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    Opening Hours

    Monday - Tuesday:9am - 6pm

    Friday - Sunday:8am - 5pm

    Sunday: Closed

    Pulmonology

    Pulmonology practices require precise billing for diagnostic tests (e.g., spirometry, bronchoscopies) and treatments for respiratory conditions like asthma or COPD. QuantumX RCM offers:

    QuantumX provides:

    • Accurate Coding: Expertise in coding for pulmonary function tests, sleep studies, and interventional procedures.
    • Denial Management: Resolving denials related to medical necessity or prior authorization issues.
    • Payer Contract Negotiation: Advocating for better reimbursement rates with insurance companies.
    • Patient Eligibility Verification: Ensuring coverage for high-cost treatments like biologic therapies.
    With QuantumX, pulmonology practices can reduce billing errors and boost revenue by up to 40%.

    Pulmonology billing involves coding for respiratory procedures like pulmonary function tests and bronchoscopy. quantumX can handle the complexity of these claims, ensuring compliance with payer rules and maximizing revenue for practices dealing with chronic conditions like COPD.

    Pulmonology billing involves coding for respiratory procedures, such as pulmonary function tests (CPT 94010-94799), bronchoscopy (CPT 31622-31656), and oxygen therapy. The U.S. Centers for Disease Control and Prevention reports that chronic respiratory diseases affect 35 million Americans, increasing billing complexity due to frequent visits and comorbidities. Accurate coding is essential to avoid denials, and QuantumX can offer services like charge capture, denial management, and patient eligibility verification to ensure timely payments.

     

    Billing Challenge QuantumX RCM Solution
    PFT coding errors Spirometry (94010) vs. full PFTs (94060) based on components.
    Bronchoscopy bundling Ensures 31622 (biopsy) isn’t billed with 31625 (lavage).
    Missing smoking cessation codes Auto-prompts for 99406 (3–10 mins) or 99407 (>10 mins).
    COPD overtesting denials Tracks GOLD criteria for medically necessary PFTs.
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