Allergy and Immunology Billing Services

Why Allergy and Immunology Billing Services Require Expert Management


Billing Care Solutions​‍​‌‍​‍‌​‍​‌‍​‍‌ makes your allergy and immunology billing more efficient by ensuring that accurate codes and payer rules are used at each stage. Our team is very familiar with the usage of CPT codes like 95004 for percutaneous testing, 95024 for intradermal testing, and 95115 or 95117 for immunotherapy injections. Apart from that, we also take care of the usage of the 95165 code for antigen preparation so that billing of each service is done correctly. BCS is using ICD-10 codes like J30.1 for seasonal allergic rhinitis, J30.89 for other allergic rhinitis, and L50.9 for urticaria with absolute precision so as to steer away from any unfortunate events of claims being denied. We also use modifiers such as 25 for a separately performed E/M visit and 59 for a different procedure if it is required. By means of accurate coding and regular claim review, BCS is decreasing the number of denials and thus helping your office to have continuous ​‍​‌‍​‍‌​‍​‌‍​‍‌reimbursement.

Our Expertise in Allergy and Immunology Billing

  • Accurate CPT Coding and Billing – Ensuring precision in coding for optimal reimbursement.
  • Compliance with Medicare Guidelines – Staying up-to-date with the latest regulations.
  • Maximizing Reimbursement – Strategies to enhance revenue cycle management.
  • Efficient Claims Processing and Submission – Streamlining the billing workflow.
  • Specialized Knowledge – Proficient in allergy testing and immunotherapy coding (95004-95078, 95115-95117, 95144-95170).

Achieve Better Outcomes with Specialized Allergy and
Immunology Billing Services

Performance Stats
Days in AR

< 25

Days in AR

Revenue Increase

40%

Revenue Increase

Denial & Rejection

< 5%

Denial & Rejection

Clean Claims Rate

99%

Clean Claims Rate

Client Retention

100%

Client Retention

What You Need to Know About Allergy and Immunology Billing Services

We offer a complete allergy and immunology billing service that is a perfect fit for single-specialty as well as multi-specialty clinics. We take care of the entire revenue cycle from the very claim submission to the final payment posting in order to increase the practice's reimbursement while making sure it stays in compliance with all payer and regulatory requirements. Our team is committed to correct coding for immunotherapy, allergy testing, biologic drug administration, pulmonary function tests, and chronic care management. With the help of thorough documentation review, vigorous denial management, and relentless A/R follow-up, we pave the way for your practice to recoup its revenue in a timely manner, lessen the administrative load, and have a stable financial flow of work, thus enabling you to devote all your time to patient care and results.

Explore More Specialties

Immunotherapy Billing and Coding

We expertly manage billing for single and mixed allergen vials, including build-up and maintenance doses.

Allergy Testing Claim Processing

Accurate coding for percutaneous, intradermal, patch, and challenge food testing to ensure full reimbursement.

Biologic Drug Administration Billing

Navigate the complexities of billing for biologic agents like Xolair, Dupixent, and Nucala with confidence.

Physician & Practice Credentialing

Secure timely enrollment with payers to ensure uninterrupted patient care and reimbursement.

Accounts Receivable Management

Track and manage outstanding claims to improve cash flow and reduce financial bottlenecks.

HIPAA-Compliant Technology & Software

Maintain data security and patient privacy while streamlining billing workflows.

Allergy and Immunology Billing

Why Choose Our Allergy and Immunology Billing Solutions

Partner with a team that understands your specialty, enhances revenue cycles, and reduces administrative burdens, allowing your practice to focus on quality patient care and sustainable growth.

Behavioral Health Billing Illustration

Simplify Allergy and Immunology Billing with Billing Care Solutions

We specialize in managing immunotherapy billing, complex injection coding, and biological medication claims to protect your practice's financial health.

 

Common Allergy and Immunology Billing Challenges

Billing ChallengeBCS Solutions
Managing complex immunotherapy schedules and billingOur team accurately tracks and bills for multi-phase immunotherapy treatments and serum preparations.
Coding for biological drug administration and monitoringWe ensure proper coding and documentation for high-cost biological medications and infusion services.
Navigating CPT codes for complex allergy testing proceduresOur certified specialists accurately apply testing codes for skin tests, challenges, and specialized diagnostics.
Managing ICD-10 coding for immune disorders and reactionsWe precisely code for complex immune deficiencies, autoimmune conditions, and adverse drug reactions.
Navigating prior authorization for specialized treatmentsWe manage the authorization process for biological drugs, immunotherapy, and specialized testing.

Delivering Nationwide Support for Allergy and Immunology Practices

While​‍​‌‍​‍‌​‍​‌‍​‍‌ your practice focuses on taking care of the patients, trust us to deal with the complicated aspects of billing for allergy testing, immunotherapy, and continuous treatment management. Our competent team takes care of accurate coding, speedy claim processing, and fewer administrative tasks so that your staff will be energized and equipped for excellent care delivery. Financial growth of your practice can be not only stable but also sustainable over time with the provision of  ​‍​‌‍​‍‌​‍​‌‍​‍‌reliable billing.

Why Do Healthcare Professionals Choose BCS Medical Billing Services?

rapid -response-time-billing-care-solutions

24/7 Rapid Response Time

practice-health-plan-billing-care-solutions

Practice Health Plan

error-free-billing-billing-cares-solutions

Error Free Billing

fast-revenue-restoration-billing-care-solutions

Practice Health Audit

revenue-boost-billing-care-solutions

Constant Revenue Boost

45%
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Claims Submission Success Rate

99%
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Fast Revenue Restoration

20 Days
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Free Consultantion Call

15 Minutes

Key Codes Used in Allergy and Immunology Billing

Accurate coding helps avoid denials and supports clean claims. This section gives a quick view of common CPT and ICD codes used in allergy and immunology so your team can bill with confidence.

