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Multi-Specialty Group Billing
A multi-specialty group is one organization and several code sets. Primary care, cardiology, and orthopedics can share a tax ID and still cannot share a coder's habits. A blended denial report hides which department is leaking. Vector Medical Billing, in Jamaica, New York, keeps each specialty on its own edits and still posts cash to the same group.
98%Published NCR
24hClaim Submission
BAASigned with every client
AAPCCertified coders
AHIMACertified coders
E&OErrors and omissions insured
50 StatesRemote billing nationwide
Monthly fee
What multi-specialty group billing includes
One revenue cycle for the group. Specialty-specific coding, modifiers, and denial reasons underneath it.
Eligibility, charge capture, scrub, submission, posting, denials, and A/R run once for the organization. The scrub does not. An office E/M habit from primary care will understate a procedure global, and a surgical global will swallow an office visit that was separately billable. Each department follows its page on the specialties list. Payer contracts under one tax ID can still differ by specialty; the fee schedule on the claim has to be the one that contract actually uses.
The fee is a percentage of net collections. The written rate is on pricing. Credentialing, a retrospective coding audit, and old A/R stay separate engagements.
What sits on this fee
- Coders assigned by specialty, not one queue for every department
- Charge review against that specialty's bundling and global rules
- Monthly figures that split by specialty, not only a group total
- Denials worked on the reason code that specialty actually receives
Where multi-specialty claims fail
The group looks efficient because everyone shares a front desk. The claims are not the same product.
One coding habit for every department
Family-medicine E/M leveling applied to a procedure-heavy clinic misses globals, assistants, and implants. The reverse — holding an ordinary office visit inside a surgical package — drops a visit the package does not include. Each specialty keeps its own edits.
One blended score
A group-level clean-claim figure can look calm while one department carries the denials. Reporting splits volume, denials, and A/R by specialty so the audit can see which schedule is leaking.
Wrong contract for the specialty
A payer may credential the group once and still price cardiology and primary care on different allowances. Charges that sit on the primary-care fee schedule because that was the first contract loaded will underpay the other departments.
How a multi-specialty claim is routed
The tax ID is shared. The coding review is not.
| Check | How Vector handles it |
|---|---|
| Organization | One tax ID and one monthly relationship. |
| Coding | The specialty of the encounter decides the code families and the edits. |
| Templates | EHR encounter templates stay matched to the department that used them. |
| Contracts | Fee schedule and payer ID checked for that specialty's contract, not the first row in the system. |
| Report | Specialty-level days in A/R, denials, and collections beside the group total. |
Other practice shapes: Small group · Specialty pages · Multi-location.
Not inside the monthly percentage
The monthly cycle bills claims that are already in the system. These are scoped on their own.
Written rate
The fee is a percentage of net collections. No setup fee on the monthly cycle. Month to month. The written rate follows volume, payer mix, and how much of the cycle you hand over.
See pricing or request a written rate after the free audit.
Separate work
Standing up a new specialty department's credentialing, a cross-specialty coding audit, and old A/R are separate from the monthly percentage.
Audit the group by specialty, not as one blended number
Send the practice shape, monthly visit or case volume, top payers, and the EHR name. We reply with what the open A/R shows and a written rate.
Written
Monthly rate
98%
Published NCR
50
US States
BAA
Every Client
Multi-specialty group questions
Straight answers for this practice shape.
Is this the same as a specialty page?
No. A specialty page is the code set — cardiology, orthopedics, behavioral health. This page is the organization: several of those specialties under one tax ID.
Can one coder bill every department?
The cycle is shared. The edits are not. Each specialty is reviewed against its own bundling, time, and global rules.
Do you send one report?
You get the group total and a split by specialty, so one department cannot hide inside the average.
How is the fee set?
A percentage of net collections, written after the audit. No setup fee on the monthly cycle. Month to month.
Which page do we use if we also have two addresses?
This page plus multi-location billing. The address on the claim and the specialty rules are different checks.