- 5885 Allison St Unit 1029 Arvada, CO 80001-2645
- tj@amb5280.com
- (303) 940-1613
Critical care billing involves high‑acuity patients, complex procedures, time‑based services, and strict documentation standards. Even small inaccuracies in billing data or missing clinical details can lead to claim denials, underpayments, or compliance risks.
Accurate Medical Billing (AMB) provides end‑to‑end critical care billing and revenue cycle management services to help hospitals and provider groups reduce denials, improve cash flow, and remain fully compliant with payer and regulatory requirements.
We manage the complete billing workflow—from patient registration and insurance verification to claims submission, payment posting, and reporting—so critical care teams can focus on saving lives while we manage the financial operations.
Accurate collection and entry of patient demographics, insurance details, and required documentation to prevent errors at later stages.
Verification of active insurance coverage, policy details, and payer requirements before services are rendered.
Confirmation of patient benefits, deductibles, co-pays, and coverage limitations to avoid unexpected denials.
Complete recording of all billable services and procedures to prevent revenue leakage and under-billing.
Electronic submission of clean claims to insurance companies in a timely and compliant manner.
Accurate posting of payments from ERAs and EOBs to maintain transparent and up-to-date financial records.
Identification of denial causes, correction of errors, and submission of appeals to recover lost revenue.
Regular tracking and follow-up on unpaid or underpaid claims to reduce aging AR and improve cash flow.
Clear and timely patient statements along with support for resolving billing questions and outstanding balances.
Detailed performance reports covering collections, denials, reimbursements, and overall revenue trends.
Critical care services are billed based on time spent with patients. Incomplete or inaccurate time documentation can result in reduced reimbursement or denied claims.
Multiple procedures, emergency interventions, and overlapping services make accurate billing workflows essential.
Critical care claims are often closely reviewed by payers, increasing the risk of audits and payment delays.
Errors in billing data or missing documentation commonly lead to partial payments or rejected claims.
Constant updates to CMS and payer guidelines require close monitoring to remain compliant.
For higher-collection practices, we offer volume-based discounts — as volume increases, the percentage can decrease. We’ll confirm the best-fit rate after a quick review.
Most practices fall in the 6%–12% range. Final pricing depends on volume, payer mix, specialty complexity, and current A/R and denial patterns, confirmed after a quick review of your last 60–90 days.
We prioritize electronic workflows to reduce cost and improve turnaround. If you request optional services outside standard billing, we scope and quote those items clearly up front—no surprises.
