Clientele's pulmonology intelligence platform validates PFT bundling, sleep study CPT logic, bronchoscopy coding, and DME/HCPCS claims, so every respiratory encounter reaches the payer clean, from consultation to CPAP compliance.
Ten clinical domains feed into a single revenue outcome.
Sleep study CPT codes depend on study type and titration data.
PFT bundling rules shift based on which tests run together.
Procedure codes vary by technique, biopsy type, and fluoroscopy use.
Chronic care management codes require ongoing documentation.
Severity classification drives both treatment and billing codes.
Time-based critical care codes require precise documentation.
Acute vs. chronic respiratory failure codes affect reimbursement significantly.
Certificate of medical necessity requirements vary by payer.
Compliance data must be on file before ongoing claims are paid.
HCPCS codes and modifiers must match the specific device supplied.
Seven modules validate every respiratory claim before it ever reaches a payer.
Confirms spirometry and lung volume tests follow current bundling rules.
Matches technique, biopsy type, and fluoroscopy use to the correct code set.
Applies the correct CPT set based on study type and titration data.
Confirms HCPCS codes and modifiers match the device supplied.
Flags missing or mismatched modifiers before submission.
Confirms documentation supports every code billed.
Scores chart completeness against payer documentation requirements.
Captures every pulmonary encounter detail needed for clean coding.
Cross-checks documentation against payer and coding rules in real time.
Surfaces the correct PFT, bronchoscopy, or sleep study CPT set.
Confirms DME and CPAP HCPCS codes match the device and modifier.
Validates diagnosis and severity support every code billed.
Runs a final payer-specific check before a claim ever leaves the building.
Flags high-risk claims and missing documentation before submission.
Identifies underpaid claims and coding opportunities across your payer mix.
Select a specialty to see how Clientele handles its billing workflow.
Sleep study diagnostics, titration procedures, and CPAP compliance documentation reconciled through to claims and revenue.
"Our sleep study collections finally match the volume we're doing. Clientele catches coding issues before they become denials."
"DME turnaround used to be our biggest bottleneck. It's no longer even in our top five issues."
"Bronchoscopy coding is finally consistent across every physician in our group."
Our engine applies current bundling logic across spirometry, lung volumes, and diffusion studies so tests billed together follow payer-specific rules automatically.
Yes. Clientele applies the correct CPT set based on study type, titration data, and payer policy before the claim is submitted.
Clientele confirms HCPCS codes and modifiers match the specific device supplied and checks that compliance data is on file before ongoing claims bill.
It matches procedure technique, biopsy type, and fluoroscopy use to the correct code and add-on pairing automatically.
No. Clientele’s AI layer works alongside your coding team, validating claims and surfacing issues before submission.
Most pulmonology and sleep medicine practices are fully live within 3 to 5 weeks, including payer and EHR configuration.
