Critical Care - Medical - StafGo Health

Medical Billing And Revenue Cycle Management Solutions For Critical Care Facilities

At Stafgo Health, we understand the billing complexities of critical care facilities and offer tailored solutions for every size, whether it is a hospital, emergency care, or urgent care facility. Our objective is to facilitate your organization's achievement of efficient operations and financial stability.

Precise Cpt Code Management For High-acuity Critical Care Services

Our experienced team expertly handles key CPT codes such as 99291 (critical care, first 30-74 minutes) and 99292 (each additional 30 minutes), along with procedure-related codes like 31500 (emergency endotracheal intubation), 36620 (arterial catheter placement), and 92950 (cardiopulmonary resuscitation). We also manage concurrent care rules, bundled services, and modifier application (e.g., -25, 59) to reduce denials and ensure proper payment.

Why Outsource Medical Billing And RCM To Stafgo Health For Your Critical Care Practice?

As a critical care provider, you are not only committed to providing top-notch patient care services to the needy ones, but you also have to spend time cultivating meaningful relationships with the immediate family members of the patients. And when dealing with diverse, critical conditions, it is very essential that it is very important to overcome hurdles of time-consuming general practice management.

Common RCM Challenges Faced by Critical Care Practices

The critical care providers work in a very high-intensity environment in which special care, precision, and accuracy are required in patient care. The most prevalent RCM challenges in critical care are given below:

Complex Billing & Coding Requirements—Critical care providers provide time-bound services in which time-based billing is provided; specific CPT codes are there for those services, and incorrect time calculations or missing documents often lead to claim rejections.
High Denial Rates - Critical care providers often work in emergency situations, so claims sometimes go out with incorrect or missing information, resulting in a high denial ratio.
Delayed Reimbursements - Operational costs are very high in critical care, so delayed and lower reimbursements from insurance companies can lead to serious cash flow problems.
Poor Charge Capture - Critical care providers work in fast-paced intensive care units, so the chances of poor charge capture are very high. This leads to revenue loss and wrong financial reporting.
Patient Responsibility Collection - In fast-paced emergency situations and a lack of upfront communication, collecting patient balances is quite difficult for critical care providers.
Compliance and Audit Risks - Federal and state regulations are always subject to change, so staying compliant with updated regulations is a constant challenge.

Solving Your Critical Care Practice’s Challenges with StafGo Health

Precision Billing for Time-Based Services - Our team uses nuanced coding protocols that align with CMS guidelines and payer rules and regulations. Time tracking methods allow us to ensure maximum allowable reimbursements
Prevention of Costly Claim Denials - At StafGo Health, real-time eligibility checks and smart denial trends analysis are followed to minimize errors and improve resolution rates.
Accelerated Reimbursement Cycles - Our team submits claims within 24-48 hours of the service provided to the patient, and assertively performs payer follow-ups to reduce your revenue cycle time.
Complete Revenue Integrity - We have charge capture systems and EHR interfaces that ensure correct billing of all procedures, leading to fast claim acceptance.
Patient-Centric Financial Support - At StafGo Health, you will get clear and concise patient billing communications and numerous payment options that increase collections.
Ongoing Compliance & Audit Readiness - We follow HIPAA compliance protocols very strictly, conduct periodic audits, and stay compliant with the latest federal, state, and commercial payer regulations.