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MBC for Physicians

Pulmonology Billing Services

Optimize Your Practice Revenue &
Billing Efficiency

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We specialize in managing Pulmonology Medical Billing Services, bringing expert knowledge to handle the complexities of respiratory care billing—from tests to treatments. Our customized solutions address the specific needs of pulmonology billing services. 

As pulmonary medicine evolves with new tests and treatments, our billing team ensures accurate coding and documentation for routine and specialized procedures like pulmonary function tests, bronchoscopies, and sleep studies. 

This allows you to focus on patient care while we manage billing and ensure compliance.

Medical Billing At A Glance

Explore key figures that highlight our commitment to
seamless coding and optimized reimbursement.

Claims Processing
Metrics

First Pass
Resolution Rate

Percentage of claims paid on the first submission.

Average Days to
Payment

Average number of days it takes for claims to be paid.

Financial Metrics

Net Collection
Rate

Percentage of total charges that are collected.

Average Denial
Resolution Time

Average number of days taken to fix and resolve a denied claim.

Operational Metrics

Average Claims
Submitted Per Month

Volume of claims
submitted.

Staff Productivity
Rate

Claims processed per biller per day.

Pulmonology Billing Services

Maximizing claim efficiency and compliance for
superior revenue management

Our pulmonology billing and coding services aim to optimize revenue while ensuring compliance across all aspects of pulmonary care.

Key Benefits:

  • Complete management of pulmonary-specific CPT codes including pulmonary function testing (PFTs), bronchoscopy procedures, and sleep studies, with specialized documentation requirements and compliance protocols to maximize legitimate reimbursement
  • Advanced expertise in handling complex respiratory care billing, including mechanical ventilation, thoracentesis, and bronchial thermoplasty, with dedicated specialists who understand both the clinical and billing aspects of these procedures
  • Comprehensive coverage of chronic respiratory disease management billing, including asthma, COPD, and interstitial lung disease, ensuring accurate coding for ongoing care and monitoring

We maintain expertise across all major insurance carriers and stay current with evolving healthcare regulations to ensure optimal reimbursement for your practice.

Essential Features:

  • Dedicated expertise in managing critical care billing codes, including mechanical ventilation, bronchoscopy, and thoracic procedures, with specialized focus on documentation requirements and medical necessity criteria
  • Robust denial management system specifically designed for pulmonary practices, with proactive monitoring and appeals processes to maximize revenue capture
  • Comprehensive compliance monitoring and documentation review to ensure proper coding for all pulmonary procedures and minimize audit risks

Our pulmonology billing services deliver measurable improvements in practice revenue and efficiency through precise coding, thorough documentation review, and aggressive follow-up on claims. We understand the specific requirements for pulmonary procedures and ensure optimal reimbursement for every service provided.

Performance Highlights:

  • Significant reduction in denials through specialized knowledge of pulmonary procedure documentation requirements and medical necessity criteria
  • Enhanced revenue capture through accurate coding of complex procedures and proper utilization of modifiers
  • Streamlined billing workflows specifically designed for pulmonary practices, improving efficiency and reducing administrative burden

Mastering Every Code for
Pulmonology Specialty

Our expertise spans the full code range, ensuring precision and
compliance in every claim we process

Spirometry and Vital Capacity Testing

94010

Spirometry, including graphic record, total and timed vital capacity, expiratory only

94060

Pre and post-bronchodilator spirometry including graphic record

94150

Vital capacity, total (separate procedure)

94200

Maximum voluntary ventilation (MVV)

Advanced Pulmonary Function Testing

94375

Flow volume loop (performed separately)

94350

Helium equilibration time

95831

Lung mechanics

94260

Thoracic gas volume measurement

Lung Volumes and Diffusion Capacity

94240

Functional residual capacity or residual volume

94720

Carbon monoxide diffusing capacity (DLCO)

93720

Total body plethysmography

Bronchial Challenge and Medication Administration

94070

Multiple bronchial challenge testing

95070

Administration of bronchial challenge testing

94664

Demonstration and/or evaluation of patient utilization of aerosol generator, nebulizer, metered dose inhaler, or IPPB device

Download Your Pulmonology
Billing Guideline Here

Why Choose Us?

