Critical Care Billing in 2023

J Cardiothorac Vasc Anesth. 2025 Jan;39(1):266-272. doi: 10.1053/j.jvca.2024.03.006. Epub 2024 Mar 7.

Abstract

Because of changing rules and regulations in insurance and reimbursement, critical care physicians must adapt their billing practices to meet the challenges of these complex changes. Reimbursement for critical care billing varies substantially across the country, and staffing models must consider this heterogeneity. This article summarizes the current state of critical care billing and addresses the requirements to generate a critical care bill and the potential circumstances that may result in a denial of payment.

Keywords: billing; critical care; finance; intensive care; management.

Publication types

  • Review

MeSH terms

  • Critical Care* / economics
  • Humans
  • Insurance, Health, Reimbursement / economics
  • Reimbursement Mechanisms / economics
  • Reimbursement Mechanisms / trends
  • United States