rcm solutions Allergy and Immunology facilities

Medical Billing And Revenue Cycle Management Solutions For Allergy & Immunology Facilities

In Allergy and Immunology facilities, patients are diagnosed and treated for conditions related to the immune system, including allergies, autoimmune disorders, and related symptoms. At StafGo Health, we offer specialized medical billing and revenue cycle management (RCM) solutions and services made specifically for the unique needs of allergy and immunology practices. From normal allergy testing to chronic condition treatments, these services require specific CPT/ICD coding, detailed documents, and coordination with insurance companies, and our team deeply understands the advances of allergen-specific procedures and ensures accurate claims submissions and minimal denials.

Streamlining Allergy & Immunology Billing Through Expert Coding At StafGo Health

Allergy and immunology practices rely mainly on precise CPT coding for both diagnostic and therapeutic services. At StafGo Health, we provide detailed CPT code management for the common procedures in this specialty, including 95004 (percutaneous allergy skin testing), 95024 (intradermal tests), 95165 (preparation and provision of allergen immunotherapy), 95018 (allergy testing), 95115 and 95117 (multiple allergen immunotherapy injections), 96372 (therapeutic injection), and 96401 (non-hormonal antineoplastic agent administration) for biologics and advanced treatments. Our certified professional coders (CPCs) ensure correct use of codes and modifiers and the right procedure-to-diagnosis linking to prevent denials and delays in reimbursement.

Why Outsource Medical Billing And RCM To Stafgo Health For Your Allergy & Immunology Practice?

Allergy and Immunology practices manage a high volume of patients daily and often place a burden on in-house billing teams with complex billing procedures and evolving payer-specific requirements. With StafGo Health on your side, your team does not have to worry about the complex billing process because our coding experts have extensive experience in managing procedures like skin testing, immunotherapy, pulmonary function testing, and biologic drug administration.

Common RCM Challenges Faced by Allergy & Immunology Practices

- Frequently Changing Payer Guidelines— Insurances keep changing their billing guidelines, and it is important to keep up with them in order to avoid unwanted revenue leaks. However, in-house billing teams are sometimes not well updated with these.

Low Reimbursement Value of Procedures- Procedures involved in this specialty, like skin testing and immunotherapy, have relatively low reimbursement value with high volumes, and without proper tracking and automation, revenue loss is very likely.

Complex Coding Requirements—There is a wide range of procedures involved, which require precise use of CPTs, modifiers, and ICD-10 to maintain a higher first-pass resolution rate.

- Inventory and Antigen Preparation Billing—CPT 95165 (antigen preparation) billing is complex due to vial preparation, dosing schedules, and bundling rules, and incorrect units of antigens can lead to a high denial ratio.
Lack of Resources—Smaller allergy practices face a shortage of billing resources, leading to backlogs, high A/R days, and interrupted workflow.
Improper Documentation—Incomplete or inaccurate documentation makes it difficult to explain the medical necessity of the services, and therefore, the insurance is more prone to deny these services.

Solving Your Allergy & Immunology Practice’s Challenges with StafGo Health

- Up-to-date Billing and Coding Team- Our team stays on top of the payer policy changes and reimbursement guidelines and is trained continuously to modify the billing process as per the changing regulations.

Highly Efficient Claims Management—We automate the daily billing tasks, which helps in streamlining the high-volume claims processing and ensuring timely claim submissions with no backlogs.

AAPC Certified Allergy and Immunology Coders- At StafGo Health, we have certified coders dedicated to your specialty who ensure correct use of CPTs, modifiers, ICD-10, and proper diagnosis-to-procedure linking.

Inventory and Antigen Preparation Billing—Our experts are highly efficient in CPT 95165 billing and ensure accurate unit calculation, correct billing intervals, and transparent tracking of vial preparation following compliance and revenue.
Documentation Support—Our experts work closely with your team to improve the documentation practices and workflow suggestions to improve the clinical documentation accuracy.
Dedicated team for your practice support—We act as your dedicated billing partner so that you do not have to worry about your revenue cycle management, and you can focus completely on patient care.