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Proven Allergy & Immunology Billing Solutions
< 30
Days in AR
10-15%
Revenue Increase
97%
First Pass Ratio
96%
Collection Ratios
98%
Clean Claims Rate
Overview of Allergy & Immunology Billing Services
From patch tests to blood tests and immunotherapies to spirometries, your hands must be full of diagnosing, treating, and managing patients’ allergies and immune diseases. Yet, you must add paperwork and claims follow-up to the juggle for an optimized revenue cycle and sustained cash flow.
In recent times, the financial worries of allergy and immunology service providers have been exacerbated due to the rise in costs and reductions in reimbursement rates. They need the assistance of revenue cycle managers, including skilled medical coders and billers, to save their practices from collapsing under financial duress. If that explains your situation, consider our allergy and immunology billing services.
Common Challenges in Allergy & Immunology Billing
Allergies are the 6th leading cause of chronic illnesses in the United States. More than 50 million people have allergies. The number increases to a hundred million if we consider seasonal allergies like pollen allergy. The high prevalence rate means that on any given day, allergists are dealing with a high volume of diagnostic tests, immunotherapies, and follow-up visits. All these services translate to piles of paperwork that must be completed to file accurate medical claims and collect payments.
However, challenges like accurate coding for unit billing, reporting serum-specific IgE (ImmunoCAP) testing, maintaining complete records, adhering to allergy testing guidelines, and passing payer audits can disrupt the allergy and immunology billing workflow.
Billing Bundled Allergy Tests
The Centers for Medicare and Medicaid Services (CMS) and private insurers have specific guidelines for reporting allergy tests and services that can or cannot be bundled. When separate CPT codes are used to report two services that should be coded as one, the payer denies the claim with a ‘duplicate’ denial code.
Maintaining Detailed Documentation
Successful allergy and immunology billing is dependent upon accurate and complete documentation. From specifying units for the number of tests performed to recording the patient’s vital signs and mentioning the dosage to submitting the primary physician’s referral letter, all this information and paperwork is required as supporting evidence.
Varying Allergy Testing Policies
Every insurance payer, be it government or private, has a distinct policy for allergy testing and treatments. Some may even apply ‘caps’ or ‘ceilings’ to the amount of tests you can perform and bill in a day. Ensuring that you meet each payer’s specific protocols can be challenging.
Frequent Audits by Payers
Allergy and immunology practices are not immune to low reimbursements and frequent payer audits. Insurers can request an audit whenever they feel the providers’ billing practices are fraudulent, non-compliant, or below the set quality standards. Passing these audits can be troubling, especially if the provider’s allergy billing process is inefficient.
Outsource Allergy & Immunology Billing to MediBill MD
Time is money, and with MediBill MD as your trusted revenue cycle management (RCM) partner, you can effectively save both! We take over the non-clinical aspects of your allergy and immunology practice so you can focus on delivering healthcare excellence.
Our intelligently designed allergy and immunology billing services cover everything, from patient scheduling to claims processing and denial management to payment posting, ensuring you witness a smooth rise in your revenue without getting distracted from your core responsibilities. Join hands with our allergy and immunology billing specialists and unlock a suite of tailored, cost-effective, and scalable solutions.
Experience the difference with accurate allergy billing and coding. Our team comprises AAPC-certified professional coders and medical billers who stay up-to-date with the latest coding guidelines and billing practices. Every allergy test, treatment, and consultation is coded to the highest level of specificity for a 97% first-pass ratio.
Consistently delivering high-quality and compliant results. MediBill MD’s HIPAA and ISO certifications are proof that we take regulatory compliance seriously. Our allergy and immunology billing processes comply with federal and state laws to boost operational efficiency, enhance patient satisfaction, and mitigate legal actions.
Seamlessly optimizing the revenue cycle with a human-tech hybrid. We use advanced medical billing tools and software to streamline the workflow. The centralized system stores information, creates and assigns tasks, identifies areas of improvement, and allows two-way communication to fast-track the allergy billing process.
Setting up an in-house allergy and immunology billing department can cost thousands of dollars upfront and could consume between 5% and 10% of your monthly net collections. At MediBill MD, we charge less than 5% of your gross monthly reimbursements and guarantee up to a 15% revenue uptick.
At MediBill MD, we leverage our virtual operability to deliver effective allergy and immunology billing solutions from the East to the West Coast and beyond. Whether you own a private allergy and immunology practice in Savannah, North Carolina, or offer services at an allergy center in Los Angeles, California, our custom-made services have you covered. With a strict adherence to state laws, we streamline your revenue cycle effortlessly.
Our Solutions to Allergy & Immunology Billing Challenges
Encountering challenges during allergy and immunology billing is inevitable. However, their constant occurrence can lead to claim denials and derail the entire billing process, resulting in a significant loss of revenue.
At MediBill MD, we employ coding and billing best practices to avoid pitfalls and ensure that clean and compliant claims are submitted to the insurance payers for maximized reimbursements against rendered A/I services.
| Allergy & Immunology Billing Challenges | MediBill MD Solution | |
|---|---|---|
| Insurance Payers Varying Protocols for Allergy Testing and Treatments | We understand that Medicare, Medicaid, and private insurers have distinct rules and guidelines for allergy tests and immunotherapies. Our allergy billing team carefully studies the contracts and creates claims accordingly. | |
| Reporting An Allergy Test with An Allergy Immunotherapy Code | CMS does not allow providers to perform an allergy test on the same day as an allergy immunotherapy. Hence, our team ensures that claims with both codes are amended. | |
| Not Providing Sufficient Documentation for Patient’s Vitals During A Food Sensitivity Test | A patient’s blood pressure, pulse rate, and respiration must be monitored and recorded during food sensitivity tests. We maintain complete documentation and submit it with the claims. | |
| Not Following the Payer’s Quantity Limits for the Number of Tests Conducted Per Day | Insurance payers often impose ‘ceilings’ on the number of tests providers can perform and bill per day. Our allergy billing team takes this into account when creating and filing claims. | |
| Not Using the Appropriate Modifiers to Explain the Details of Allergy Tests and Treatments. | Modifiers can help insurance payers understand who performed the procedure, how, and where. Our AAPC-certified coders use them appropriately with codes for accurate reimbursements. | |
Get unmatched billing solutions at unmatched rates. We only charge a fraction of your gross monthly collections for our all-inclusive allergy and immunology billing services. Give us a try for bottom-line success!
Price Comparison Calculator
Based on your annual collections, we will calculate the in-house medical billing cost and compare it with the MediBill MD service charges.
Get In Touch with Our Allergy & Immunology Billing Experts
Allergy and immunology billing services made simpler! Our AAPC-certified coders, billing experts, and revenue cycle managers are ready 24/7 to maximize your collections. Reach out for A/I billing excellence.
FAQs
MediBill MD’s specialized allergy and immunology billing services include accurate medical coding and effective practice management at some of the lowest market rates. We assign dedicated account managers to our clients who carefully study the allergy and immunology practice needs and recommend services accordingly. Simply put, you get affordable, customizable, and scalable solutions - all under one roof.
Outsourcing allergy and immunology billing services is more cost-effective than setting up an in-house billing department. We only charge between 2% and 5% of your total monthly reimbursements for our professional services. The price variation depends on your A/I practice’s size, billing workload, level of complexity, and the services acquired.
Accurately reporting services and procedures through CPT, ICD-10-CM, and HCPCS Level II codes is perhaps the most challenging aspect of allergy and immunology billing. Besides thousands of code sets to choose from, their annual and quarterly revisions and varying coding guidelines (for example, CMS’s coding requirements for bundled allergy tests) can add to the coding complexity.
