Allergy and Immunology Billing Services in Shreveport, Louisiana

Allergy and immunology is a unit-counting and buy-and-bill specialty first, and an office-visit specialty a distant second. Skin and intradermal testing is reported per individual test, with the unit count tied to the number of tests actually performed and held inside each payer's annual cap and MUE. Bill that as a single panel unit and you underpay yourself on every testing day; bill above the Novitas ceiling and you invite a takeback. Neither error shows up until the remittance does.

Antigen preparation is its own revenue center governed by the dose rule: the preparation line is billed from the mixing log, one cc per dose, ten billable doses per multidose vial for Medicare, and venom immunotherapy priced by the number of venoms rather than by vials. That single antigen-preparation unit is the most-audited line in the entire specialty, and clinical-judgment dosing that drifts from the log is a recoupment and False Claims Act exposure waiting to happen. We separate the prep code from the injection-administration code because they are distinct services, bill the administration once for two-or-more injections rather than multiplying it, and only bill the antigen line when your practice actually prepared the vial.

Biologics for severe asthma and chronic urticaria are where a Shreveport practice wins or bleeds tens of thousands of dollars a year. The HCPCS unit math has to be exact, the JW or JZ discarded-drug modifier has to sit on every single-dose vial, and prior authorization has to be confirmed before the drug is ever pushed. We verify the medical-versus-pharmacy benefit routing up front so a $30,000-a-year drug does not administer against the wrong benefit. Modifier 25 goes only on a genuinely distinct, documented same-day evaluation and management service, never on a routine shot, and non-covered testing such as large IgG food-sensitivity panels is screened to an ABN or patient-pay conversation before it is ever submitted. As a professional allergy and immunology billing services provider in Shreveport, that discipline is our default, not an upsell. You can compare it against our allergy and immunology billing overview or our approach to allergy and immunology billing in Louisiana.

Outsourcing allergy and immunology billing services in Shreveport only pays off if the partner stops the specialty-specific denials before they post. Here is the short list we work every day.

The practices that outsource to us usually do it after one bad audit or one quarter of biologic denials that never got worked. Handing the function to a medical billing services company that already knows the 95165 dose rule and the Healthy Louisiana prior-auth maze is faster than training an in-house biller into that knowledge. As your billing services company, we run eligibility and verification of benefits, prior authorization on every biologic, per-test and per-dose unit reconciliation, clean-claim submission within 24 hours, denial management, and appeals, all visible to you through a free 360-degree dashboard.

The numbers we hold ourselves to are the ones that matter to a Shreveport allergy practice: a 99% first-pass clean-claim rate, roughly 99% net collection, days in A/R under 25, up to 40% fewer denials, and up to 90% denial recovery on the accounts we appeal. We have run revenue cycles since 2005, more than twenty years, we are HIPAA compliant and SOC 2 Type II audited, an HBMA member staffed by AAPC and AHIMA certified coders, and we keep a 98% client retention rate with a dedicated account manager on every account. You can also route work through our prior authorization services and denial management services as standalone support.