Atlantic RCM – Pulmonary Medical Billing Services

Pulmonary Medical Billing Services

Atlantic RCM’s Pulmonary medical billing services is dedicated to managing the financial aspect of medical practices that focus on respiratory health. Our services involve the accurate and efficient processing of claims related to pulmonary procedures, diagnostic tests, and treatment services. Given the intricate nature of pulmonary care, billing for these services requires a deep understanding of the specific codes, regulations, and documentation requirements associated with respiratory health.

Challenges in Pulmonary Medical Billing

Complex Coding and Documentation

Pulmonary care involves a wide range of procedures and diagnostic tests, each with its own set of codes and documentation requirements. We at Atlantic RCM medical billers, specializing in pulmonary services navigate this complexity and ensure accurate billing and compliance with regulations.

Insurance Variability

Dealing with various insurance providers adds another layer of complexity to pulmonary medical billing. Different insurers may have distinct reimbursement policies, coding preferences, and documentation requirements, making it challenging to create a standardized billing process.

Regulatory Changes

The healthcare industry is subject to constant regulatory changes. As the leading Pulmonary medical billing services company, we stay informed about updates to coding systems, billing guidelines, and compliance standards to adapt their processes accordingly and avoid claim denials.

Technological Integration

The integration of modern healthcare technologies, such as electronic health records (EHR) and billing software, presents both opportunities and challenges. Our experienced Pulmonary medical billing services team at Atlantic RCM ensures seamless integration to enhance efficiency while addressing potential issues related to data security and interoperability.

Why Atlantic RCM for Pulmonary Medical Billing Services

Extensive Industry Experience

Over 25 years of Revenue Cycle Management experience behind us in all areas of Revenue Cycle Management. Let our years of experience service you!

Expertise in Denial Management

Atlantic RCM’s denial management service gives you complete visibility to each claim and a view into the data to uncover any errors that may lead to denial. Our denial management team does a complete examination of your billing documentation and procedures. Their enriched training enables them to look into specific trends and problem areas, for faster resolution in denials leading to an efficient cash flow.

Dedicated Account Manager

When you choose to outsource your medical billing and coding process to Atlantic RCM, we assign a dedicated account manager who is your single point of contact. While our billing specialists assist with all your medical billing needs the account manager ensures everything is timely and answers your queries/promptly resolves issues.

Innovation Fueled by Technology

We provide our Pulmonary clients with cutting-edge AI automation solutions designed to optimize and streamline their daily processes. By harnessing the power of innovative technology, we empower them to enhance efficiency, reduce administrative burdens, and focus more on delivering exceptional patient care. Our tailored AI automation tools are meticulously crafted to address the unique needs and challenges faced by Pulmonary practices, enabling them to achieve greater productivity, accuracy, and overall performance in their operations.

Atlantic RCM has its own software for insurance verification and checking claim status. Our insurance discovery software can identify billable insurances for self-pay patients or in cases where clear insurance information for patients is not available, it can find valid available insurances to bill. These advanced technologies help our pulmonary practices maximize their revenues.

Commitment to Client Satisfaction

Our transparent bi-weekly denial analysis reports and monthly insurance accounts receivable (AR) detailed analysis reports bring us closer to our clients. These reports inform you about outstanding amounts, reasons for outstanding balances, collectability status, and provide detailed insights into the practice's performance and the billing company's operations. Our commitment to transparency consistently ensures client satisfaction.

HIPAA Compliance

When Atlantic RCM talks about compliance standards, it means it follows a systematic practice to perform the tasks. Following the HIPAA, SSAE, and NIST regulations ensure that there is no fraud, and transparency and confidentiality is maintained at all levels, in all actions.

Pulmonary Billing and Coding Consolidated List:

  • Spirometry codes include 94010, 94011, 94012, 94060, 94070, 94150, 94200, 94375, 94726 and 94727

  • Lung volume codes include 94013, 94726, 94727 and 94728

  • Diffusion Capacity codes include 94729

  • Pulmonary stress testing codes include 96417, 96418, 94619 and 96421

  • Device demonstration and evaluation is coded as 94664

  • Pulmonary Rehab codes include 94625, 94626, G0237-G0239 and S9473

  • E&M services, as appropriate, with necessary modifier when conducted above and beyond procedures for testing and function or as part of assessment services

  • Lab services, as appropriate

  • Diagnostic imaging services, as appropriate, of the respiratory system

As one of the top multispecialty medical billing companies in USA, Atlantic RCM provides a wide range of services to help medical professionals across 25+ specialties. It is our goal to help you succeed across all areas of your practice, including billing, collections, and account receivables management.

Please reach out to us at (469) 501-1500 or to learn more about how we can impact your RCM services.

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