Billing That Breathes Life Into Your Revenue Cycle

Pulmonary diagnostic procedures are among the most valuable services in this specialty, and they are also among the most frequently miscoded. Bronchoscopy coding depends on exactly what was performed during the procedure, whether it included biopsy, lavage, brushing, or therapeutic intervention, and each variation has its own CPT code. Pulmonary function testing requires correct reporting of the specific tests performed and the equipment used. At Medisure, we review every procedure note in detail and select the most accurate codes based on what was actually done, ensuring that your reimbursement reflects the full complexity and value of every diagnostic encounter.

Sleep medicine is a significant and growing revenue stream within many pulmonology practices, and it comes with its own set of billing complexities. Polysomnography, home sleep testing, CPAP titration studies, and DME billing for CPAP equipment all require specific coding and documentation, and payer rules around sleep study coverage vary widely. Medisure manages every aspect of sleep medicine billing within your pulmonology practice, from correct study type coding to DME documentation requirements, ensuring that your practice collects on every sleep-related service it provides.

Pulmonology patients with chronic conditions like COPD, pulmonary hypertension, and interstitial lung disease require ongoing care management that extends well beyond face-to-face visits. Chronic care management codes, remote physiologic monitoring for oxygen saturation and respiratory parameters, and transitional care services all represent billable opportunities that most pulmonology practices are not fully capturing. At Medisure, we identify every eligible patient and make sure that the ongoing management your physicians provide is reflected in your billing and your revenue.

Pulmonology claims are frequently denied due to medical necessity disputes, prior authorization failures for high-cost procedures, and incorrect sleep study coding. At Medisure, we address these risks before claims are submitted. Every claim goes through a pre-submission audit that checks authorization status, verifies medical necessity documentation, and confirms payer-specific coding requirements. When denials do occur, our team responds with fast, detailed appeals that address the specific reason for rejection and provide the supporting documentation needed to get the claim paid.

Pulmonology practices carry a mix of high-value procedure claims and high-volume chronic care visits, and keeping AR under control across both requires consistent and structured follow-up. Medisure monitors your accounts receivable closely, pursues every outstanding balance with urgency, and provides clear monthly performance reports that give your practice full visibility into collections, denial trends, and financial performance. With Medisure managing your revenue cycle, your pulmonologists can focus on their patients knowing that the financial side of the practice is in expert hands.