Medical Billing Specialties
A cardiology claim, a timed therapy unit, and an ambulance trip do not fail for the same reason. Vector Medical Billing, in Jamaica, New York, assigns the coder to the specialty and runs the claim cycle inside the EHR you already use.
Why specialty-matched billing matters
Generic queues miss specialty edits. The denial lands after the claim left, not before.
Chiropractic lives on 98940–98943 with the AT modifier Medicare requires. Mental health lives on timed psychotherapy codes and payer-specific prior auth. Cardiology fails on bundling and global periods. One generalist desk cannot hold all of those edits at once.
Vector Medical Billing assigns the coder to the specialty on the account. The monthly percentage of net collections covers the claim cycle. Credentialing, a coding audit, MIPS, and out-of-network disputes stay separate engagements.
What the free audit shows
- Which specialty denials are already in the open A/R
- Whether the written rate fits office, complex, or facility work
- What stays on the monthly fee versus a separate quote
Browse by specialty group
Fifty-five specialties on this page, grouped the way claims actually differ.
Office specialties
Primary care through specialty clinics — E/M, tests, drugs, and office procedures. Open list
Hospital and facility
ED, anesthesia, radiology, pathology, oncology, and hospitalist day codes. Open list
Behavioral health
Timed psychotherapy, psychiatry add-ons, SUD programs, ABA, and peer support. Open list
Rehab, dental, supplies
Therapy timed units, CDT dental, labs, pharmacy, DME, and ambulance. Open list
Full revenue cycle
Eligibility through A/R — the same cycle under every specialty on this list. See services
One process. Built around the specialty.
Same revenue cycle steps. Different edits, code sets, and payer rules per specialty.
Specialty assignment
The account lands with a coder who already bills that specialty’s CPT, HCPCS, or CDT set.
Claim scrub
Modifiers, bundling, time units, and global periods checked before clearinghouse submission.
Office specialties
These claims start as an office visit, then add the test, the drug, or the procedure the note supports.
Family Medicine
Office E/M, preventive visits, and a problem visit on the same day when the note supports both. Family medicine.
Read family medicine billingInternal Medicine
Chronic-care visits and the diagnosis list that supports the level billed. Internal medicine.
Read internal medicine billingPrimary Care
A problem visit and an annual wellness visit are different claims. They are not billed as one code. Primary care.
Read primary care billingPediatrics
Well-child visits, vaccine administration, and a sick visit when both are documented. Pediatrics.
Read pediatrics billingGeriatrics
Chronic care management and the annual wellness visit, kept apart from a problem-oriented visit when the rules allow it. Geriatrics.
Read geriatrics billingCardiology
Diagnostic tests, device checks, and interventional claims. Cardiology is in the.
Read cardiology billingDermatology
Biopsies, destructions, and the pathology charge for the specimen, not only the office visit. Dermatology.
Read dermatology billingEndocrinology
The visit plus the labs ordered under the treating provider. Endocrinology.
Read endocrinology billingGastroenterology
The office visit is separate from the endoscopy professional claim. Gastroenterology.
Read gastroenterology billingNephrology
Dialysis-related claims and monthly capitation codes are not an office visit. Nephrology.
Read nephrology billingPulmonology
Pulmonary function tests and the interpretation, plus sleep studies when the practice performs them. Pulmonology.
Read pulmonology billingRheumatology
Infusion administration and the drug, coded apart from the visit. Rheumatology.
Read rheumatology billingAllergy and Immunology
Testing panels, the extract, and the injection administration. Allergy.
Read allergy billingInfectious Disease
Consult visits, including inpatient consults when the physician is not the admitting doctor. Infectious disease.
Read infectious disease billingHepatology
The visit and a procedure or infusion stay on separate lines when both happen. Hepatology.
Read hepatology billingUrology
Office procedures and the surgical claim when the case leaves the office. Urology.
Read urology billingPodiatry
Routine foot care is often not a covered medical service. Lesion and nail codes need the qualifying diagnosis. Podiatry.
Read podiatry billingOphthalmology
The eye exam and the surgical claim do not share one code. Ophthalmology.
Read ophthalmology billingOptometry
A routine vision benefit and a medical eye exam are different payers and different claims. Optometry.
Read optometry billingOtolaryngology (ENT)
Office endoscopy versus an operating-room claim, plus audiology when the practice owns it. ENT.
Read ENT billingPain Management
Injections, fluoroscopy, and the drug, after the authorization the plan requires. Pain.
Read pain billingSleep Medicine
The sleep study, the professional interpretation, and the later visit for the result. Sleep.
Read sleep billingSports Medicine
The visit, the injection, and the imaging read as separate lines. Sports medicine.
Read sports billingWound Care
Debridement by depth and the product used, not a generic office visit. Wound care.
Read wound billingSurgery
A surgical claim follows the global package. Visits inside that package are not extra evaluation and management.
General Surgery
Pre-op and post-op visits inside the global period are part of the surgical package. General surgery is in the.
Read surgery billingOrthopedics
Fracture care versus a splint, matched to the operative note. Orthopedics is in the.
Read orthopedic billingNeurosurgery
The surgical claim, implants, and an assistant when the operative report supports that role. Neurosurgery is in the.
