Testing and therapy claims
Pulmonary function tests, oximetry, and sleep-related services all carry technical requirements, and some payers expect specific indications before they will pay. Oxygen and equipment claims often need documentation and recertification timing to line up.
We review those requirements per payer and track the recurring items, recertifications, equipment periods, and authorization windows, so nothing expires quietly.
- Pulmonary function testing and interpretation billing
- Oxygen documentation and recertification timing
- Sleep study and related service coordination
- Prior authorization for advanced testing
Chronic conditions, long relationships
Pulmonary patients tend to stay with a practice for years, which means a single unresolved payer rule can cost money every month.
Reporting by condition family rather than by claim helps surface those long-running issues.