists are handling their RCM from start to finish.
Docto Bill's services begin with scheduling
Docto Bill’s services begin with scheduling and follow through all aspects of billing through debt collection, when necessary. Our staff of certified coders are experienced in over 40 specializations, including pulmonology billing. Our billers know how to identify over-coding and under-coding red flags and make sure clean claims are submitted.
We stay up to date on government offers
Because we specialize in medical billing, we are able to stay up to date on government offers and can be sure to maximize revenue from government incentives. We handle daily billing, respond to denials and rejections swiftly, and even manage annual payer adjustments and pay back as needed.
We have certified coders
Docto Bill services begin with scheduling and cover all aspects of billing, up through debt collection when necessary. Our certified coders are experienced in over 40 specializations, including cardiology. Our billers know how to recognize red flags for over-coding and under-coding and make sure clean claims are submitted.
We focus on coding & billing
Because we focus only on coding and billing, we are able to stay up to date on government offers and can maximize revenue from government incentives. We handle daily billing, respond to denials and rejections swiftly, and even manage charting and coding compliance, annual payer adjustments and pay back, as needed.