Pulmonology billing spans diagnostic testing, chronic disease management, and — for practices that have adopted it — remote monitoring. Each area has its own common points of failure.
Pulmonary Function Testing Documentation
PFTs require clear documentation connecting the test to a specific clinical indication, particularly when tests are repeated to track disease progression.
Sleep Study Billing Complexity
Whether a sleep study is performed in-lab or at home changes the applicable coding, and mixing these up is a common source of denials.
The RPM Opportunity Most Practices Miss
COPD and other chronic respiratory conditions are among the best-supported clinical use cases for Remote Patient Monitoring. Practices that haven't formalized an RPM program for these patients are leaving a significant, low-friction revenue opportunity unbilled.
Closing the Gaps
Specialty-trained coding for diagnostic testing, paired with a structured RPM program for chronic respiratory patients, addresses the two biggest revenue opportunities in pulmonology billing.