Allergy & Immunology Billing Services

Optimize Your Practice with Expert Allergy & Immunology Billing Solutions

Specializing practices like allergy and immunology that deal with diagnoses and treatment involving allergic conditions and disorders related to the immune system would get benefit from allergy & immunology billing. Conditions treated by the practices in this category range from asthma, allergic rhinitis, food allergies, and eczema to autoimmune diseases. Such conditions usually require complex and a range of treatments. Given the complexity of allergy and immunology care, skilled billing services are useful for effective revenue cycle management and have become an absolute necessity. After all, the allergy coding guidelines—with all their underlying details on specific coding and documentation standards—make this necessary.

 

Allergy and immunology billing involves coding for a range of procedures and tests accurately; these would probably include skin prick tests, blood tests (sometimes specific IgE testing), immunotherapy (popularly known as allergy shots), and office consultations. All these services have their own set of CPT, ICD-10, and HCPCS codes that need to be applied with accuracy to ensure proper reimbursement. Lastly, many allergy and immunology practices have patients who require continued care and plans of treatment, thereby complicating the processes for billing with repeated services that have to be performed and with proper documentation of medical necessity.

Allergy & Immunology Billing Services

Some key challenges in allergy and immunology billing include the need for extensive documentation required to prove medical necessity for various treatments and procedures. Claims for allergen immunotherapy and other specialty medications have recently come under careful examination from payers, so it is important that practices provide comprehensive documentation to justify treatment. Moreover, in allergy and immunology practices, there are often a lot of insurance providers, such as Medicare, Medicare, and private payers, all having different billing instructions and different policies regarding coverage with various prior authorization requirements.

 

All this can be achieved and boosted by outsourcing the service of allergy billing to our company, where our specialized billing team retains expertise in the particulars of allergy and immunology coding, along with payer requirements to ensure claims are submitted correctly and in compliance with regulations. The benefits are fewer claim denials and delays in reimbursement that allow you to devote more time to patient care and better treatment outcomes. 

 

By minimizing the billing process, your practice will have better revenue cycle management, which in turn renders financial stability and, more importantly, increased patient satisfaction.

Complete Medical Billing Solutions for Allergy Medical Practice’s

Allergy Patient Demographic Recording Service

Our team of experts records accurate patient information and verifies it to avoid claim rejections due to incorrect information. Our team double - checks every detail, ensuring compliance and resolving errors that may slow billing. This approach improves reimbursements.

Allergy Insurance Verification Service

Verification of patient demographics and insurance demographics and looking for pre-authorization before scheduling an appointment, identifying issues early to prevent denial of a claim.

Allergy Charge Entry Service

Accurately record charges for services offered by internal medicine physicians and ensure the accurate billing codes are employed. This documentation reduces errors and ensures quick reimbursements.

Allergy Claim Submission Service

We assemble and submit errorless claims to payers, ensuring all required documentation is included. This helps speed up the reimbursement process and reduces the denial of claims, maintaining steady cash flow.

Allergy AR Management

Our team of experts tracks submitted claims and promptly addresses rejections or delays. This direct approach helps secure quick claim resolutions with insurance companies, ensuring consistent revenue and reducing outstanding accounts receivable (AR).

Allergy Posting Service

Monitoring the incoming payments from both insurance providers and patients, ensuring they match billed amounts. By accurately maintaining financial records, we keep your practice compliant and make reconciliation and reporting easier.

Allergy Denial Management

Analyzing reasons for claim denial, filing appeals if needed, and adjusting our processes to minimize future denials. This proactive approach improves collection rates, reduces revenue cycle disruptions, and eases the administrative burden.

Allergy Collection Support

Professionally managing all patient billing and collections, providing clear communication on revenue collections and multiple payment options. This leads to higher collection rates while ensuring patients can settle their accounts smoothly and without confusion.

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    Frequently Asked Questions

    1. What is the CPT code for allergy clinical immunological service?

    CPT codes for services in allergy and clinical immunology range from 95004 to 95199, and involve procedures like allergy testing (including skin tests) and immunotherapy (such as allergy shots). The specific test or treatment performed would dictate the precise code necessary. Make sure to consult the latest CPT manual for precise coding of the service given.

    2. How to bill allergy immunotherapy?

    Use CPT codes 95115-95117 for billing allergy immunotherapy injections. Codes 95144-95170 are designated for the creation of the antigen. The code 95165 is frequently utilized for multi-dose vials. Make sure to record the amount and kind of antigen, and document the administration and antigen preparation as separate tasks. Always make sure to check with the patient’s insurance for exact protocols.

    3. What does CPT Code 95117 refer to in medical coding?

    CPT Code 95117 is used in allergy and immunology to represent the administration of allergen immunotherapy, specifically for the injection of multiple allergens. This code is applied when a patient receives more than one allergen injection during a single visit without needing to prepare the allergens (which is covered by a separate code, CPT 95165).