ENT (Otolaryngology) EHR and AI Medical Billing Software

ENT practices run clinic, in-office procedures, audiology and surgery under one roof. XEHR keeps each service documented and billed the right way.

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Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Sinus pressure for fourteen weeks.

J32.9 Chronic sinusitis, unspecified

ReviewSign note

Diagnosis carried to the claimJ32.9

THE HARD PARTS

What makes ent (otolaryngology) billing hard

Procedures inside the visit

In-office scopes on the same day as an exam need clear documentation to be paid separately.

Audiology and allergy testing

Hearing and allergy services have their own billing rules and frequency limits.

Sinus surgery approval

Surgery usually needs documented medical therapy and imaging first.

WHERE THE WORK HAPPENS

How ent (otolaryngology) care is delivered and billed

Otolaryngologists see adults and children in clinic, perform many diagnostic procedures in the office such as nasal and laryngeal endoscopy, and operate in hospitals and surgery centers. Hearing testing is often done by audiologists in the same practice and billed under its own rules. Sinus surgery, tonsil and ear surgery and head and neck cancer surgery each carry their own documentation and approval requirements.

What payers check on ent (otolaryngology) claims

Diagnostic endoscopy in the office has a 0-day global period, and a visit the same day needs a separately documented problem.
Sinus surgery approval usually requires documented symptoms over time, imaging and failed medical treatment.
Ear conditions are coded with laterality.
Hearing tests performed by audiologists follow their own billing and supervision rules.
Head and neck cancer surgery is coded with the cancer site and any reconstruction documented separately.

Common ent (otolaryngology) diagnoses ICD-10-CM

J32.9	Chronic sinusitis, unspecified
H65.23	Chronic serous otitis media, bilateral
J35.01	Chronic tonsillitis
H90.3	Sensorineural hearing loss, bilateral
J34.2	Deviated nasal septum
R04.0	Epistaxis

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

An ent (otolaryngology) visit, start to payment

1
Examine and scope

The visit and any in-office endoscopy are documented with findings, so the procedure can be billed with the visit when it is separate.
2
Test hearing

Audiology results are filed to the patient and interpreted in the note.
3
Approve and book surgery

Sinus and other operations are booked with prior authorization prepared from symptoms, imaging and earlier treatment.
4
Bill and follow up

Claims carry the procedures, side and place of service; post-operative care follows the global period.

How XEHR helps

From the ent (otolaryngology) visit to the payment

Visit and procedure kept distinctThe note separates the exam from the procedure, so both are billed correctly.
Testing documented with resultsTest results sit in the chart next to the visit.
Authorizations from the chartTherapy history and imaging are pulled into the request.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for ent (otolaryngology)

AI medical billing for ent (otolaryngology) practices

XEHR is an agentic EHR: AI agents do the administrative work around every ent (otolaryngology) visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Diagnostic endoscopy in the office has a 0-day global period, and a visit the same day needs a separately documented problem.
Sinus surgery approval usually requires documented symptoms over time, imaging and failed medical treatment.
Ear conditions are coded with laterality.
Hearing tests performed by audiologists follow their own billing and supervision rules.

Around the visit

Agents run on their own

Coverage checked before each ent (otolaryngology) visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose an ent (otolaryngology) EHR

Ask every vendor, including us. The answers show whether a system was built for ent (otolaryngology) work or only adapted to it.

Ask us on a demo

Can in-office endoscopy and a same-day visit both be billed when they qualify?
Are audiology tests documented by audiologists in the same chart?
Can sinus surgery approvals be prepared from symptoms, imaging and earlier treatment?
Are ear conditions coded with laterality?
Do post-operative visits follow the global period?

QUESTIONS

ENT (Otolaryngology) practices ask us

Does XEHR support in-office ENT procedures?

Yes. Procedures are documented in the note and billed alongside the visit when the documentation supports it.

Can audiology be part of the same practice in XEHR?

Yes. Audiology services are scheduled, documented and billed in the same organization.

Does XEHR support in-office endoscopy billing?

Yes. Procedures and visits on the same day are documented separately so both can be billed when they qualify.

Can audiology work in the same practice?

Yes. Hearing tests are documented by the audiologist and billed under their own rules.

Does XEHR support allergy testing in ENT practices?

Yes. Testing and immunotherapy are documented and billed.

Can XEHR track hearing aid fittings?

Yes. Fittings and follow-up are documented in the patient record.

How much does XEHR cost for an ent (otolaryngology) practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take an ent (otolaryngology) practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

SUBSPECIALTIES

ENT (Otolaryngology) subspecialties on XEHR

Related specialties

See all specialties

See XEHR set up for ent (otolaryngology)

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

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