Rehabilitation Facilities
Revenue Cycle Management for Rehabilitation & Post-Acute Care Excellence
Rehabilitation and post-acute care facilities operate in a highly regulated reimbursement environment where authorization delays, medical necessity scrutiny, and complex payer rules can significantly impact cash flow. Accurate documentation, compliant coding, and disciplined revenue cycle workflows are critical to sustaining financial stability.
PulmoCare RCM delivers specialized Rehabilitation Revenue Cycle Management (RCM) services designed to help facilities optimize reimbursement, reduce denials, and maintain full compliance with Medicare, Medicare Advantage, and commercial payer requirements. Our solutions are tailored for facilities delivering pulmonary rehabilitation and medical rehabilitation services across inpatient and post-acute settings.
Specialized Support for Pulmonary & Medical Rehabilitation Services
Our team understands the unique clinical and billing challenges associated with rehabilitation services, including therapy coordination, medical necessity documentation, and payer-specific authorization requirements. We work closely with facility administrators and clinical teams to ensure services are properly documented, coded accurately, and submitted on time.
By aligning clinical documentation with payer policies, PulmoCare RCM helps rehabilitation facilities prevent revenue leakage, reduce payment delays, and improve audit readiness.
Why Pulmocare RCM for Critical Care Coding?
27 years of Pulmonary & Critical Care billing experience
Specialty-trained ICU coding professionals
Nationwide U.S. coverage
Deep CMS & payer guideline expertise
AI-enabled documentation audits
Transparent reporting and analytics
Proven denial reduction strategies
Comprehensive Rehabilitation Billing & RCM Services
PulmoCare RCM provides end-to-end billing and revenue cycle support for rehabilitation facilities, including:
Inpatient Rehabilitation Billing Support
Accurate billing for inpatient rehabilitation services, ensuring proper charge capture and alignment with CMS and payer billing guidelines.
Medical Necessity & Documentation Review
Detailed review of clinical documentation to validate medical necessity and support payer requirements for rehabilitation services.
Prior Authorization Management & Tracking
Proactive authorization coordination, monitoring, and follow-ups to prevent denials related to missing or expired authorizations.
Pulmonary & Rehabilitation-Specific Coding Accuracy
Specialty-trained coding for pulmonary rehabilitation and medical rehab services, ensuring compliance with current coding standards.
Denial Resolution & Appeal Management
Comprehensive denial analysis, timely appeals, and payer communication to recover lost revenue and reduce repeat denials.
Payment Posting & Financial Reconciliation
Accurate payment posting, contractual adjustment review, and reconciliation to maintain financial transparency and reporting accuracy.
Why Pulmonary Practices Choose PulmoCare RCM
Pulmonary physician groups partner with PulmoCare RCM because we deliver more than billing — we deliver measurable financial results.
Specialty-Trained Pulmonary Coding Experts
Coders trained specifically in pulmonary and respiratory services — not general medical billing.
Reduced Denials & Faster AR Turnaround
Clean claims, proactive follow-ups, and disciplined denial management improve cash flow and reduce outstanding AR.
Full Compliance & Audit Readiness
Strict adherence to CMS, NCCI, and payer policies to minimize compliance risk and audit exposure.
Scalable RCM Solutions
Flexible support designed to grow with your pulmonary practice — whether single-provider or multi-location network.
Stabilizing Revenue While Maintaining Regulatory Confidence
PulmoCare RCM helps rehabilitation facilities stabilize cash flow, improve compliance, and strengthen revenue integrity in an increasingly complex post-acute care environment.
Our compliance-driven approach ensures your facility is prepared for audits, payer reviews, and regulatory changes — without sacrificing financial performance.
Why PulmoCare RCM
Specialty-Focused Pulmonary & Critical Care RCM
Proven Expertise in ICU Billing & Hospital-Based Services
Compliance-Driven Coding & Documentation Review
Transparent Reporting & Actionable Revenue Insights
Scalable RCM Solutions for Physician Groups & Facilities
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.
