Respiratory equipment billing requires coordination between therapy services and DME suppliers with separate coding requirements.
Documentation Requirements
Medicare and insurance companies require extensive clinical documentation for oxygen therapy, ventilators, and pulmonary rehabilitation.
Monthly Rental Billing Complexity
Oxygen concentrators and ventilators require accurate monthly rental billing with proper tracking of capped rental periods.
Certificate of Medical Necessity
CMN forms are mandatory for many respiratory equipment items and must be completed accurately with physician signatures.
Pulmonary Rehab Billing
Pulmonary rehabilitation programs have specific session limits and require careful tracking of visit frequency and medical necessity.
Home Care vs Facility Billing
Different billing rules apply for respiratory services provided in home settings versus facility-based care.
Our Solutions
Respiratory Therapy Billing Specialists
Our team includes certified coders with specialized training in respiratory care procedures, DME billing, and pulmonary rehabilitation.
Expert HCPCS coding for respiratory equipment
Proper CPT coding for therapy procedures
Knowledge of capped rental billing rules
Expertise in pulmonary rehabilitation coding
CMN & Documentation Management
Dedicated support for Certificate of Medical Necessity completion, clinical documentation, and medical necessity validation.
CMN form completion and tracking
Clinical documentation review
Medical necessity validation
Audit-ready documentation standards
DME & Therapy Revenue Optimization
Maximize reimbursements through proper coordination of equipment rentals, therapy services, and maintenance billing.
Coordinated DME and therapy billing
Monthly rental tracking and billing
Maintenance and supply billing
Reduced accounts receivable aging
Compliance & Authorization Management
Comprehensive prior authorization handling and ongoing compliance monitoring for respiratory therapy services.
Prior authorization management
Frequency limit tracking
Place of service verification
Payer-specific requirement compliance
Specialized Services
Oxygen Therapy Billing
Expert billing for oxygen concentrators, liquid oxygen systems, and portable oxygen devices with proper rental tracking.
Oxygen equipment rentals
CMN documentation
Monthly billing cycles
Capped rental management
Mechanical Ventilation
Specialized billing for home ventilators, BiPAP, CPAP devices, and related respiratory support equipment.
Ventilator rentals
BiPAP/CPAP billing
Supply coordination
Maintenance billing
Pulmonary Rehabilitation
Comprehensive billing for structured pulmonary rehab programs with exercise training and patient education.
Session-based billing
Frequency tracking
Outcome documentation
Multi-disciplinary coordination
Respiratory Treatments
Accurate billing for nebulizer treatments, breathing exercises, and airway clearance therapy procedures.
Treatment procedures
Nebulizer billing
Airway clearance
Therapeutic interventions
Client Testimonial
Respiratory therapy billing has always been challenging with all the DME coordination,
CMN requirements, and monthly rental tracking. Medtransic's team has deep expertise in
respiratory care billing and has helped us capture revenue we were previously missing
on equipment rentals and pulmonary rehab programs. Their CMN management system alone
has reduced our denials by 45%. They truly understand the complexities of respiratory
billing and have been a game-changer for our practice.