United Allergy Services is a medical services company that specializes in providing fully-staffed and operational allergy centers inside qualified provider offices. UAS manages the functional aspects of your allergy center and lets you manage the clinical side. You can provide the full array of seasonal and perennial allergy testing and immunotherapy for your patients in your own office.

There is no up-front financial investment required from you. You medically supervise United Allergy Services personnel within the allergy center and make all medical decisions for your patients. United Allergy Services only provides allergy services to the patients that you recommend for allergy testing and that you approve for immunotherapy. You provide space and accommodations for United Allergy Services staff including a full size refrigerator to store medications, phone line, internet access and access to a sink.

United Allergy Services will provide, at its own cost, all personnel, supplies and equipment needed for your allergy center to function smoothly and efficiently. United Allergy Services has also invested heavily in the training of our Certified Clinical Allergy Technicians/Specialists (CAT/CAS). They are trained in the latest techniques for allergy testing and meet or exceed Federal Standards for allergy testing. The CAT/CAS is certified through a rigorous program by the University of the Incarnate Word (UIW). UIW is an accredited university, nationally recognized for its healthcare degree programs and certifications.

You maintain total control of cash flow. Insurance companies will pay you in the same manner as they do currently. You will continue to receive insurance reimbursements and collect patient co-pays for services rendered. United Allergy Services will then assist with the revenue cycle process and invoice you for services provided to you and your patient’s incident to and under the supervision of the healthcare provider.

You, the provider, will determine which patients are candidates for allergy testing and immunotherapy services. You will manage all medical decisions and supervise the clinical aspects of the allergy center.

Because United Allergy Services only provides services upon your request, you and your staff must facilitate patient identification and scheduling. You will also need to provide assistance with the collection of patient data to confirm medical necessity, as well as administrative help processing and communicating with payers regarding insurance benefits and payments.

United Allergy Services provides training for administrative and clinical staff. Training includes information about immunotherapy science and regulatory requirements. We also do extensive training with the providers and providers on site. We will go over step-by-step what is required of you and how we will integrate into your practice.

United Allergy Services (UAS) will provide ongoing continuing education for UAS staff and for providers. United Allergy Services will manage and support all administrative and technical requirements of the allergy center. The local United Allergy Services Account Manager assigned to your practice will work with your staff on a daily basis to ensure a successful partnership.

United Allergy Services will provide you with patient education and marketing materials for your office in order to communicate to your patients. We also work closely with your practice to assist in other marketing programs such as print, online, broadcast and television advertising, direct mail campaigns, media communications and signage.

Designing and implementing allergy immunotherapy protocols is within the scope of practice for MDs and DOs. Most mid-level practitioners may also supervise the preparation of the immunotherapy serum. This may vary based on individual state guidelines and health plan policy.

The typical immunotherapy patient suffers from seasonal environmental allergies. Further, the immunotherapy patient may have only experienced partial benefits or had unsuccessful experiences with standard allergy medications that failed to provide a solution. Finally, the patient needs to be willing and capable of complying with the requirements of an immunotherapy program.

Under provider supervision, the CAT/CAS performs skin (prick) testing for seasonal and perennial allergens (including dust mites, weeds, trees, grasses, molds, pet dander and cockroach). Skin (prick) testing creates a IgE mediated reaction on the surface of the skin that can be measured and these positive results create the basis for the discussion of “avoidance therapy” and the formulation of individualized allergen immunotherapy vials.

After the patient has tested positive for various antigens, the provider examines the test results for clinical significance. Then, if the provider and the patient choose, the CAT/CAS prepares the customized immunotherapy specific to each patient. The immunotherapy is administered subcutaneously either in the office or the patients can also safely self-administer at home, if the provider deems it appropriate through United Allergy Services guidelines.

The exclusion criteria in part consists of a history of severe allergic reactions, or uncontrolled asthma, the use of beta blockers, pregnancy, the use of immunosuppressant medications (e.g. chemotherapy etc.), uncontrolled hypertension or significant cardiopulmonary disorders (e.g. CHF, MI, cardiac arrhythmias or moderate to severe COPD), and those with extensive atopic dermatitis or psoriasis may not be good candidates for immunotherapy. An extensive allergy history will be taken on each patient before commencing allergy testing and immunotherapy.

An ear, nose, and throat exam is performed by the provider and the provider determines if testing is medically appropriate. If the patient is currently taking antihistamines, he/she should discontinue usage prior to testing based on the time it takes for the medication to metabolize out of the patient’s system and on the provider’s clinical judgment.

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