Pulmonary & Critical Care Billing
Experts Trusted
Across the USA
Pulmocare RCM delivers accurate, compliant, and revenue-optimized billing
solutions for Pulmonary physicians, Critical Care providers, Hospitalists, and
Rehabilitation facilities—backed by 27 years of speciality experience.
Pulmocare RCM – Pulmonary and Critical
Care Billing Services
Precision Billing. Reliable Revenue. 27 Years of Expertise in Pulmonary & Critical Care RCM Across the USA.
Pulmocare RCM specializes in Pulmonary and Critical Care medical billing services, providing end-to-end revenue cycle management, coding audits, denial prevention, and AI-enabled billing technology for healthcare organizations nationwide.
At Pulmocare RCM, we exclusively specialize in Pulmonary and Critical Care Billing Services, delivering accuracy, compliance, and unmatched speciality-specific expertise for healthcare providers across the United States. With over 27 years of hands-on experience, our team understands the complex, time-sensitive, and documentation-driven nature of Pulmonary and ICU billing better than anyone else.
Our mission is simple:
Maximize your revenue while minimizing administrative burden, coding errors, denials, and compliance risks.
We support Pulmonary Care Practices, Critical Care Providers, Hospitalists, Inpatient Care Teams, and Rehabilitation Facilities—ensuring every service,
procedure, and clinical encounter is captured, coded, and reimbursed with peak efficiency.
Why Choose Pulmocare RCM for Pulmonary & Critical Care Billing?
Experience, Expertise, Authoritativeness, and Trustworthiness Built into Every Process
Pulmocare RCM’s team is trained extensively in ICU-specific billing and CMS critical care guidelines.
Dedicated Pulmonary & ICU Billing Professionals
Your account is handled by specialists—not generalists—who understand nuances such as:
- Ventilator management billing
- Cardio-pulmonary procedures
- Inpatient rounding
- Hospital and rehab center visits
- Evaluation & management rules
- Time-based critical care codes
- Claim structuring for split/shared services
100% U.S. Healthcare Focus
We serve practices and institutions across all 50 states, ensuring state-specific payer rules, LCD/NCD compliance, and CMS updates are always followed.
Accuracy, Transparency & Fast Turnaround
Every claim undergoes multi-level review, compliance checks, and denial-risk prediction to ensure faster reimbursement.
Who We Serve
Comprehensive Billing Support for All Pulmonary & Critical Care Settings
Pulmonary physicians and critical care specialists provide care across multiple environments. PulmoCare RCM aligns its billing workflows to support every care setting with precision and compliance.
Whether your practice needs ongoing end-to-end RCM or support with specific functions, we tailor our services to fit your workflow.
Pulmonary Physician Groups
Hospital rounds, outpatient visits, and pulmonary procedures.
Critical Care Specialists
ICU time-based billing, ventilator management, and critical interventions.
Hospitalists & Inpatient Care Teams
Daily rounding, admissions, discharge services, and high-acuity cases.
Rehabilitation Facilities
Pulmonary follow-ups, therapy coordination, and transitional care.
Our Pulmonary & Critical Care Billing Services
End-to-end and modular billing solutions designed specifically for Pulmonary and Critical Care environments.
Medical Billing
Complete RCM support—from patient registration to reimbursement. We manage coding, claims submission, AR follow-ups, denials, compliance, and analytics.
Coding Audit
Some practices prefer outsourcing only the charge entry. We ensure:
- Accurate CPT & ICD-10 selection
- Chart audits for coding accuracy
- Time-based critical care code validation
- Review of hospital visit documentation
This reduces underbilling and prevents compliance-related risks.
Denial Management
We specialize in high-complexity denials common in Pulmonary and ICU care:
- Medical necessity
- Documentation errors
- Critical care time disputes
- Bundled / overlapping services
Our strong appeal strategies drastically reduce write-offs.
Verification
Accurate, real-time eligibility and benefit verification to prevent coverage-related denials.
& Reporting
Precision payment posting, reconciliation, and actionable financial reporting for full revenue transparency.
Credentialing
Credentialing and enrollment services for physicians, NPs, PAs, and facility-based providers.
Technology
Seamless integration with EHR, PM systems, and hospital EMRs. Includes eClaimStatus platform and AI-powered automation tools (currently in development).
