100+ Providers Served
Pulmonology Medical Billing Services
Dastify Solutions provides specialized pulmonology medical billing for PFTs, bronchoscopy, sleep services, pulmonary rehabilitation, and critical care. From eligibility and coding to payment posting, denials, and A/R follow-up, our team keeps every stage of the billing cycle organized around your workflow. For sleep studies and home sleep tests, see our sleep medicine billing services.
Reduce Rework and Keep Pulmonology Claims Moving
Our pulmonology medical billing services are designed to reduce avoidable rework, keep claims moving, and give your staff clearer visibility into denials and open A/R.
50+ Specialties
Certified Coders
HIPAA-Compliant Workflows
Support can be scoped for solo pulmonologists, pulmonary groups, sleep medicine practices, multisite clinics, and hospital-based teams. Professional, facility, sleep-lab, DME-related, coding, authorization, and older A/R responsibilities are confirmed before work begins.
Billing Support Shaped Around Pulmonary Care
Pulmonary care can bring office visits, hospital encounters, diagnostic testing, procedures, sleep medicine, and continuing respiratory treatment into the same revenue cycle. Dastify Solutions connects the details across each stage so your team has a clear, consistent process from the first coverage check through final account follow-up.
Eligibility and Benefits Verification
We verify active coverage and available benefit details before scheduled services, helping your staff identify payer requirements earlier in the patient journey.
Prior Authorization Support
Our team tracks authorization requirements and status for services within scope, follows up through the agreed payer workflow, and keeps your staff informed when additional information is needed. When included in the engagement, this can cover sleep studies, advanced imaging, pulmonary rehabilitation, respiratory medications, and biologic therapies.
Pulmonology Coding Support
Professional billers and certified coders review documentation for pulmonary tests, procedures, sleep services, rehabilitation, critical care, and related encounters using current coding guidance and available payer requirements. For current claims, the review uses the code set and edit version tied to the date of service, including FY 2027 ICD-10-CM for encounters on or after October 1, 2026 and applicable quarterly NCCI and payer edits.
Claim Submission and Scrubbing
Claims are reviewed for required data, provider information, modifiers, units, and applicable payer edits before submission. Issues that require clarification are routed to the right contact before the claim moves forward.
Payment Posting and Reconciliation
We post payments and adjustments from available remittance information, identify unresolved balances, and route variances for timely follow-up.
Denial Management and A/R Follow-Up
Our team reviews rejections and denials, addresses supported corrections, tracks appeals or reconsiderations within scope, and works open balances by payer, age, claim status, and next action.
Specialty Knowledge Where It Matters
Pulmonology billing depends on more than selecting a code. The service, documentation, setting, payer policy, and date of service all shape how a claim should move through the revenue cycle. Our workflows bring those details together without adding another administrative burden to your clinical team.
Pulmonary Function Testing
PFT reporting may involve comprehensive or component services, professional and technical components, units, and documentation of the test performed and interpreted. We review the available record and current requirements instead of relying on a static code list.
Bronchoscopy and Related Procedures
Procedure documentation, anatomic details, the services performed, and applicable bundling edits can affect claim reporting. We review potential conflicts against the available record and current payer requirements.
Sleep Services and PAP Workflows
Study type, authorization, interpreting provider, coverage information, and equipment documentation can vary by payer and plan. We track the information available to the billing team and flag missing or inconsistent items for follow-up.
Pulmonary Rehabilitation and Critical Care
Setting, program requirements, time, supervision, frequency, medical necessity, and documentation can affect billing. We apply the requirements relevant to the service, payer, jurisdiction, and date of service.
Common Pulmonology Claim Review Points
Office, hospital, and care-management encounters: We review the setting, patient status, documented work, place of service, same-day services, and applicable payer requirements for office, inpatient, observation, discharge, and care-management claims.
Pulmonary function testing: We check the test performed, complete-study or component reporting, professional and technical responsibilities, units, interpretation, and place of service against the available record and current requirements.
