Outsource Pulmonology Billing Services
Pulmonology practices face some of the most complex billing and coding challenges in healthcare. With chronic respiratory conditions on the rise, documentation demands increasing, and payer rules constantly shifting, your time should be spent on patient care — not paperwork.
At CLICKVISION BPO, we help you unlock financial clarity through fully compliant, high-performance pulmonology billing solutions tailored to respiratory care providers. From insurance verification to denial management, we manage your revenue cycle so you can breathe easier.
< 45
Days in
AR
15-25%
Revenue Increase
95%
First Pass Ratio
98%
Collection Ratios
97%
Clean Claims Rate
Overview of Pulmonology Billing Outsourcing
Over 35 million Americans suffer from chronic respiratory conditions like asthma, COPD, and pulmonary fibrosis. According to the CDC, chronic lower respiratory diseases are the sixth leading cause of death in the United States. The growing demand for respiratory care puts immense pressure on pulmonologists, who often lack the time and resources to manage complicated billing workflows.
Pulmonology billing requires precise coding, strict documentation, and an understanding of payer-specific rules for services like pulmonary function tests (PFTs), oxygen therapy, and pulmonary rehab. Outsourcing this function to a specialized billing provider like CLICKVISION BPO allows you to improve reimbursement, reduce denials, and refocus on patient outcomes instead of paperwork.
Comprehensive Pulmonology Billing Solutions
We provide end-to-end revenue cycle management built for pulmonologists, respiratory therapists, and sleep study centers:
Insurance Verification & Pre-Authorizations
We verify eligibility and secure pre-authorizations for tests and procedures such as pulmonary function tests (PFTs), bronchoscopy, CPAP therapy, and oxygen equipment. This reduces claim denials due to lack of coverage.
Respiratory Coding Accuracy
Our AAPC-certified coders specialize in pulmonology CPT and ICD-10 codes, including 94010 (Spirometry), 31622 (Bronchoscopy), 95810 (Sleep studies), G0424 (Pulmonary rehab services). We apply modifiers accurately and ensure bundled services are billed appropriately.
Chronic Care Management Billing
Ongoing conditions like COPD, asthma, and pulmonary fibrosis require continuous monitoring and treatment. We ensure proper documentation and claim sequencing for long-term care billing.
Denial Management & AR Recovery
We proactively manage denied claims, correcting coding issues, resubmitting with additional documentation, and following up with payers to maximize revenue recovery.
Compliance & Documentation Support
We help you stay compliant with CMS, HIPAA, and Medicare Part B guidelines. Our team ensures all claims include physician notes, test results, referrals, and pre-authorization records.
Why Outsource Pulmonology Billing to CLICKVISION BPO?
Specialized Knowledge
We focus on respiratory care billing and understand the nuances of coding for chronic lung conditions, procedures, and diagnostics.
Certified Professionals
All billing is handled by AAPC-certified coders and revenue cycle experts.
Fully Compliant
We follow HIPAA, CMS, and Medicare guidelines to reduce risks and penalties.
Custom Solutions
Whether you're a solo pulmonologist or part of a multi-specialty group, our billing adapts to your practice size, specialty, and technology.
Pulmonology Billing Challenges
Pulmonology billing is notoriously difficult due to the complexity of chronic respiratory diseases, frequent changes in payer policies, and a high volume of diagnostic testing. Some of the most pressing challenges include:
High Claim Denial Rates
Due to coding inaccuracies, missing documentation, or non-compliance with prior authorization protocols.
Bundled vs. Unbundled Coding Confusion
Services like pulmonary rehab often include bundled components that are mistakenly billed separately, leading to denials.
Inconsistent Documentation
Handwritten or incomplete records make it hard to support claims with clear medical necessity.
Evolving CMS & Payer Guidelines
Constant changes in rules can result in outdated billing practices and compliance risks.
Complexity of Respiratory Conditions
Each diagnosis—from asthma to pulmonary fibrosis—may require unique billing codes, modifiers, and documentation standards.
How We Solve Common Pulmonology Billing Challenges
Challenge
CLICKVISION BPO Solution
Missing pre-auth for sleep studies and home oxygen equipment
We verify payer rules and obtain all necessary pre-authorizations before scheduling
Coding confusion between similar E/M services (99213 vs. 99214)
Our coders apply correct visit-level coding and use documentation audits to ensure accuracy
Bundled services billed separately (e.g., COPD rehab + nebulizer meds)
We follow CMS bundling rules and apply appropriate codes for maximum compliance
Lack of documentation for medical necessity
We create checklists and ensure your team submits all required supporting records
Denied claims and poor AR management
Our team resolves denials within 7–14 days, accelerating payment recovery
Get In Touch
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Leadership Team
Dimitar Talevski
Dimitar is a seasoned marketing specialist and the visionary behind CLICKVISION. With over 10 years in digital marketing, he excels in crafting marketing strategies that boost rankings, which in return increase leads, conversions, sales, profits, and ROI.
Filip Dimitrijevski
With a strong background in the marketing industry and healthcare leadership roles, Filip is responsible for CLICKVISIONBPO's sales strategies and onboarding new clients. With a passion for sharing insights gained from his experience, he also shares valuable knowledge through industry related articles.
Specialties We Excel In
Nephrology Billing Services
Pulmonology and nephrology often intersect in managing conditions like sleep apnea and kidney disease. Pulmonologists and nephrologists collaborate to address how respiratory and renal systems impact overall health, particularly in patients with chronic conditions.
Cardiology Billing Services
Pulmonology and cardiology are closely linked in the treatment of respiratory and cardiovascular conditions, such as pulmonary hypertension. Cardiologists and pulmonologists often work together to diagnose and manage conditions that affect both the heart and lungs.
Internal Medicine Billing Services
Pulmonologists frequently collaborate with internal medicine specialists to manage complex chronic diseases, such as COPD and asthma. Internal medicine providers often oversee comprehensive care, working alongside pulmonologists to address respiratory health within the broader context of a patient’s overall wellness.
Help center
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Our AAPC-certified coders stay up-to-date with all CPT, ICD-10, and HCPCS updates. We review clinical notes and documentation to assign the most accurate and compliant codes for pulmonary procedures, including spirometry, sleep studies, and rehab.
We manage billing for asthma, COPD, lung cancer, bronchiectasis, pulmonary fibrosis, and more—including PFTs, CT scans, bronchoscopy, CPAP setups, and overnight sleep studies.
Clients typically see a 10–15% increase in collections within the first 90 days, plus faster claim approvals and fewer denials.
Yes. We help you stay prepared for CMS audits, support compliance efforts, and provide regular reports that highlight risk areas and opportunities.