Code TypeCodeDescription
CPT95004Percutaneous allergy testing per allergen
CPT95024Intradermal allergy testing
CPT95115Single injection allergen immunotherapy
CPT95117Multiple injection allergen immunotherapy
CPT95165Preparation of antigens (per dose)
CPT99202–99215Evaluation and management visits
ICD-10J30.1Allergic rhinitis due to pollen
ICD-10J30.5Allergic rhinitis due to food
ICD-10J45.20Mild intermittent asthma
ICD-10T78.40XAAllergic reaction, unspecified
ICD-10L50.0Allergic urticaria

Allergy and Immunology Billing FAQ's

In what way can outsourcing allergy and immunology billing be instrumental in reducing claim denials? +

Claim denials resulting from coding errors, unverified benefits, and missing documentation are quite common. To address this, a specialized team goes through each encounter, checks the rules set by the payer, and audits the claims that are to be submitted, thereby lowering the rates of denials and expediting the payment process.

What billing problems are most frequent in allergy and immunotherapy? +

The primary issues are those that revolve around antigen preparation units, test counts, administration codes, and payer-specific rules for bundled services. A dedicated billing workflow is beneficial in avoiding such errors.

What measures are taken to handle payer rules that vary for allergen testing and immunotherapy? +

We have payer guidelines that are always up to date, coverage is verified prior to treatment and the correct units, modifiers, and documentation are used to satisfy the criteria of each insurer.

Is it possible for you to handle the recurring immunotherapy billing for long term treatment plans? +

Indeed. Recurring plans are monitored for proper dosing, frequency, and to ensure that the charges reflect the services. Updated documentation and the correct units for antigen preparation or injections accompany the billing of each visit.

In what ways do you help allergy testing practices that are of high volume? +

We put in place well-organized coding workflows, verification checks through automation, and testing panels are mapped to the appropriate CPT units so that the high volume of visits can be processed without any difficulty.

How is compliance maintained when billing for allergen immunotherapy? +

Claims are verified against payer guidelines, national coverage policies, and documentation standards. Any differences are detected and prevented from being submitted by taking them to the next level.

Do you handle claims that require detailed clinical documentation? +

Indeed, our staff goes through the physician's notes, testing results, and treatment documentation to make sure that everything is in agreement with the codes that have been billed and the rules of the payer.

How do you manage reimbursement delays for allergy testing or antigen preparation? +

We keep track of all the claims on a daily basis, find the ones that are at a standstill, and then contact the payers for a follow-up. In the meantime, any missing information is resolved promptly, and there is no delay in submitting the corrected claims.

Can you assist with credentialing for allergy and immunology providers? +

Certainly, we handle your entire credentialing and recredentialing process, complete the payer forms, monitor the application timeline, and keep your enrollment active.

What reporting can we expect to track financial performance? +

You are provided with comprehensive reports that detail your charges, payments, denials, aging, and trends throughout the tests, injections, and evaluation visits. These pointers provide great support in making operational and financial decisions.

What Our Clients Say

Trusted by healthcare professionals and organizations nationwide for accurate billing and reliable results.

Client Photo

Jennifer Aaron

Cardiologist, HeartCare Clinic

“Billing Care Solutions offers exceptional billing services with responsive and professional customer support. Their user-friendly system has streamlined our processes and reduced our workload. Any issues were resolved promptly and efficiently. Highly recommended for reliable billing solutions.”

Client Photo

David Lieske

Chief Strategy Officer

“Billing Care Solutions LLC and Adnan Qamar have been assisting our organization with our billing services, and they have performed in a world class manner. Their collaboration with our Revenue Cycle Management Team and Clinical Management has been seamless and professional. Top notch!”

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Linh Tran

Chief Finance Officer, My CHN

“I have been working with Adnan and his team for more than 2 years. They are very knowledgeable in medical billing and very responsive to our needs. Adnan has good contacts with payers reps and familiar with payers’ requirements which help the works done quicker and easier ! I recommend his services to revenue cycle managers ! ”

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Ashley Sahakian

Owner, Express Wellness LLC

“I have experienced nothing but the best service and quick results when it come to their services. They are very friendly, and professional. They have really helped me grow my business! Thank you all so much! God bless!”

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Zahid Mehmood

Manager BD, CRM

“Organised and timely completion of the task. Adnan team handled the project with utmost professionalism and made the whole process seamless from gathering the requirements till completing the enrolment process along with keeping us informed through out the process.”

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Melissa Renteria

CEO, Family Health Center

“Excellent service and quick turn around, knowledgeable and friendly. I have worked with Adnan for years and I have enjoyed it, he is punctual on his projects and very efficient. I highly recommend using his services you won't be disappointed!”

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Emily Kariuki

Owner, Home Health Agency

“Great service. Professional, friendly, people who get the job done. The best”

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Donna Taylor

Manager

“very professional and great customer service. Would highly recommend”

Client Photo

Judy Kariuki

Operations Coordination Manager

“So far, all expectations have been met. Billing Care Solutions work has resulted in fewer billing rejections and increased clients from the marketing efforts. The team has impressed the client with their rapid response and timely service delivery. Billing Care solutions communicates via email, messaging apps, and virtual meetings.”