Optimize Your Practice Revenue & Billing Efficiency
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Getting Started
We focus on Pulmonology Medical Billing, expertly managing the complexities of respiratory care billing—from diagnostic tests to treatments. Our solutions are designed to meet the unique requirements of pulmonology practices. As pulmonary medicine advances, our team ensures precise coding and documentation for both routine and specialized procedures, including pulmonary function tests, bronchoscopies, and sleep studies. This lets you concentrate on patient care while we handle billing and maintain compliance.
Pulmonology Billing Services
Maximizing claim efficiency and compliance for superior revenue management
Mastering Every Code for Pulmonology Specialty
Our expertise spans the full code range, ensuring precision and compliance in every claim we process
Lung Volumes and Diffusion Capacity
94240
Functional residual capacity or residual volume
94720
Carbon monoxide diffusing capacity (DLCO)
93720
Total body plethysmography
Bronchial Challenge and Medication Administration
94070
Multiple bronchial challenge testing
95070
Administration of bronchial challenge testing
94664
Demonstration and/or evaluation of patient utilization of aerosol generator, nebulizer, metered dose inhaler, or IPPB device
Advanced Pulmonary Function Testing
94375
Flow volume loop (performed separately)
94350
Helium equilibration time
95831
Lung mechanics
94260
Thoracic gas volume measurement
Up to
27%
More cash collected
Up to
23%
Outstanding A/R collection
Up to
29%
Patient collections
Up to
$80 M
Charges billed last year
Medical Billing At A Glance
Explore key figures that highlight our commitment to seamless coding and optimized reimbursement.
Claims Processing Metrics
96%
First Pass Resolution Rate
Percentage of claims paid on the first submission.
23-40 Days
Average Days to Payment
Average number of days it takes for claims to be paid.
First-Pass Claim Acceptance Rate (FAR):
We consistently maintain a >96% first-pass acceptance rate, reducing delays and ensuring faster reimbursements.
Days in Accounts Receivable (AR):
Our optimized workflows help keep AR days well below the industry benchmark, improving cash flow predictability.
Clean Claim Rate:
With robust coding accuracy and claim scrubbing tools, we achieve a clean claim rate of over 95%, minimizing rework and denials.
Financial Metrics
90%
Net Collection Rate
Percentage of total charges that are collected.
30 Days
Average Denial Resolution Time
Average number of days taken to fix and resolve a denied claim.
Operational Metrics
94%
Average Claims Submitted Per Month
Volume of claims submitted.
97%
Volume of claims submitted.
Claims processed per biller per day.
Aged A/R Clearance Rate:
Measures the percentage of aged receivables (especially over 90days or above)
Reflects the effectiveness of backlog reduction efforts.
A faster resolution time means improved collections and cleaner aging reports
Unbilled Claims Backlog:
Goal: Minimal backlog—claims should be submitted within 24–48 hours of service. Impact: Directly affects cash flow and delays reimbursement.
Denial Resolution Rate:
Tracks the number of denied claims that were appealed, corrected, and successfully reimbursed. Benchmark: 63–79% resolution rate. Denial management efficiency and recoverable revenue.
Reach Us
Phone
#3159612661
Address
3/1159, water tank road, choolaima nagar, Thoraipakkam, Chennai - 600097.
© 2023 Gedeihen Healthcare.