Allergy & Asthma Medical Billing Services
Allergy & Asthma Medical Billing Services
Maximize Revenue and Minimize Denials with Specialized Allergy & Immunology Billing
Allergy and Asthma practices face unique billing challenges—from complex immunotherapy coding and high-volume skin testing to the management of expensive biologic treatments. At Medor Health, we provide end-to-end Revenue Cycle Management (RCM) designed specifically for allergists and immunologists.
We ensure that every prick test, vial preparation, and spirometry reading is coded accurately, documented thoroughly, and reimbursed at the highest possible rate.
Our Specialty Coding Expertise
Allergy Testing & Diagnostics
Skin Testing: Accurate reporting for Percutaneous (95004) and Intradermal (95024) tests.
Patch Testing: Managing documentation for delayed hypersensitivity (95044).
Challenge Testing: Expert billing for Ingestion (95076) and Inhalation (95070) challenges.
Asthma & Pulmonary Care
Spirometry: Proper coding for 94010 and 94060 (bronchodilation responsiveness).
Nebulizer Treatments: Ensuring reimbursement for 94640 and related supplies.
FeNO Testing: Capturing revenue for exhaled nitric oxide determination (95012).
Immunotherapy & Biologics
Antigen Management: Meticulous tracking of multi-dose vial units (95165).
Injection Services: Distinct billing for single (95115) or multiple (95117) injections.
Biologic Therapy: Specialized RCM for high-cost drugs like Xolair, Dupixent, and Nucala, including prior authorization support.
Why Allergy & Asthma Billing is Different
Unlike general practice, allergy billing requires a deep understanding of “unit-based” billing and specific payer rules. Common pitfalls that we help you avoid include:
Unit Miscalculations
Billing for the number of allergens vs. the number of injections.
Vial Preparation Confusion
Navigating the complexities of CPT 95165 (antigen preparation) vs. 95115/95117 (administration).
Medical Necessity Denials
Ensuring that ICD-10 codes for asthma (J45 series) and allergies (J30 series) perfectly align with the diagnostic tests performed.
The Medor Health Advantage
98%+ Clean Claim
Rate
Our “triple-check” system ensures that claims are scrubbed for errors before they are submitted, significantly reducing your denial rate.
Prior Authorization
Mastery
Don’t let expensive biologics or oral immunotherapy (OIT) sit in limbo. We handle the heavy lifting of prior authorizations to ensure coverage is secured before treatment begins.
Detailed Financial
Analytics
Gain 24/7 access to custom dashboards. See exactly which tests are your top performers and track your A/R (Accounts Receivable) in real-time.
HIPAA-Compliant &
Secure
We prioritize your patients’ data with the highest level of encryption and strict adherence to HIPAA regulations.
Ready to Optimize Your Practice’s Revenue?
Stop leaving money on the table due to coding errors and payer denials. Partner with Medor Health to streamline your billing and focus on what matters most—treating your patients.