Allergy and immunology practices have one of the most distinctive billing patterns in medicine: testing visits, immunotherapy build-up schedules, maintenance shots, and biologic treatments for asthma — each billed on its own rhythm. Getting the build-up vs. maintenance distinction wrong is one of the most common allergy billing errors. Fast Billing Solutions provides allergy/immunology billing services in Long Island, NY for practices across Nassau and Suffolk counties from our office at 68 South Service Road in Melville, NY.
Testing codes, shot schedules, and biologic authorizations are the details that make allergy billing work. We handle the details. Let’s talk about your practice.
Allergy Billing Built Around Testing, Shots, and Biologics
Allergy billing runs on schedules. Testing is billed per test with specific codes for skin prick, intradermal, and patch testing. Immunotherapy build-up is billed differently from maintenance — and mixing them up is an instant denial. Biologics for severe asthma need prior authorizations and exact unit billing. Our coders know the allergy billing rhythm: what happens at each visit type, how it’s coded, and how payers want to see it.
Common Allergy Billing Problems We Solve
- Build-up vs. maintenance billing errors — immunotherapy phases billed per the schedules payers require.
- Testing code mistakes — skin prick, intradermal, and patch tests coded per test, not bundled.
- Biologic authorization denials — asthma biologics authorized with the clinical documentation payers demand.
- Missed shot visit billing — injection-only visits captured instead of overlooked.
- Spirometry and testing gaps — pulmonary function and other diagnostics billed with proper components.
Full Revenue Cycle Management for Allergy Practices
Our revenue cycle management for allergy and immunology covers testing, shots, and biologics:
- Insurance eligibility and benefits verification
- Prior authorizations for biologics and testing
- Allergy-specific coding and charge entry
- Claim scrubbing and clean submission
- Payment posting and reconciliation
- Denial management and appeals
- AR follow-up on unpaid and aging claims
- Patient statements and balance follow-up
- Provider credentialing and re-credentialing
- Monthly reporting in plain English
We Bill the Full Range of Allergy and Immunology Services
New patient and follow-up visits, allergy testing (skin prick, intradermal, patch), immunotherapy build-up and maintenance, sublingual immunotherapy, biologic treatments for asthma and atopic conditions, spirometry, food challenge testing, and eczema and urticaria management. If your practice does rush immunotherapy or cluster schedules, we bill those correctly too.
Serving Allergy Practices Across Long Island
From 68 South Service Road, Melville, NY 11747, we support allergy and immunology practices throughout Nassau County and Suffolk County. Local, reachable, and familiar with the payers your patients carry. Explore our medical billing services across Long Island.
Why Long Island Allergy Practices Choose Fast Billing Solutions
- Allergy coding specialists — testing schedules, shot billing, and biologics handled by experts.
- Shot schedules billed right — build-up and maintenance distinguished correctly.
- Denials worked daily — rejected claims reviewed, corrected, and resubmitted or appealed.
- One dedicated contact — a real person who knows your providers and your payers.
- Transparent monthly reporting — billed, paid, denied, and collected, clearly presented.
Frequently Asked Questions
What’s the difference between build-up and maintenance billing?
Build-up is the phase where shot doses increase toward the maintenance level, and it’s billed per injection with the serum billed separately. Maintenance is the steady-state phase billed per visit. Payers require the phases to be distinguished — we code each visit for the phase the patient is actually in.
Can you bill allergy testing correctly?
Yes. Skin prick, intradermal, and patch testing each have per-test codes with payer-specific limits. We code the testing actually performed and appeal when payers apply the wrong limits.
Do you handle biologic authorizations for asthma?
We verify coverage, submit authorizations with the required clinical documentation, and manage re-authorizations — plus bill the drug with exact units when it’s administered in your office.
What does allergy billing cost?
Typically a percentage of collections, based on your patient volume and shot schedule activity. Get an instant quote for pricing specific to your practice.
How quickly can you take over?
Most allergy practices transition within a few weeks. We learn your testing protocols, your shot schedules, and your payer mix, then start clean billing while working down any backlog.
Ready for Allergy Billing That Follows the Right Schedule?
Testing, shots, biologics — all billed on the right schedule. Talk to an allergy billing team on Long Island.
