GENERAL USE DISCLAIMER

 

Nationwide Allergy is not a licensed medical coder or biller. While any provided examples represent our best efforts to deliver accurate information, we cannot guarantee their accuracy. Since CPT®, ICD-10-CM, and HCPCS codes often change annually, users should reference the most current CPT®, ICD-10-CM, and HCPCS manuals and adhere to the Documentation Guidelines for Evaluation and Management Services for the most up-to-date information. It is essential to contact individual payors, including commercial insurers, Medicaid, Medicare, or others, for guidance on current and compliant billing practices. Any information provided by Nationwide Allergy is derived from publicly available sources. Nationwide Allergy cannot guarantee the accuracy of this information, and its use does not imply any assumption of liability or responsibility for reimbursement, legal compliance, or billing and coding services. Nationwide Allergy has no involvement in billing outcomes and disclaims any responsibility for denial of reimbursement. This information is intended for informational purposes only. Current Procedural Terminology (CPT©) is copyright and trademarked by the American Medical Association (AMA), 2016. All rights reserved. No fee schedules, basic units, relative values, or related listings are included in CPT©. Nationwide Allergy assumes no liability for the data contained herein. All medical coding must be supported by documentation and medical necessity must be determined solely by the rendering provider. Any comments, information, or education provided by coding specialists or staff sourced by Nationwide Allergy reflect their current understanding of CPT®, ICD-10-CM, HCPCS codes, and claims modifiers but do not represent official Nationwide Allergy opinions or recommendations. The information provided is intended as general guidance only. Ultimately, it is the provider’s responsibility to determine medical necessity and correctly submit appropriate codes, charges, and modifiers for rendered services. Coverage and payment requirements for government and private payors are complex, variable, and subject to frequent changes. Any billing-related information from Nationwide Allergy or its staff should be treated as general information only, and Nationwide Allergy cannot guarantee the appropriateness of use or likelihood of reimbursement for any specific code. Information provided by Nationwide Allergy and its staff is not a substitute for professional medical and/or legal advice. Providers should consult independent qualified professionals for legal, coding, or compliance guidance. Nationwide Allergy does not warrant or accept responsibility for services provided by third-party vendors. All third-party vendors are independently responsible for their own work.

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The Mixing Log Template is intended solely for use by the medical practice or practitioner to whom it is addressed. Nationwide Allergy Arizona, LLC provides consulting services and facilitates access to a sterile compounding pharmacy that supplies allergens for allergy immunotherapy to be mixed by licensed practitioners. The provided Mixing Log Template is a reference document designed to assist in meeting documentation requirements for allergy immunotherapy preparation and administration. Once completed by your office, it constitutes your official Mixing Log, and it is your sole responsibility to accurately complete, verify, and maintain this document. While Nationwide Allergy Arizona, LLC strives to ensure accuracy in information regarding source allergens (including their names, producers, lot numbers, and expiration dates), it remains your office’s responsibility to verify all information before submission to third parties, including insurance payors. Practices must properly document: Number of units mixed, Dates of service, Dates of mixing. Nationwide Allergy recommends regular internal audits to ensure accuracy and compliance. Nationwide Allergy Arizona, LLC disclaims all liability for errors, omissions, or inaccuracies in the completed Mixing Log or for any claims, billing submissions, or reimbursement denials related to its use. The use of this document is voluntary and at the discretion of your office. It is your office’s responsibility to ensure that all documentation complies with federal, state, and local laws, as well as pay or specific requirements. Nationwide Allergy Arizona, LLC does not oversee, supervise, or assume responsibility for the actions of third parties, including: Sterile compounding pharmacies, Insurance payors and others. Any errors arising from third-party actions or documentation must be addressed directly with those entities. Nationwide Allergy Arizona, LLC serves strictly as a consulting service and a conduit to facilitate access to a sterile compounding pharmacy. We do not directly provide or prepare allergens and do not dictate how your office prepares or administers allergy immunotherapy. Use of the Mixing Log Template or any guidance from Nationwide Allergy does not establish a legally binding relationship beyond consulting services. By using the Mixing Log Template provided by Nationwide Allergy Arizona, LLC, your office acknowledges and agrees to these terms and assumes full responsibility for: Accurate completion, Submission, and Regulatory compliance If you have any questions regarding completion of the Mixing Log or billing/documentation requirements, consult your legal or compliance advisor.