Analyze Practice & Benchmark

Data-driven analysis to compare and enhance your practice�s performance.

Practice Documentation SOP

Standardized operating procedures for seamless practice documentation.

Measure Results Consistently

Continuous monitoring to deliver reliable and consistent results.

Ready To Optimize Your
Pulmonology Billing Process ?

Real Physicians, Real Results

Discover how physician groups thrive with us

We had no visibility into whether our IPA capitation payments were accurate. MBC's reconciliation process identified $138,000 in underpayments in the first quarter. That's revenue our prior vendor never even looked for.

Dr. S. Larsen
Dr. S. Larsen
Wound Care Practice — San Diego, CA

“I appreciate your prompt results on my Medicare inquiry. Dr. Ingrid Arnold and I appreciate the quality work that you and your team have provided to her practice. We had tried a couple of different insurance posting options, before we contracted with your company. We are delighted that we found your company to assist us. We find your reports timely and informative. I will recommend your services, without reservation, to any of our physician friends, who might be looking for a more reliable billing service”

Dr. Ingrid Arnold
Dr. Ingrid Arnold
DO | Mesquite, Texas

“I want to thank you for your professional help during the past two years with our accounts receivable. I have absolutely nothing but appreciation for your company in helping us out with the jam we were in when our office manager suddenly quit. Since that time we have enjoyed an absolutely non-problematic relationship. Our experience with claims injury, handling insurance rejections, posting our payments, the account receivable process, patient statements, and the excellent service provided to my patients are greatly appreciated. I also sincerely appreciate all the help that you have given me and my staff and I wish you the best of luck in future endeavors.”

Dr. Larry C. Watson
Dr. Larry C. Watson
MD | Houston, Texas

“For the last 4 years, MBC has been an integral part of growing our counseling and Intensive outpatient programs. My team and I appreciate MBC's commitment to exceptional customer support, credentialing, and billing services.”

Dr. Allen
Dr. Allen
Texas

Record high collections this month for our Chiropractic Practice! Thank you MBC!

Dr.Faulds
Dr.Faulds
Alabama

I just wanted to take a moment to say a big thank you for all the hard work you've put in over the past two years! Your efforts have really helped us transform our old accounts receivable into the impressive numbers we see today. I truly appreciate everything you do to keep our operations running smoothly all year round. Let’s keep up the great work together as we continue to tackle past claims and stay on top of the current ones.

Vadim Vartanov
Vadim Vartanov
Internal Medicine Associates of Jacksonville, FL

“We truly appreciate the exceptional work you are doing. Dr. Martha and I are grateful for your dedication and commitment. Your availability, regardless of the time, has been invaluable to us. The outstanding results we've achieved are a testament to your efforts, and we hope to continue this successful journey together. Thank you for all that you do!”

Judith Cedeno
Judith Cedeno
Podiatry Office Manager, FL

“Just a note of thanks in appreciation of all your help. The credentialling process can be daunting but you and the team at MBC were awesome every step of the way. Communication was clear, the process moved efficiently and the service was stellar. Thanks again and I look forward to working with you on this journey.”

Dr. Michael Lacqua
Dr. Michael Lacqua
Plastic & Reconstructive Surgeon, NY

“Our billing was poorly organized with a poor collection rate before you took on our account, and you have worked diligently to find what can be paid and have organized our billing process, including the sometimes difficult workers comp cases which compose a lot of my billing. Your unflinching attitude to constantly find ways to improve our billing is beginning to pay off. We are optimistic that with continued improvements and refinements we will see a big boost in our collections, and we are looking forward to a big turnaround in our finances in 2025 working with you. Thank you for your unstoppable attitude.”

Dr. James Baker
Dr. James Baker
Orthopaedic Surgeon | Knee and Hip - Stryker, TX
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