RCM for Allergy & Immunology: Protecting Every Unit of Antigen
The Allergy Specialist Advantage
While general billing companies struggle with the nuances of Modifier -25 and CPT 95165 (Antigen Preparation), Kovo RCM delivers specialized expertise to capture every unit of revenue. In 2026, we are helping office-based allergists capitalize on the +8% Medicare reimbursement increase for non-facility practices.
Get Your Free 2026 Allergy Revenue Analysis
Master Medical billing
Navigate the complexities of Allergy & Immunotherapy billing. Kovo ensures accurate coding, compliance, and claim submissions designed specifically for these specialties.
Simplify every stage
From scheduling to reimbursements, Kovo streamlines every step of the billing cycle, reducing administrative work for your team and enhancing overall efficiency.
Maximize every payment
Kovo optimizes claims management to secure maximum reimbursements, helping your practice focus on delivering exceptional care while improving revenue flow.
| The Challenge | The "Generalist" Approach | The Kovo RCM Solution |
|---|---|---|
| Antigen Pricing (95165) | Missing the 45% increase in 2026 antigen supply cost inputs. | Automatic updates to reflect the new $13.00/mL direct cost input per 2026 CMS guidelines. |
| Services | Automatic bundling of E/M visits with skin testing or injections. | Mastery of Modifier -25 and -59 to ensure separate, significant services are paid. |
| 2026 ICD-10 Specificity | Frequent denials for non-specific food allergy codes. | Experts in bundled payment models for total joint replacements. |
| Biologic Prior Auth | Costly delays in high-value biologics (Xolair, Nucala, etc.). | Dedicated prior authorization teams that secure 90-day continuity during insurer transitions |
Our Specialized Allergy & Asthma Workflow
We track vial preparation versus administration codes (95144–95170) with surgical precision, ensuring the number of doses billed matches the preparation logs.
We prevent under-billing by meticulously counting individual skin prick (95004) and intradermal (95024) units, which generalists often cap incorrectly.
We help you meet the new 2026 HEDIS AAF-E measure (Follow-Up After Acute Care for Asthma) to ensure your practice maximizes performance-based incentives.
Specialized implementation of new 2026 RPM codes (99445, 99470) to capture revenue for digital peak flow and symptom monitoring.
Explore Our Key Services
Streamline Your Practice with Expert Support
Whether you’re looking for reliable credentialing or a comprehensive medical billing audit, we've got you covered. Let us simplify your processes so you can focus on patient care.
Exclusive Kovo RCM Services For Every Valued Allergy & Immunotherapy Practice We Serve
Efficient billing, coding, and compliance support go without saying. But we go above and beyond.
Receive the personal touch of a consistent account manager. Your dedicated partner ensures every claim, report, and question is handled promptly, giving you a single point of contact who knows your practice inside and out.
We don’t stop at filing claims, we work them until they’re paid. Our billing team aggressively tracks unpaid claims, identifies patterns in denials, and appeals quickly to recover lost revenue and protect your bottom line.
You know anesthesia. We know anesthesia billing and revenue recovery.
Feel confident in our performance with clear reports and communication. Stay informed with weekly updates, monthly summaries, and open access to performance metrics - no surprises, no guessing.
Receive actionable data insights that allow you to gauge the health of your practice and opportunities for growth. Our intuitive dashboards visualize revenue trends, payer mix, and collection ratios so you can make informed business decisions instantly.
As a HIPAA-compliant, HBMA-accredited, and highly 5-star-reviewed company, Kovo is a thoroughly trusted partner to dozens of medical practices throughout the country.
Everything you need from medical billing software. Learn why medical billing companies trust Kovo RCM.
Don’t let documentation gaps or outdated antigen pricing cost your practice.
Partner with the experts who specialize in Allergy, Asthma, and Immunology.
Optimize Your Allergy Billing Today!