- Reduce manual overhead
- Improve claim accuracy
- Accelerate payer responses
- Deliver real-time revenue insights
Partner With PulmoCare RCM – Your Specialist Partner in Pulmonary & Critical Care Billing
PulmoCare RCM ensures your practice remains profitable, compliant, and operationally efficient—so you can focus on exceptional patient care.
Pulmocare RCM’s Critical Care Expertise Covers:
- Time-based critical care services (99291, 99292)
- Split/shared critical care rules
- Concurrent care billing
- Organ failure management
- Ventilator support
- Sepsis & shock management
- Invasive procedures
- High-acuity patient management
- Daily ICU rounding
- Review of time statements
- Review for bundled procedures
- Documentation validation
- Support for “medical necessity” requirements
- Denial-proof coding structure
Critical Care billing leaves no room for error — and our team ensures you get every dollar you deserve.
Critical care claims are among the most audited and denied by payers due to:
- Time-based billing requirements
- Overlapping provider services
- Split/shared critical care rules
- Bundled procedures
- Medical necessity validation
- ICU documentation gaps
- Concurrent care conflicts
Even minor documentation errors can result in denials, downcoding, or recoupments.
Pulmocare RCM provides coding and billing expertise for:
- Initial critical care (99291)
- Additional critical care time (99292)
- ICU daily management
- Organ failure and life-threatening conditions
- Ventilator management (when not bundled)
- Sepsis, shock, and respiratory failure
- Invasive and non-invasive monitoring
- Emergency and inpatient ICU consultations
- Pulmonary-critical care overlap services
Every claim is reviewed for time accuracy and medical necessity.
We apply a multi-layer validation process to every critical care encounter:
- Verification of total documented time
- Review of time statements for CMS compliance
- Exclusion of separately billable procedures
- Validation of organ failure or life-threatening conditions
- Review for concurrent and split/shared services
- Payer-specific guideline checks
This proactive approach prevents denials before claims are submitted.
- 99291: First 30–74 minutes of critical care
- 99292: Each additional 30 minutes beyond the initial period
To bill these codes, documentation must clearly show:
- Total time spent
- Physician’s direct involvement
- Medical necessity
- Exclusion of procedure time
- No overlapping provider time
Pulmocare RCM audits all notes to ensure compliance.
Critical care billing becomes more complex when multiple providers are involved. Pulmocare RCM ensures:
- Proper attribution between physicians and APPs
- Compliance with CMS split/shared rules
- Accurate reporting of concurrent care
- Avoidance of duplicate or overlapping time
- Correct modifier usage
This protects reimbursement while maintaining compliance.
Most critical care denials stem from documentation—not medical necessity.
Pulmocare RCM reduces denials by:
- Reviewing ICU notes before submission
- Identifying missing time elements
- Ensuring organ system failure is documented
- Educating providers on compliant documentation
- Performing root-cause analysis on denied claims
This leads to fewer audits and faster payments.
Critical Care Coding FAQs
Critical care qualifies when a physician provides direct care to a patient with life-threatening or organ-failure conditions requiring constant attention, supported by detailed documentation and time tracking.
Critical care is billed using time-based CPT codes. We validate documented time, remove bundled procedures, ensure no overlap between providers, and confirm medical necessity before claim submission.
Common causes include missing time statements, insufficient documentation, overlapping provider time, incorrect bundling, and lack of medical necessity documentation.
Yes. We specialize in pulmonary-critical care overlap and ensure pulmonary services and critical care services are coded separately and compliantly.
Yes. We support ICU physicians, hospitalists, pulmonary-critical care specialists, and inpatient care teams nationwide.
Most critical care claims are submitted within 24–48 hours after complete documentation is received.
Yes. We follow strict HIPAA standards, including encrypted data handling, role-based access, secure systems, and regular audits.
Yes. Practices typically see 20–40% revenue improvement by preventing underbilling, reducing denials, and ensuring compliant time-based billing.
Schedule a Demo / Contact Us
Let us show you how our Pulmonary & Critical Care Billing expertise can transform your revenue performance.
Pulmocare RCM is a specialty-focused Pulmonary & Critical Care Revenue Cycle Management company serving healthcare providers across the United States. With
27 years of experience, we help hospital-based physicians, ICU teams, and rehabilitation providers reduce denials, ensure compliance, and maximize reimbursement.
