Practice Management and RCM Billing Built for Pulmonology

Pulmonology practices manage a uniquely diverse billing portfolio spanning pulmonary function testing, diagnostic sleep studies, ventilator and home oxygen management, and complex chronic disease evaluation and management. Generic RCM platforms frequently fail to bundle PFT components correctly, miss DME documentation requirements for home oxygen, and mishandle the technical/professional splits inherent to sleep diagnostics, creating denial patterns that compound across a practice's highest-margin diagnostic services.

A comprehensive pulmonary function test session may include spirometry, lung volumes, diffusion capacity, and bronchodilator response testing, each with its own CPT code and bundling rules that vary by payer. Meanwhile, a patient prescribed home oxygen therapy requires documentation of qualifying blood gas or oximetry results, a detailed written order, and ongoing certification of medical necessity to satisfy DME MAC requirements; without this chain of documentation, oxygen equipment claims are denied outright and the referring pulmonologist's certification becomes a compliance liability.