Bronchoscopy: We review the documented services and anatomic details, current procedure-to-procedure edits, distinct-service support, and payer requirements before claim release.
Sleep and PAP workflows: We separate sleep-lab billing from equipment-supplier responsibilities and review test type, coverage information, authorization when applicable, and available documentation.
Pulmonary rehabilitation: We check the referral, covered condition, program requirements, frequency, supervision, and documentation that apply to the payer, jurisdiction, and date of service. Under CY 2026 Medicare policy, direct supervision for applicable services may be provided through real-time audio-video technology.
How Our Pulmonology Billing Process Works
- 1
Understand Your Workflow.
We map your services, providers, payer mix, systems, responsibilities, locations, and claim ownership.
- 2
Prepare Supported Claims.
We review eligibility, authorizations, documentation, coding inputs, and payer edits.
- 3
Submit and Reconcile.
We submit supported claims, monitor acknowledgments, and review remittance activity.
- 4
Resolve and Report.
We address rejections, denials, and aged balances while reporting A/R, payer trends, unresolved claims, and items requiring practice input.
Why Pulmonary Practices Choose Dastify Solutions
Certified coding team with pulmonology experience.
Our coding team includes AAPC-certified professionals who work within the pulmonary medicine workflows assigned to their engagements. Meet our billing, coding, and compliance team. They understand the difference between a 94010 and a 94060, why a bronchoscopy modifier matters, and what a payer is actually looking for in a sleep study authorization.
Fast turnaround without cutting corners.
Claims are prepared and submitted within 24 business hours after complete, claim-ready documentation and required information are received, subject to the agreed workflow and any payer, system, or exception requirements. We don't sit on encounters, and we don't rush claims out with errors just to hit a speed metric.
Payer-specific workflows, not one-size-fits-all.
Medicare, Medicaid, and commercial payers have different rules for the same pulmonary service. We check the applicable payer policy for each claim rather than applying a single template across your entire book of business.
Honest reporting.
We tell you what's working and what isn't. If a denial pattern traces back to a documentation gap on the clinical side, we'll flag it and suggest what the provider needs to include in the note. We don't hide problems behind vanity metrics. Each reporting cycle identifies what Dastify Solutions can act on, what requires practice input, and which recurring issues should be addressed upstream.
Security and Compliance Review
When Dastify Solutions handles PHI as a business associate, a Business Associate Agreement is executed before PHI is handled. Practices can review current safeguards and supporting information on the Security and Compliance page during vendor due diligence.
A Clear Scope Before Transition
The written proposal identifies the services included, responsibilities that remain with your practice, reporting cadence, system access, ownership of older balances, optional services, and fees. Credentialing, coding directly from documentation, patient statements and balance calls, DME supplier billing, facility billing, and legacy A/R are identified as included, excluded, or separately scoped before work begins. Review our medical billing pricing or discuss a scope based on your pulmonology services and workflow.
Frequently Asked Questions
What does pulmonology billing support include?
Scope can include eligibility review, prior authorization coordination, coding support, charge and claim workflows, submission, payment posting, denial follow-up, and A/R follow-up. The final responsibilities are defined in the service agreement and workflow plan.
Do you support PFTs, bronchoscopies, and sleep services?
Yes, when included in the contracted scope. The team reviews the available documentation and applies current coding and payer requirements rather than using a code list as a substitute for claim-level review.
What payers do you bill?
We work with Medicare, Medicaid, and commercial payers based on your existing contracts and enrollment. Payer-specific requirements for authorization, coding, and documentation are checked for each claim.
How do you transition from an existing billing workflow?
Onboarding begins with system access, provider, payer, location, open-A/R, and responsibility mapping. The transition plan identifies cutoff dates, ownership of older balances, documentation routes, and escalation contacts before work begins.
Talk With a Pulmonology Billing Specialist
Discuss your services, payer mix, systems, open billing concerns, and the responsibilities you want an outside team to handle. We will outline a proposed scope and the information needed for a responsible transition.