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AI-powered RCM built for Allergy & ENT practices.
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 & ENT billing is deceptively complex.
We know it cold.
High visit volumes, immunotherapy series billing, and surgical prior authorizations create revenue cycle challenges most generalist RCM vendors aren't equipped to handle. SCALE is.
Immunotherapy Billing Complexity
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.
ENT Surgical Prior Auth Bottlenecks
Sinus surgery, septoplasty, balloon sinuplasty, and tonsillectomy all require intensive prior authorization workflows. Delays stall surgical scheduling, frustrate patients, and leave revenue in limbo.
High-Volume, Low-Margin Denial Risk
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.
End-to-end RCM for every allergy & ENT encounter
SCALE's managed services and AI platform handle the full revenue cycle — so your allergists and ENT surgeons can focus on patients, not paperwork.
Immunotherapy & Allergy Injection Billing
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.
Reduced rework on high-frequency injection claimsENT Surgical Auth Management
Full prior authorization handling for functional endoscopic sinus surgery (FESS), balloon sinuplasty, septoplasty, tonsillectomy, and adenoidectomy — including clinical documentation prep and peer-to-peer coordination.
Faster surgical scheduling, fewer auth delaysAllergy & ENT Denial Management
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.
Powered by DenialShield predictive scoringAudiology & Hearing 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.
Improved charge yield on audiology encountersUp and running in 30 days — with zero disruption
A proven onboarding track built around your existing workflows, EHR environment, and team structure.
Discovery & Audit
We analyze 90 days of claims data to identify immunotherapy billing gaps, surgical denial patterns, and authorization bottlenecks specific to your allergy/ENT practice.
EHR Integration
Seamless connection to your EHR and practice management system — no new software for your team to learn or manage.
Go-Live & Handoff
SCALE's dedicated allergy & ENT team takes over day-to-day RCM operations with transparent reporting from day one.
Continuous Optimization
Monthly performance reviews, payer policy monitoring, and AI-driven recommendations keep revenue growing over time.
Representative results across SCALE clients
Representative results across SCALE Healthcare clients. Individual outcomes vary by organization size, payer mix, and baseline RCM maturity.
Works inside the EHRs your allergists & ENT surgeons already use
- Native integration with Epic, athenahealth, eClinicalWorks, and leading allergy & ENT-specific platforms including Modernizing Medicine EMA
- Real-time eligibility and benefit verification at the time of scheduling
- Automated charge capture directly from clinical documentation
- Bidirectional data sync — no duplicate entry, no manual reconciliation
- HIPAA-compliant data handling with SOC 2 Type II infrastructure
Let's build your Allergy & ENT RCM roadmap together
Book a free 30-minute strategy call with a SCALE allergy & ENT specialist. We'll audit your current denial rates, immunotherapy billing gaps, and authorization backlog — at no cost.
AI-powered RCM built for Allergy & ENT practices.
From allergy immunotherapy billing to sinus surgery prior authorizations and audiology coding, SCALE delivers revenue cycle expertise purpose-built for allergy, asthma, and ENT practices across multi-site and MSO environments.
Built for allergy and ENT groups
Immunotherapy series billing, ENT surgical prior auth, audiology coding, and denial prevention tuned to allergy and ENT claim patterns. SCALE delivers this as a tech-enabled service model, not a software license you staff yourself.
What SCALE manages: immunotherapy billing (serum, injection series, SCIT/SLIT), ENT surgical prior authorization, audiology and hearing aid coding, denial prevention and appeals, and real-time RCM analytics via ShieldAI.
See it against your own data
Bring us a month of claims and denials. We'll show you where the money is going and what we'd do about it - before you sign anything.