Pulmonary Physician Groups
Pulmonary Billing & Coding Services Built for Revenue, Accuracy, and Compliance
Pulmonary medicine involves highly specialized services that demand precise documentation, correct coding, and strict adherence to payer guidelines. From diagnostic testing and chronic disease management to hospital rounds and consult services, pulmonary practices face some of the most complex billing and reimbursement challenges in healthcare.
PulmoCare RCM delivers specialized pulmonary billing and coding services designed to help pulmonary physician groups capture every legitimate dollar while remaining fully compliant with CMS, Medicare Advantage, and commercial payer regulations. Our pulmonary-focused Revenue Cycle Management (RCM) solutions are built to reduce denials, accelerate cash flow, and improve financial performance without increasing administrative burden on your clinical staff.
Deep Understanding of Pulmonary Clinical Workflows
At PulmoCare RCM, we understand how pulmonologists practice medicine—across outpatient clinics, hospital settings, and critical care environments. Our team works closely with your providers to align clinical documentation with payer requirements, ensuring that services are accurately represented, properly coded, and defensible during audits.
By applying specialty-specific pulmonary coding rules, we eliminate guesswork, minimize errors, and produce clean claims that move through payer systems faster—resulting in shorter AR cycles and consistent reimbursement.
Why Pulmocare RCM for Critical Care Coding?
27 years of Pulmonary & Critical Care billing experience
Specialty-trained ICU coding professionals
Nationwide U.S. coverage
Deep CMS & payer guideline expertise
AI-enabled documentation audits
Transparent reporting and analytics
Proven denial reduction strategies
Comprehensive Pulmonary RCM Services
Our pulmonary revenue cycle services cover every stage of the billing process with precision, compliance, and payer-specific expertise.
Pulmonary E/M Coding
Accurate coding for office visits, hospital visits, inpatient care, and consult services in compliance with current E/M guidelines.
Pulmonary Function & Diagnostic Testing Billing
End-to-end billing for Pulmonary Function Tests (PFT), spirometry, sleep studies, and related diagnostic procedures, ensuring correct code selection and modifier usage.
Chronic & Transitional Care Management
Billing support for Chronic Care Management (CCM) and Transitional Care Management (TCM) services with documentation validation to meet Medicare requirements.
Prior Authorizations & Eligibility Verification
Proactive authorization management and eligibility checks to prevent avoidable denials and delayed payments.
Denial Management & Underpayment Recovery
Root-cause analysis, timely appeals, and payer follow-ups to recover lost revenue and reduce repeat denials.
Payer-Specific Billing Expertise
Specialized handling of Medicare, Medicare Advantage, and commercial insurance billing with continuous monitoring of payer policy updates.
Why Pulmonary Practices Choose PulmoCare RCM
Pulmonary physician groups partner with PulmoCare RCM because we deliver more than billing — we deliver measurable financial results.
Specialty-Trained Pulmonary Coding Experts
Coders trained specifically in pulmonary and respiratory services — not general medical billing.
Reduced Denials & Faster AR Turnaround
Clean claims, proactive follow-ups, and disciplined denial management improve cash flow and reduce outstanding AR.
Full Compliance & Audit Readiness
Strict adherence to CMS, NCCI, and payer policies to minimize compliance risk and audit exposure.
Scalable RCM Solutions
Flexible support designed to grow with your pulmonary practice—whether you are a single-provider group or a multi-location physician network.
Turn Pulmonary Complexity into Predictable Revenue
Pulmonary billing doesn’t have to be complicated or unpredictable. With PulmoCare RCM, pulmonary physician groups gain a trusted RCM partner who understands their specialty, protects their compliance, and maximizes their revenue potential.
PulmoCare RCM turns pulmonary complexity into predictable, sustainable revenue — so your physicians can focus on delivering exceptional patient care.
Critical Care Coding FAQs
Critical care qualifies when a physician provides direct care to a patient with life-threatening or organ-failure conditions requiring constant attention, supported by detailed documentation and time tracking.
Critical care is billed using time-based CPT codes. We validate documented time, remove bundled procedures, ensure no overlap between providers, and confirm medical necessity before claim submission.
Common causes include missing time statements, insufficient documentation, overlapping provider time, incorrect bundling, and lack of medical necessity documentation.
Yes. We specialize in pulmonary-critical care overlap and ensure pulmonary services and critical care services are coded separately and compliantly.
Yes. We support ICU physicians, hospitalists, pulmonary-critical care specialists, and inpatient care teams nationwide.
Most critical care claims are submitted within 24–48 hours after complete documentation is received.
Yes. We follow strict HIPAA standards, including encrypted data handling, role-based access, secure systems, and regular audits.
Yes. Practices typically see 20–40% revenue improvement by preventing underbilling, reducing denials, and ensuring compliant time-based billing.
Schedule a Demo / Contact Us
Let us show you how our Pulmonary & Critical Care Billing expertise can transform your revenue performance.
