Which billing type charges for services performed by physicians or non-physician practitioners?

• A. Professional billing.
• B. Facility billing.
• C. Revenue cycle billing.
• D. Pharmacy billing.

Answer: (A)

Professional billing covers the clinician’s professional services—what physicians and non-physician practitioners personally perform during a patient encounter. These charges are billed using CPT/HCPCS codes to represent the professional care provided, such as evaluations, procedures, and ongoing patient management.

This differs from facility billing, which accounts for the facility’s overhead and environment (room, equipment, staff time for the facility, not the clinician’s direct services) and is billed on a facility claim. Pharmacy billing is specifically for medications dispensed, and revenue cycle billing refers to the overall process of submitting and collecting on claims, not a distinct type of service billing.