Pulmonology Medical Billing & Revenue Cycle Management
Pulmonology practices juggle diagnostic testing, sleep medicine, and procedural work alongside complex E/M visits, and each line carries its own documentation and payer rules. Quantix Health manages the full revenue cycle so your team can focus on patients instead of denials and prior authorizations.
- PFT, sleep study, and bronchoscopy coding
- Prior authorization management
- E/M plus same-day procedure billing
Specialty expertise, not generic billing
Diagnostic testing captured correctly
We code spirometry, full PFTs, diffusion capacity, and six-minute walk tests with the right components and modifiers so professional and technical work is not left on the table.
Sleep medicine handled end to end
In-lab polysomnography, split-night, titration, and home sleep studies each carry distinct rules; we align coding, place of service, and interpretation billing to reduce takebacks.
Prior authorization discipline
Bronchoscopy, advanced imaging, and many sleep studies require precertification. We track requirements up front so procedures are authorized before the date of service.
E/M and procedures reconciled
When an office visit and a procedure occur the same day, we apply correct modifiers and documentation support to protect appropriate separate reimbursement.
Where pulmonology practices lose revenue
These are the specialty-specific leaks we watch for — and fix at the root.
- PFT component confusion between professional and technical billing across office and hospital settings
- Sleep study denials tied to medical necessity, prior authorization, or incorrect place of service
- Bronchoscopy and airway procedure bundling that suppresses separately billable services
- Same-day E/M and procedure claims denied for missing or misapplied modifiers
- Precertification gaps for advanced imaging, sleep testing, and interventional procedures
- Payer-specific documentation requirements for oxygen, ventilation, and pulmonary rehab
Full support for pulmonology practices
One accountable partner for billing and the business side of your practice.
Revenue Cycle Management
End-to-end RCM — eligibility, coding, claims, denials, A/R, posting, and reporting, all under one roof.
Learn moreCredentialing & Enrollment
Payer enrollment and credentialing so your providers can bill without delay.
Learn moreMedical Support Staffing
Vetted, remote billers, coders, and back-office staff — dedicated to your practice, when and where you need them.
Learn morePractice Management Consulting
Operational, financial, and compliance consulting to run a healthier, more profitable practice.
Learn moreCommon questions
Do you handle both in-lab and home sleep study billing?
Yes. We bill in-lab polysomnography, split-night and titration studies, and home sleep apnea testing, aligning place of service, interpretation, and prior authorization requirements for each payer to reduce denials.
Can you bill an office visit and a procedure on the same day?
When documentation supports a separately identifiable service, we apply the appropriate modifiers so the E/M and the procedure are billed correctly rather than bundled or written off.
How do you manage prior authorizations for pulmonary procedures?
We verify authorization requirements before the date of service for bronchoscopy, advanced imaging, and sleep testing, and track status so services are approved in advance and claims are not denied for missing precertification.
Billing guides for pulmonology practices
Let's strengthen your pulmonology revenue
Book a free, no-obligation consultation. We'll review your billing and show you the opportunity — no pressure.