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Pulmonology Billing Services & Sleep Medicine

MBW RCM provides specialized pulmonology billing and coding services structured to support pulmonary and sleep medicine practices in managing complex respiratory procedures, evolving payer requirements, and detailed documentation standards. Our experienced billing team ensures accurate claim submission, reduces denials, and helps providers maintain an efficient and optimized revenue cycle.

Comprehensive Pulmonology Billing Services & Sleep Medicine

At MBW RCM, we provide specialized pulmonology billing services tailored for pulmonary and sleep medicine practices. Our team manages the entire billing workflow while ensuring accurate CPT, ICD-10, and HCPCS coding and compliance with payer guidelines.

Our services include:

• Insurance eligibility verification and prior authorization

• Accurate charge entry and coding for pulmonary and sleep procedures

• Electronic claim submission and clearinghouse processing

• Payment posting and accounts receivable follow-ups

• Denial management and appeals processing

These are some of the key components of our comprehensive pulmonology and sleep medicine billing solutions. In addition, our team manages billing for sleep disorder diagnostics and therapies such as polysomnography (sleep studies), CPAP therapy management, and home sleep apnea testing.

Through our specialized pulmonary medical billing services, we help pulmonology and sleep medicine practices reduce claim denials, improve reimbursement timelines, and maintain an efficient revenue cycle.

Our Expert Pulmonology & Sleep Medicine Billing Support

Pulmonology and sleep medicine practices must manage complex billing workflows while meeting payer requirements. Efficient revenue cycle management is essential for consistent reimbursements. We offer the following pulmonology and sleep medicine billing services to streamline your billing operations and improve revenue performance:

Proven Results You Can Count On

At MBW RCM, we focus on delivering measurable results through efficient billing and revenue cycle management. Our performance metrics reflect the reliability and accuracy we bring to pulmonology and sleep medicine billing.

$450M+
Total Claims Value Processed

2.5M+
Total Claims Processed

96–98%
First Pass Clean Claims Rate (FPCCR)

20–25 Days
Average Accounts Receivable (A/R) Days

48 Hours
Claim Turnaround Time (TAT)

25–30%
Reduction in Accounts Receivable

Pulmonology CPT Codes We Specialize In

Our certified billing and coding specialists ensure accurate CPT reporting for pulmonology procedures and respiratory diagnostics. By following current coding standards and payer guidelines, we help practices maintain compliant claims and improve reimbursement outcomes. Our pulmonology coding expertise includes procedures such as:

94010 - Spirometry testing

94060 - Spirometry with bronchodilator

94726 - Lung volume measurement

94729 - Diffusing capacity testing (DLCO)

31622 - Diagnostic bronchoscopy

31628 - Bronchoscopy with transbronchial lung biopsy

94760 - Pulse oximetry (single reading)

94761 - Continuous pulse oximetry monitoring

94618 - Pulmonary stress testing

Specialized Billing for Pulmonary & Sleep Procedures

Pulmonology and sleep medicine practices perform a wide range of diagnostic, therapeutic, and interventional procedures, each requiring accurate CPT and ICD-10 coding. To help reduce claim denials and improve reimbursement efficiency, we support billing for these specialized procedures—from routine diagnostics to advanced interventions.

·         Pulmonary Function Testing (PFT)

·         Spirometry with Bronchodilator

·         Diffusing Capacity Testing (DLCO)

·         Diagnostic Bronchoscopy

·         Bronchoscopy with Lung Biopsy

·         Thoracentesis

·         Arterial Blood Gas (ABG) Analysis

·         Pulmonary Rehabilitation

·         Sleep Study (Polysomnography)

·         Home Sleep Apnea Testing (HSAT)

·         Endobronchial Ultrasound (EBUS)

·         CPAP Therapy Management

Why Pulmonology Practices Choose MBW RCM

Choose MBW RCM’s pulmonology medical billing services to improve revenue cycle performance and reduce administrative workload, making us your trusted billing partner.

Certified Pulmonology Billing & Coding Experts

Our team supports pulmonology billing with 500+ certified coders, ensuring accurate CPT, ICD-10, and HCPCS coding for pulmonary diagnostics and procedures.

24/7 Billing Workflow

Our dedicated teams ensure continuous billing operations, helping practices maintain faster claim processing and reimbursement cycles.

Payer Compliance Management

We closely monitor Medicare, Medicaid, and commercial payer policies to ensure all claims meet current compliance and reimbursement guidelines.

Dedicated Account Support

Each client is assigned a dedicated account manager who oversees billing performance, monitors claims, and provides regular updates.

Optimized Revenue Cycle Performance

Our structured billing workflows improve A/R performance, claim turnaround time, and reimbursement cycles for pulmonology and sleep medicine practices.

Secure & HIPAA-Compliant Processes

All pulmonology billing operations follow strict HIPAA-compliant security protocols, including encrypted data handling and secure claim transmission to protect patient information.

Real-Time Reporting & Insights

We provide detailed reporting dashboards covering claim status, denial trends & revenue cycle performance, giving pulmonology and sleep medicine practices clear operational visibility.

Outsource Pulmonology Billing to MBW RCM

Managing billing in-house can increase administrative workload and operational costs. By choosing to outsource pulmonology billing services & sleep medicine, practices can benefit from specialized billing expertise, advanced technology, and improved revenue cycle performance. As a trusted pulmonology billing services company, MBW RCM helps healthcare providers streamline billing processes while maintaining compliance with payer requirements.

As a trusted pulmonology billing services company, MBW RCM, our team manages the complete pulmonology and sleep medicine billing process with precision and transparency. We continuously monitor claims, track denials, and implement strategies that improve claim acceptance rates and accelerate reimbursements.

Partner with MBW RCM today to optimize your pulmonology & sleep medicine billing services and achieve sustainable revenue growth.