Allergy and Immunology Accounts Receivable Services

Before we talk a blue streak about Allergy and Immunology Accounts Receivable Services, it’s time to know about what immunology service is. Immunology primarily deals with restoring and maintaining the healthy biochemical balance of human body. Immunology can be defined as our bodies’ natural ability to recognize and eliminate harmful germs that enter our body. There are two types of immunology – innate and adaptive.

Millions of Americans are affected by allergic diseases and related symptoms. In this era of precise medicine, you frequently deal with difficult conditions like asthma, hives, eczema, nasal polyps, food allergies, antibodies, respiratory conditions and many more. In most cases, cutting-edge technologies and instruments are used to analyze and study different conditions that include:

  • Classical Immunology
  • Clinical Immunology
  • Developmental Immunology
  • Immunotherapy
  • Diagnostic Immunology
  • Evolutionary Immunology
  • Reproductive Immunology

While conducting a wide range of tests and recommending precise medicines are your focus areas, inefficiently managed billing and coding can take a toll on your revenue system.

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When it comes to handling allergy and immunology accounts receivable services, it requires professional expertise for the services rendered. Different insurance companies have different rules for treating allergy and immunology testing and medication. Furthermore, Medicare has a completely different set of guidelines for billing those services. 

In recent times, this particular field has been experiencing substantial growth. While, this growth has majorly increased the volume of medical practices, it has also introduced intricate billing challenges that can negatively impact imbursements if not handled properly.

Research reveals that approximately 41% of adults in the United States carry healthcare debts totaling at least $500 owed to their providers. 

When it comes to efficiently managing denials and plugging revenue leaks, allergy and immunology centers face challenges like

  • Limited resources
  • Budget constraints 
  • Inefficient denial management practices
  • Skilled and experienced A/R practice staffing shortage

One ought to remember, that neglected and aged A/R accounts can seriously impact your cash flow and overall profitability. 

Fortunately, you can avoid losing money from A/R if you outsource allergy and immunology AR services to a competent and skilled specialist. 

This is exactly where our solutions in Accounts Receivable for Allergy and Immunology Practices play a vital role. By trusting our specialized accounts receivable management services, you will be able to streamline your revenue structure efficiently. Furthermore, you can also ensure patient satisfaction by billing them as low as possible.

Outsource Allergy and Immunology A/R Services to Us:

Our expert allergy and immunology accounts receivable services enable you to streamline the most efficient invoicing process. Outsourcing your accounts receivable services ensures the swift creation of accurate invoices, timely follow-ups on existing accounts receivables, and resolution of outstanding claims. Enjoy the benefit of steady cash flow from aged accounts that you might have given up on already. 

Unlike other similar services provided by RCM companies, we always prioritize A/R buckets of more than 90 days to ensure maximum returns for your practice.

By outsourcing allergy and immunology accounts receivable services to us, you will be able to prevent almost 90% of denials. The maximum number of denials happens due to the careless oversight by the regular claims staff. We can assure you that we have billing and coding professionals who boast the best-in-class industry knowledge and are meticulously trained for the best outcome.

A Close Look at Our Allergy and Immunology Accounts Receivable Solutions:

When it comes to ensuring maximized collections for our clients, we strongly focus on A/R follow-ups. We initiate the follow-up process immediately after the provider creates and submits the Health Insurance Claims (Electronic/paper claim or manual HDFA forms) to different payers.

Depending on the transmission type and length of time since submission, we determine our specific follow-up pattern.

Crucial Steps Involved in Our Allergy and Immunology Accounts Receivable Follow-ups:

  • Online Claims Follow-up involves checking the status of outstanding claims through insurance company websites and Internet payer portals
  • Automated Claims Follow-up, via Interactive Voice Response (IVR) systems, entails calling insurance companies to obtain the status of unpaid claims
  • In cases where information is not accessible through these methods, contacting a live insurance company representative provides more detailed reasons for claim denials

Allergy and Immunology Denial Management Services:

A denial can be caused by many different reasons. Our allergy and immunology denial management services involve analyzing the root cause of each case of Immune deficiency diagnosis & treatment denial, and taking corrective action. Some of the causes that we often find are:

  • Authorization challenges
  • Referral discrepancies
  • Requests for medical necessity and records
  • Out-of-network insurance concerns
  • Inaccurate insurance details
  • Coordination of benefits errors
  • Wrong diagnosis
  • Partial payment issues
  • Out-of-network claim verification and deductible matters
  • Electronic Data Interchange (EDI) rejections
  • Lack of claim status and zero field claims
  • Personal Injury Protection

How We Streamline Your Accounts Receivable for Allergy and Immunology Practice

  • Claim correction and resubmission: When it comes to offloading any billing burden from patients, we always prioritize on correcting, modifying and resubmitting claims as corrected ones.
  • Patients’ responsibility: These types of claims involve patients for the final amount. Patients’ bills include in-network deductibles and non-covered benefits as per their insurance plans. Finally, we provide a comprehensive statement to the patients with a clear explanation of outstanding dues.

Key benefits of outsourcing allergy and immunology accounts receivable services to us include: 

  • Achieve a 30% reduction in A/R within a month
  • Proven expertise in tackling challenging, aging A/R cases
  • Each of our A/R specialists brings a minimum of 3 years’ experience
  • Over 7 years of adept claim adjudication experience in the US, resulting in an 80% reduction in your current collection costs
  • Guarantee of 99.9% accuracy and a 97% first-pass rate
  • Recovery of A/R from 00+ day-old buckets
  • Fully compliant with HIPAA regulations
  • No binding contracts; services available in a flexible FTE model
  • Tailored reporting options (Daily/Weekly/Monthly)
  • Dedicated account managers at your service
  • Adherence to the highest productivity standards
  • Extensive list of top-notch references to vouch for our services

Our robust industry experience and domain expertise enable our clients’ experience in the collection by 30-40% while cutting down the operational costs by up to 80%.

If you want to learn more about accounts receivable for allergy and immunology practices, fill up the form below to schedule a free consultation.

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