Critical Care Medical Billing Services
Critical Care Billing Services
We ensure 100% billing compliance through our Critical Care Billing Services that suits your revenue goals.
Understanding the Complexity of Critical Care Billing
Critical Care Billing is notably more complex than many other medical billing specialties. It involves precise documentation of the time and intensity of care, especially in urgent scenarios like septic shock. Surgical Critical Care procedures add further challenges, as accurate billing depends on both duration and the critical nature of services provided. This makes it difficult for healthcare providers to ensure timely and efficient billing without compromising patient care.
Maximize Revenue with Expert Critical Care Billing Services by NEO MD
Streamlined RCM Solutions for Critical Care Practices
NEO MD is your trusted partner for handling the complexities of Critical Care Billing. We help eliminate delays and reduce administrative burden, ensuring your revenue stays protected.
Addressing Core Challenges in Critical Care Centers
From extended patient wait times to prolonged collection cycles, Critical Care providers face unique hurdles. NEO MD’s scalable solutions help optimize every step of the patient journey — from intake to reimbursement.
Why NEO MD is a Leading Choice in the U.S.
Our Critical Care Billing services stand out nationwide for their accuracy and efficiency. Whether you're a small practice or a large clinic, we tailor our services to your needs and size.
More Time for Patients, Less Time on Paperwork
Our goal is to minimize administrative workload so you can focus on patient care. NEO MD simplifies your billing process with end-to-end support and proven RCM strategies.
Efficient Coding for Critical Care Billing Services
Critical Care Billing requires strict adherence to coding guidelines due to its high reimbursement potential and time-based billing requirements. Understanding when and how to use specific CPT codes like 99291 and 99292 is essential to avoid claim denials and ensure accurate compensation for services rendered. Proper documentation of time and care level is key to effective billing practices.
01
Initial Critical Care Time: CPT Code 99291
Use CPT code 99291 to report the first 30 to 74 minutes of Critical Care provided on a single calendar date. This code can only be used once per date per patient, even if multiple physicians from the same specialty are involved.
02
Additional Critical Care Time: CPT Code 99292
For each additional 30-minute increment of Critical Care provided beyond the initial 74 minutes, CPT code 99292 should be used. This code supports accurate documentation of extended services.
03
Critical Care Less Than 30 Minutes
If Critical Care services provided are less than 30 minutes in total on a given day, you should not report them using Critical Care codes. Instead, use the appropriate Evaluation and Management (E/M) code, such as for subsequent hospital care, to ensure proper billing.
| Total Duration of Critical Care | Appropriate CPT Codes |
|---|---|
| Less than 30 minutes | 99232 or 99233 or other appropriate E/M code |
| 30–74 minutes | 99291 × 1 |
| 75–104 minutes | 99291 × 1 and 99292 × 1 |
| 105–134 minutes | 99291 × 1 and 99292 × 2 |
| 135–164 minutes | 99291 × 1 and 99292 × 3 |
| 165–194 minutes | 99291 × 1 and 99292 × 4 |
| 195 minutes or longer | 99291 and 99292 as appropriate (per the above illustrations) |
A partial list of diagnoses that support Critical Care services
- Acute cardiac complications, such as arrest, insufficiency, or failure, during or following a procedure
- Acute respiratory distress
- Amniotic fluid embolism
- Anaphylactic shock
- Cardiac arrest
- Cardiogenic shock without mention of trauma Failed attempted abortion complicated by shock
- Legally induced abortion complicated by shock
- Obstetrical blood clot embolism
- Respiratory arrest
- Shock due to anesthesia
- Shock following abortion and ectopic and molar pregnancies
- Shock, including hypovolemic and septic, without mention of trauma
- Shock, unspecified without mention of trauma
- Traumatic shock
- Unspecified abortion complicated by shock
Why Should You Choose NEO MD For Critical Care Billing Services?
Outsourcing Critical Care Medical Billing services to us can provide numerous benefits you can take full advantage of. Some of the main reasons why you should choose us as your billing provider are as follows:
HIPAA Compliance
We strictly follow HIPAA, Medicare, and Medicaid guidelines, using CPT, HCPCS, and ICD-10 codes to ensure accurate and compliant billing.
Quality Assurance
We assure the highest level of service quality through auditing processes and adherence to stringent standards and guidelines.
One Line of Interaction
We assign a dedicated project manager to each client to provide a single point of contact.
Data Protection
We use secure data centers and restrict employee access to client folders and files. You may be confident that the documents you discuss with us are confidential and secure.
Competitive Pricing
We are a well-known company that offers Pediatric Medical Billing Services at the best rates in the industry. We also provide customized pricing solutions so that our clients only pay for their select services.
Fast Delivery
We strictly follow our schedules and guarantee prompt completion of all tasks within a specific time frame for speedy outcomes and enhanced healthcare delivery.
Scalability
We have enough employees and technology to support the project anytime, based on the client's needs and rising expectations.
Availability
We have a team of customer care representatives ready 24 hours a day to assist individuals with queries or inquiries about our Medical Billing services.
Standard and Custom-Built Reports
We provide weekly, monthly, and quarterly reports—plus custom-built summaries to track your financial performance over months, quarters, or years.