Read neurosurgery billingPlastic Surgery
A reconstructive diagnosis is what the plan pays. A cosmetic request is a different claim. Plastic surgery is in the.
Read plastic surgery billingOB/GYN
Global maternity versus a delivery-only claim, and a surgical package for gynecologic cases. OB/GYN is in the.
Read OB/GYN billingHospital and facility specialties
These are not clinic superbills. The claim follows the site of service and the physician’s role.
Emergency Medicine
The emergency-department professional claim, critical care time when it is documented, and procedures done in the department. Emergency medicine is in the.
Read emergency medicine billingAnesthesiology
Base units plus time, and the modifier for the anesthesia role. Anesthesiology is in the.
Read anesthesiology billingRadiology
A professional read is not the facility’s technical charge. The two components are billed apart. Radiology is in the.
Read radiology billingTeleradiology
The same professional interpretation, billed by the physician who read the study. Teleradiology is in the.
Read teleradiology billingPathology
The specimen and the professional interpretation. A panel is not an office visit. Pathology is in the.
Read pathology billingOncology
The drug, the administration, and the visit. Each line has its own units. Oncology is in the.
Read oncology billingRadiation Oncology
Planning, treatment delivery, and weekly management are separate from a clinic visit. Radiation oncology is in the.
Read radiation oncology billingHospitalist
Inpatient visits by day, the admission, and the discharge. Not a clinic superbill. Hospitalist billing is in the.
Read hospitalist billingBehavioral health
These claims are timed or program-based. A standard office visit code usually does not fit.
Mental Health
Timed psychotherapy and the psychiatric evaluation. Behavioral health is in the.
Read mental health billingPsychiatry
An evaluation and management visit with a psychotherapy add-on when both are documented, plus medication management. Psychiatry is in the.
Read psychiatry billingBehavioral Health
Timed services, often paid under a program benefit rather than a medical-visit benefit. Behavioral health is in the.
Read behavioral health billingSubstance Use Disorder
Intake, group, and individual codes for the program the payer enrolled. Substance use disorder is in the.
Read substance use disorder billingABA Therapy
Timed behavior-analysis codes and the supervising analyst. Units are time, not a visit level. ABA therapy is in the.
Read ABA therapy billingPeer Support
The peer service the state plan covers, billed under that program, not as psychotherapy. Peer support is in the.
Read peer support billingRehab, dental, and supplies
The code set changes here. Therapy uses timed units. Dental uses CDT. Supplies and transport are not visits.
Physical Therapy
Timed units under the 8-minute rule. Untimed codes are not stacked the same way. Physical therapy is in the.
Read physical therapy billingOccupational Therapy
The same timed-unit rules, with the plan of care the payer asks for. Occupational therapy is in the.
Read occupational therapy billingChiropractic
Spinal manipulation codes, including the Medicare limit, and an exam that is outside that cap. Chiropractic is in the.
Read chiropractic billingDental
CDT codes, not CPT. A medical plan pays only when the service meets a medical benefit. Dental is in the.
Read dental billingOrthodontics
Banding and the periodic orthodontic visit on the dental benefit, not a medical claim. Orthodontics is in the.
Read orthodontic billingMedical Nutrition Therapy
Medical nutrition therapy codes and the hours the diagnosis allows. Medical nutrition therapy is in the.
Read medical nutrition therapy billingDiagnostic Labs
The ordering provider, the panel, and the lab’s CLIA claim. Diagnostic labs are in the.
Read diagnostic lab billingPharmacy
Dispensing on the pharmacy benefit, separate from the medical claim. Pharmacy is in the.
Read pharmacy billingDME
A purchase or capped rental, the modifier, and the order that replaced the certificate of medical necessity. DME is in the.
Read DME billingAmbulance
Loaded mileage, origin, and destination. Not an office-visit claim. Ambulance is in the.
Read ambulance billingTell us the specialty and the EHR
The free audit starts with specialty, claim volume, payer mix, and the system you already use. You get a written rate before anything moves.
Specialty billing questions
Straight answers tied to the groups above.
Do you bill every specialty the same way?
No. Coders and billers are assigned by specialty. A cardiology claim, a timed therapy unit, and an ambulance trip use different code sets, payer edits, and denial patterns.
What specialties does Vector Medical Billing cover?
Office specialties, surgery, hospital and facility roles, behavioral health, rehab and therapy, dental and orthodontics, diagnostic labs, pharmacy, DME, and ambulance — all listed on this page for practices in all 50 states. If yours is missing, send it on the free audit form.
Is specialty billing included in the monthly fee?
The monthly percentage of net collections covers the claim cycle for the specialty on the account. Credentialing, coding audits, MIPS, HIPAA security risk analysis, transcription, underpayment recovery, and out-of-network disputes are separate engagements.
Do we have to change our EHR?
No. Billers log into the practice management system you already use — see EHR integration. Compatibility is confirmed before you commit.
Why do some specialties take more scrub time?
Cardiology, surgery, OB/GYN, behavioral health, rehab, dental, labs, pharmacy, DME, ambulance, and facility work take longer because of bundling, global periods, and timed or program codes. The written rate still follows volume and payer mix.
Where is Vector Medical Billing located?
15717 85th St, Jamaica, NY 11414-2620. Billing work is remote for practices in all 50 states.