Critical Care Medicine EHR and AI Medical Billing Software

Intensivists care for the sickest patients in the hospital, around the clock. XEHR records critical care time, procedures and handoffs and bills them correctly.

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Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Intubated for pneumonia; rising oxygen needs overnight.

J96.01 Acute respiratory failure with hypoxia

ReviewSign note

Diagnosis carried to the claimJ96.01

THE HARD PARTS

What makes critical care medicine billing hard

Time is the service

Critical care is paid for documented time, minus time spent on separate procedures.

Several doctors a day

Day and night intensivists each document and bill their own time.

Procedures at the bedside

Lines, intubations and bronchoscopies are billed separately when documented.

WHERE THE WORK HAPPENS

How critical care medicine care is delivered and billed

Intensivists trained in anesthesiology, internal medicine, surgery or emergency medicine work in medical, surgical, cardiac and neurological intensive care units, and increasingly provide remote tele-ICU coverage. All work is billed on the professional claim with the hospital place of service, mostly as critical care time and bedside procedures.

What payers check on critical care medicine claims

Critical care is billed by total documented time on the date, excluding separately billed procedures.
Some procedures are bundled into critical care and cannot be billed separately.
Only the time the physician spent on the patient’s care counts, not time of others.
Sepsis with septic shock is coded with the infection first.
When the patient is no longer critical, care is billed as hospital visits.

Common critical care medicine diagnoses ICD-10-CM

J96.01	Acute respiratory failure with hypoxia
R65.21	Severe sepsis with septic shock
J80	Acute respiratory distress syndrome
I46.9	Cardiac arrest, cause unspecified
N17.9	Acute kidney failure, unspecified
G93.41	Metabolic encephalopathy

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

A critical care medicine visit, start to payment

1
Take the handoff

Overnight events, drips and results are in the chart.
2
Treat and time

Critical care time is recorded with the note.
3
Procedures

Bedside procedures are documented separately.
4
Bill the day

Time and procedures go out on checked claims.

How XEHR helps

From the critical care medicine visit to the payment

Time with every noteCritical care time is recorded and procedure time kept apart.
Handoffs in the chartOvernight events and plans are visible to the next intensivist.
Procedures documentedEach bedside procedure is recorded with indication and technique.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for critical care medicine

AI medical billing for critical care medicine practices

XEHR is an agentic EHR: AI agents do the administrative work around every critical care medicine visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Critical care is billed by total documented time on the date, excluding separately billed procedures.
Some procedures are bundled into critical care and cannot be billed separately.
Only the time the physician spent on the patient’s care counts, not time of others.
Sepsis with septic shock is coded with the infection first.

Around the visit

Agents run on their own

Coverage checked before each critical care medicine visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose a critical care medicine EHR

Ask every vendor, including us. The answers show whether a system was built for critical care medicine work or only adapted to it.

Ask us on a demo

Is critical care time captured with procedure time excluded?
Are bundled procedures kept off the claim?
Can several intensivists bill the same day correctly?
Is the switch to hospital visits clear when the patient improves?
Can tele-ICU care be billed?

QUESTIONS

Critical Care Medicine practices ask us

Does XEHR capture critical care time?

Yes. Time is recorded with each note and separately billed procedures are excluded.

Can several intensivists bill the same day?

Yes. Each documents their own time and the claim follows the payer’s rules for the group.

Can bedside procedures be billed with critical care?

Yes, when documented separately and not bundled by the payer.

Does XEHR support tele-ICU?

Yes. Remote critical care is documented and billed under the payer’s telehealth rules.

Does XEHR support medical ICUs?

Yes. Daily critical care and procedures are documented and billed.

Can family meetings be documented?

Yes. Meetings and decisions are recorded.

Can XEHR record ventilator settings in notes?

Yes. Settings are documented in the daily note.

How much does XEHR cost for a critical care medicine practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take a critical care medicine practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

Related specialties

See all specialties

See XEHR set up for critical care medicine

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

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