GLACERCM | PULMONOLOGY BILLING
Pulmonology Medical Billing Service That Works Every Claim to Resolution
GlaceRCM bills your claims in your EMR or ours, charged at a percentage of collections with no base fees. We would rather run it on our platform, where the scrubber sees the full chart, but if you are staying on your EMR our billing team works your claims there.
- Percentage of collections, no base fees, $0 implementation
- 95%+ first-pass claim adjudication
- 99%+ collection rate of payer-allowed amounts*
- Works in your EMR or ours
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Book a Consultation
Tell us about your practice. A pulmonology billing specialist calls you back within one business day.
95%+
First-pass claim adjudication
99%+*
Collection rate of payer-allowed amounts
$0
Implementation fee
25+
Years serving practices
*Of payer-allowed amounts.
WHAT WE HEAR FROM PULMONOLOGY PRACTICES
The Chart Was Built for a Single Acute Visit
PFTs land as a PDF, not as data
Spirometry, DLCO, and bronchodilator response arrive as scanned files. The FEV1 line bending the wrong way over three years is invisible until you open every report by hand.
The nodule slips between scans
A 6 mm nodule gets a six-month recommendation. Nobody schedules it, and a year later you find it at 11 mm. Lung-RADS lives as free text, not a tracked task with a date.
Biologic and oxygen auths drain staff
Each biologic or antifibrotic packet is a forty-five-minute project, and the CMN 484.03 oxygen order bounces back when one box is missing. The documentation lives in three places at once.
CPAP data and procedure dollars leak
Compliance lives in vendor portals you log into one patient at a time, and the modifier 26 and TC logic on PFT and bronchoscopy bundles eats procedure revenue you actually earned.
HOW GLACERCM HELPS
A Billing Service That Knows Pulmonary Coding
GlaceRCM bills your claims in your EMR or ours, charged at a percentage of collections with no base fees. We would rather run it on our platform, where the scrubber sees the full chart, but if you are staying on your EMR our billing team works your claims there. The service is built for the modifier 26 versus TC logic, the PFT and sleep-study bundle edits, and the biologic and oxygen authorization workload.
PFT and procedure coding fluency
Spirometry, full PFT, DLCO, methacholine, and bronchoscopy coding with modifier 26, TC, and place-of-service rules for office, hospital, and ASC. Bundle edits between 94010, 94060, 94070, 94727, 94729, and 94720 applied the way each payer expects, so earned procedure revenue ends up on the books.
Sleep study and CPAP claims
95810, 95811, 95800, and 95806 handled with the right diagnostic codes and modifiers from the start. Recertification documentation pulls from the CPAP compliance dashboard, PAP supply claims track per payer schedule, and the ninety-day compliance window stops surprising the front desk.
Biologic, antifibrotic, and oxygen auth
Documentation packets for the biologic and antifibrotic list are assembled from the chart by our team: eosinophils, IgE, exacerbation history, step-therapy proof, and the IPF confirmation. Home-oxygen CMN 484.03 is assembled the same way. The forty-five-minute project shrinks to a five-minute review.
A named billing specialist
A dedicated account manager who knows pulmonary payer mix in your state, your procedure codes, your sleep-study volume, and your top denials. Not a ticket queue, not an offshore call center. They know your practice by name within a month of go-live, and credentialing and payer enrollment are part of onboarding.
See everything GlaceEMR and GlaceRCM do for pulmonology · How GlaceRCM works
“Made our work easy. Increase in Revenue, good Customer support.”
Amita Oza, MD, Ohio
QUESTIONS WE HEAR
Pulmonology Billing FAQ
How does GlaceRCM handle biologic and antifibrotic prior authorizations?
The billing team assembles the documentation packet from the chart and finishes the submission. For omalizumab, dupilumab, mepolizumab, benralizumab, and tezepelumab, the eosinophil count, IgE, exacerbation history, and step-therapy proof are pulled into the packet, validated by a coder who knows pulmonary, and submitted with the appeal language each payer responds to. For nintedanib and pirfenidone, the IPF diagnostic confirmation and the lung-function decline are assembled the same way.
Do we have to switch EHRs to use GlaceRCM, and what does pricing look like?
Not necessarily. GlaceRCM is a bundled service that includes GlaceEMR clinical software, the practice management software that runs scheduling and charge capture, and the medical billing team, and the bundle is where the billing runs best, because the quality of the billing depends on the quality of the integration. About 98% of Glenwood clients choose that path.
Does GlaceEMR capture PFT values as structured data, not as PDFs?
Yes. Spirometry, full pulmonary function with lung volumes and DLCO, bronchodilator response, and methacholine challenge all land in the chart as discrete fields, not scanned attachments. FEV1, FVC, FEV1/FVC, TLC, RV, and DLCO trend across years on one flowsheet, and the obstructive ventilatory pattern bending the wrong direction is visible the moment you open the chart.
Talk to a Pulmonology Billing Specialist
A 20-minute call. We look at how your practice runs today and show you what changes.