From allergy immunotherapy billing to sinus surgery prior authorizations and audiological coding — SCALE delivers revenue cycle expertise purpose-built for allergy, asthma, and ENT practices across multi-site and MSO environments.
Allergy serum, injection series & SCIT/SLIT coding
Sinus surgery, tonsillectomy, septoplasty & balloon sinuplasty
Audiometric testing, ABR, and hearing aid coding
Payer-specific workflows for allergy & ENT claim disputes
Live dashboards via SCALE's analytics platform
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Allergy injection series, serum preparation, and SCIT/SLIT protocols involve layered CPT coding that's easy to underbill — and payers scrutinize these claims closely for bundling and frequency violations.
Sinus surgery, septoplasty, balloon sinuplasty, and tonsillectomy all require intensive prior authorization workflows. Delays stall surgical scheduling, frustrate patients, and leave revenue in limbo.
Allergy and ENT practices often run high visit volumes with thin per-encounter margins — making denial rates and clean claim performance disproportionately impactful on overall financial health.
Core Service
We manage the full billing lifecycle for allergy testing, serum preparation, and injection series — including SCIT and SLIT protocols. Our team understands the CPT bundling rules, frequency limitations, and documentation requirements that get these claims paid correctly the first time.
Core Service
Technology handles routine tasks — eligibility checks, claim scrubbing, coding flags, and denial prediction — at scale and without manual intervention.
Denial Recovery
Specialized denial workflows with payer-specific appeal templates covering the most common allergy and ENT denial categories — medical necessity, bundling disputes, frequency limitations, and modifier issues.
Specialty Coding
Accurate coding for audiometric evaluations, ABR testing, vestibular assessments, and hearing aid dispensing — a frequently miscoded revenue stream that SCALE captures correctly across ENT and audiology practice settings.
Automation handles volume and velocity. Our experts handle exceptions, edge cases, and strategic optimization — creating a closed-loop system that continuously improves performance over time.
Representative results across SCALE Healthcare clients. Individual outcomes vary by organization size, payer mix, and baseline RCM maturity.
Reduction in average days to pay across SCALE-managed client portfolios
Reduction in average days to pay across SCALE-managed client portfolios
Reduction in A/R aging beyond 90 days through proactive denial management
Reduction in overall denial rates powered by DenialShield predictive scoring
