Get Ready for Unstoppable Success
Managing a nephrology practice is no easy task. The complexity of CKD care, long-term treatments, and coordination with multiple providers often leads to nephrology billing challenges that slow down or stall claims. Working without dialysis billing experts won’t cut the mustard. You need a professional nephrology billing company that ensures accuracy in types of claims, including ESRD and dialysis.
Is your nephrology practice fully compliant with ever-changing federal and state billing laws?
A study shows that 26% of renal claims sent to CMS are either denied due to compliance issues or are never submitted. That’s like a massive hit on the bottom line for nephrology practices.
But with our renal care billing services, you avoid the stress of financial penalties and can enjoy a revenue boost of up to 35%. We take tenfold precautionary measures to protect you from internal and external revenue bleeding with our AI-Powered denial prevention and automated claim submission tools.
Results that take your nephrology practice beyond limits, toward unstoppable growth.
Dialysis billing is one of the most complex parts of nephrology practice. It’s riddled with confusing codes, ever-changing CMS rules, including 2025 ESRD PPS updates, bundled drug policies, dialysis session supervision, outlier thresholds, and detailed documentation requirements that make even the most experienced staff pause.
But what if we tell you our nephrology billing company has already untangled the knots by working with 300+ dialysis centers? We master all types of dialysis billing and codes, including hemodialysis and peritoneal dialysis: experience 5x accurate dialysis claims management services with us.
While working on your kidney care billing and claims, we ensure all payer rules are applied accurately (like CKD stage codes), bundled and non-bundled dialysis procedures are coded carefully (including CPT 90935–90999). Every necessary modifier is included, leaving no room for errors or denied claims.
For fast, accurate nephrology billing & coding services, we guarantee
Nephrology-focused billing support
Detailed mapping of procedures and diagnoses for accurate claims
AI scrubbing to eliminate coding errors
Accurate ICD-10 coding
Continuous compliance training for our in-house billers
Diagnosis-focused coding to reduce denials
Did you know the average nephrology practice has faced a 9% drop in reimbursements over the past five years? Our outsourced nephrology billing prevents shrinking reimbursements from affecting your practice, as our strategies deliver one thing: growth.
Common Nephrology Medical Billing CPT Codes
1 CKD Evaluation & Management
| CPT: | 99211–99225 |
2 Dialysis Services
| Hemodialysis (HD): | 90935–90940 |
| Peritoneal Dialysis (PD): | 90970–90988 |
| Comprehensive Dialysis Services: | 90951–90970 |
3 Vascular Access Procedures
| CPT: | 36000–36598 |
4 Renal Biopsy
| CPT: | 75872, 75873 (imaging guidance for procedures) |
| CPT: | 50200 (surgical biopsy) |
5 50010–50593
| CPT: | 50010–50593 |
6 Kidney Transplant
| Transplant Surgery: | 50360, 50365 |
| Other Related Codes: | 58560, 62140 |
| Post-Transplant Follow-up (E/M): | 99211–99225 |
We enter all billable charges for dialysis, E/M visits, procedures, and surgeries. Our system integrates with EHR/EMR platforms to eliminate duplicate entries and maintain correct CPT-to-diagnosis mapping.
To avoid delays, we perform comprehensive insurance verification to ensure that every patient’s coverage is accurate and up to date before services are rendered to avoid claim rejections.
Our team of certified coders applies accurate nephrology-specific ICD-10, CPT, and HCPCS codes for nephrology procedures and precise claim submissions. We offer all CKD coding solutions.
We utilize RPA bots for claim submission. We ensure all payer-specific rules and nephrology coding guidelines are followed to maintain accuracy. Our AI dashboards provide real-time claim tracking, enabling instant visibility into the acceptance or rejection of claims.
Our experts accurately post electronic payments from insurers and patients, recording adjustments, write-offs, and patient responsibility with precision. We maintain a clear and balanced accounts receivable record.
We monitor outstanding claims and follow up promptly with payers to resolve delays. Denied or underpaid claims are analyzed using predictive analytics, corrected, and resubmitted with proper documentation. Our approach minimizes revenue leakage, prevents recurring denials, and ensures timely reimbursements.
We Deliver the Results We Promise
Reduction in AR
Increase in Collection Ratio
Clean Claim Rate
Still relying on paperwork for renal care billing? In 2025, nephrology billing demands more. Without automation, you face denials, compliance risks, documentation errors, and lost revenue. Our RCM outsourcing combines RPA for repetitive tasks, AI for coding accuracy, and pre-error detection.
We give you the freedom to continue with your preferred EHR/EMR while our AI-powered system easily integrates with your practice EHRs.
Choose Dastify Solutions
From compliance management to end-to-end RCM, we do it all for nephrologists. Our benefits include
We master every aspect of nephrology billing, delivering solutions for dialysis centers, hospitals, private practices, and clinics. Our team provides tailored, professional billing services explicitly designed for nephrologists.
Looking for a comprehensive and cost-effective RCM solution? We offer fully integrated, end-to-end revenue cycle management that boosts your revenue and gets you paid easily.
We ensure that every claim adheres to HIPAA, CMS, and payer-specific regulations, maintaining full compliance across both government and commercial insurers. Our team stays up to date with rules from Medicare, Medicaid, and private payers like BCBS, Aetna, Humana, UnitedHealthcare, and others.
Looking for a bird's-eye view to gain insights about your practice? We help you achieve that with our intuitive dashboard design, where you can track your claims, payments, and overall billing performance in a few clicks.
When Dastify Solutions connects with you, you can see a visible difference in your revenue. Our coding experts and AI-powered solutions minimize errors, boosting your revenue by up to 35%.
We believe in full transparency: no long-term contracts, no hidden fees, and no surprises. You pay only for the services you need, with clear, upfront pricing that aligns with your renal practice goals and budget.
Our renal care billing services for clinics and hospitals provide dedicated support and care. Your account manager keeps strong follow-ups, monitors AR, and ensures your billing never misses a beat.
We provide an ESRD bundled payment model with comprehensive tracking, reporting, and quality metrics fully aligned with KDOQI guidelines.
Need help with MIPS and MACRA reporting? We handle it all to keep your practice compliant and maximize your incentives.
Fully Covered Across All 50 States
Dialysis Nephrology
Pediatric Nephrology
Interventional Nephrology
Transplant Nephrology
Renal Pathology
Our Satisfied Clients
Discover how physician groups thrive with us.
Frequently Asked Questions
Nephrology billing is considered particularly complex due to the nature of kidney-related healthcare and the diversity of treatments involved. Here’s a clear breakdown of why it’s so challenging:
Reducing denials in nephrology claims management requires:
Nephrology practices often face challenges such as:
Outsourcing nephrology billing offers several advantages. Especially when you are working with us, including:
No matter your specialty or location, we handle billing nationwide so your practice thrives effortlessly.
