Practice type billing for different organization shapes

Practice Type Billing

Specialty pages answer which codes the visit uses. Practice-type pages answer how the organization is built: one physician, a small group, several specialties under one tax ID, more than one address, a walk-in urgent care, a hospital outpatient department, or an ASC. Vector Medical Billing is in Jamaica, New York, and the work is remote.

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Choose the practice shape

Use the page that matches the organization. Keep the specialty page for the code set.

One clinician

Solo practice

One rendering provider, enrollment that waits on that physician's signature, and no in-house billing desk.

Read solo practice billing
One tax ID

Small group

A few clinicians. New associates and midlevels billed under the NPI that actually saw the patient.

Read small group billing
Several code sets

Multi-specialty group

One organization, separate coding rules per specialty, reports that do not blend the departments.

Read multi-specialty billing
More than one address

Multi-location

The service address is the building where the visit happened. A/R is readable by site.

Read multi-location billing
Walk-in setting

Urgent care

Place of service 20, and either a global urgent care code or an E/M — not both.

Read urgent care billing
Facility setting

Hospital outpatient

Professional claim at place of service 22, kept off the hospital's facility bill.

Read hospital outpatient billing
Facility setting

Ambulatory surgery center

Facility fee separate from the surgeon and from anesthesia. Medicare uses place of service 24.

Read ASC billing
Code set

Specialty still matters

Practice type is the organization. The code set is the specialty page — cardiology, dental, therapy, and the rest.

Browse specialties
Fee

Pricing

The monthly fee is a percentage of net collections. The written rate follows the practice shape and the volume.

See pricing

Practice type questions

What is a practice type?

How the organization is built: one physician, a small group, several specialties, more than one address, urgent care, a hospital outpatient department, or an ASC. It is not the clinical code set.

We are a solo cardiology office. Which page?

Solo practice billing for the shape, and the cardiology specialty page for the codes. Both apply.

Is urgent care a specialty?

On this site it is a setting. Emergency department coding stays on the emergency medicine specialty page.

How is the fee set?

A percentage of net collections. No setup fee on the monthly cycle. The written rate follows volume, specialty, and how much of the cycle you hand over.