With pulmonology, which earlier used to be an associative branch of medicine, gradually evolving into a dedicated specialty for diagnosis and treatment of diseases related to chest and respiratory system, the onus on physicians too has got bigger. As a result, physicians, who do not want to risk their clinical efficiency, have no alternative but to seek recourse in professional medical billing services for seemingly complex and high-cost patient services.
How can MBC support your billing & coding?
Ideal for varied billing needs, our professional pulmonology medical billing services are built into a sequential set of system of medical billing management, comprising patient enrollment, insurance enrollment, scheduling, insurance verification, insurance authorizations, charge entry, coding, billing and reconciling of accounts, denial management & appeals, and physician credentialing. Additionally, we also support HIPAA-compliant patient privacy reporting on any EMR software of your choice for error-free medical billing, and coding culture that ensures apt coding of diagnostic and treatment procedures.
Our Pennsylvania billers and coders offer a whole range of medical billing solution from physicians looking to manage their small to medium scale practices, their compliance to HIPAA guidelines, can actually streamline your processes better.
Located in cities such as Philadelphia, Pittsburg, Allentown, Erie and Reading, in fact many Pennsylvania billers also take care of medical billing processes of surrounding states where billers are not available with the required experience.
Specialized Medical Billing Services in Pennsylvania
Our specialized medical billing services in Pennsylvania extend across Philadelphia, Pittsburgh, Allentown, Erie, and Reading, supporting healthcare providers throughout the state and neighboring regions. Our experts conduct thorough revenue cycle analyses to identify and address efficiency gaps while maintaining strict HIPAA compliance.
With a deep understanding of state regulations and reimbursement policies, our team ensures practices optimize their billing processes while providing superior patient service. We continuously monitor legislative changes affecting healthcare reimbursement to maintain optimal revenue flow for practices of all sizes.
Pennsylvania Medical Billing Specialists Drive Practice Success
Our Pennsylvania medical billing specialists deliver comprehensive solutions for practice revenue optimization. Through strategic coding, proactive claims management, and systematic follow-up processes, we help practices improve collections by 20%.
MBC’s certified team combines advanced software expertise with proven billing strategies to streamline operations and reduce administrative burden. By maintaining rigorous privacy standards while maximizing reimbursement efficiency, we enable healthcare providers to focus on patient care while ensuring sustainable financial growth. This focused approach helps Pennsylvania practices navigate federal cost-reduction initiatives while maintaining strong revenue performance.
MBC’s scope of billing & coding services
Our expert billers, who can diligently source the data from your electronic medical recording (EMR) systems, can undertake coding for the whole range of pulmonology medical services such as:
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94010 for expiratory spirometry only
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94060 for pre and post spirometry
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94375 for flow volume loop performed
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94150 for slow vital capacity
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94375 for flow volume loop performed
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94200 for mvv when given alone w/o a standard spirometry
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94240 for lung volumes
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94720 for diffusion study (dlco)
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94070 for multiple challenge tests
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94350 for helium equilibration time
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95831 for lung mechanics
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95070 for administration of challenge agent
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94664 for administration of bronchodilator
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94260 for thoracic gas volume,
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93720 for total body plethysmography
Suitable modifiers are also applied wherever necessary to negate undesirable audit issues, denial or delay by insurance carriers.
Value delivery to physicians & hospitals
Owing to such best practices in pulmonology medical billing management – a compliant electronic medical recording system, coding regimen conforming to CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis codes, and technology interface for billing and coding – our services attract majority of individual physicians, clinics & hospitals. We can successfully negotiate your insurance claims with Medicare, Medicare, and leading private insurance carriers such as United health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, etc.
Thus, our medical billing management – which ensures competitive advantage through medical billing report in electronic form, analyzing denied claims and making follow-ups for efficient claim realization, provision of daily, weekly and monthly pulmonary medical billing reports including ICD and CPT code analysis reports, coverage of all leading major health insurance providers, and arranging weekly meeting to discuss clients’ work status – is the prescription for maximizing clients’ collections, lower operating cost, and improving medical efficiency.
Additionally, along with the pre-qualifications for the prevailing system of medical billing management, our pulmonology medical billing specialists are pro-actively equipped to help you make a smooth transition to the ensuing ICD-10 system of coding compliance, and HIPAA 5010 compliant data privacy and security.
