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.