FREQUENTLY ASKED QUESTIONS

The typical immunotherapy patient suffers from seasonal environmental allergies. Further, the immunotherapy patient may have only experienced partial benefits or had unsuccessful experiences with OTC allergy medications and Corticosteroids that only mask the issue for a short period of time and leaving the patient with no hope for a long-term solution to their allergy symptoms. Finally, the patient needs to be willing and capable of complying with the requirements of an immunotherapy program.

There is no up-front financial cost required from you. You medically supervise Allergy Tomorrow Services personnel within the allergy program and make all medical necessity decisions for your patients. Allergy Tomorrow only provides allergy services to the patients that you deem medically necessary for allergy testing and that you approve for immunotherapy. You provide space and accommodations for Allergy Tomorrow staff including a phone line, internet access and access to a sink.

Allergy Tomorrow Services will provide, at its own cost, all personnel, supplies and equipment needed for your allergy program to function smoothly and efficiently. Allergy Tomorrow Services has also invested heavily in the training of our Allergy Technicians. They are trained in

the most current techniques for airborne allergy testing and meet or exceed Federal Standards for allergy testing.

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

All billing is done through the practice. You maintain total control of cash flow reimbursements. Insurance carriers 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. Allergy Tomorrow will then assist with the revenue cycle process and invoice you for services rendered to you and your patient, incident to and under the supervision of the healthcare provider.

Our goal is to not put any additional burden on your office staff. We ask, that your staff facilitate patient benefits verification, identification and scheduling of those established patients deem medically necessary for airborne allergy testing. During the triage process of that identified allergy patient, the allergy technician will collect the established patient data to confirm medical necessity.

Allergy Tomorrow Services provides training for your administrative and clinical staff. Training includes information about airborne allergy testing and immunotherapy science and current regulatory requirements. We also do detailed training with the onsite providers. We will go over step-by-step of what is required of you and how we will integrate into your practice.

Designing and implementing airborne 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.

Under provider supervision, the allergy technician performs skin (prick) testing for seasonal and perennial allergens (including dust mites, weeds, trees, grasses, molds and pet dander). Skin (prick) testing creates an IgE mediated reaction on the surface of the skin that can be measured, and these positive results create the basis for a focused discussion of the correlation of signs and symptoms, diagnosis and the formulation of individualized allergen immunotherapy.

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 Allergy Technician 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 Allergy Tomorrow Services guidelines.

An ear, nose, and throat exam are performed by the provider and the provider determines if testing is medically necessary. If the patient is currently taking antihistamines, he/she should discontinue usage 3-5 days 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.

Allergy Tomorrow performs an airborne allergen study of the top allergens, geographically specific to the area, proven to trigger chronic allergy and contributing issues related to allergy.

Yes, immunotherapy is very effective in greatly decreasing or even eliminating the symptoms of airborne allergies. Up to 85% receive a complete desensitization or a noticeable reduction in allergy signs and symptoms.

American Academy of Allergy Asthma and Immunology has reported Allergies are considered an epidemic in US due to the shortage of the specialty of Allergists to effectively treat the population of sufferers. ACAAI considers allergies the 6th leading chronic disease in Adults and 3rd leading chronic disease in children. 50 plus million people suffer from allergies each year that never receive effective care. That equates to an estimated 18 billion in annual wasted healthcare cost.

This equates to 1 out of 5 people in the US needing treatment for allergies.

We at Allergy Tomorrow want to do our part in educating and assisting your practice in identifying, retaining and effectively treating your patient population in this fight to treat the masses of Allergy sufferers and facilitate adding that new revenue stream to your practice

Allergy Tomorrow Services will work closely with your practice to assist in marketing programs such as print, online, broadcast and television advertising, direct mail campaigns, media communications and signage.