Charge Entry
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 correct diagnosis mapping.
Nephrology Billing Services
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. Our professional nephrology billing company ensures accuracy across claim types, including ESRD and dialysis.
Telehealth & Home Dialysis BillingHIPAA & CMS ComplianceESRD & CKD Billing ExpertiseAudit-Ready Documentation
Our Nephrology Billing Company Fixes Compliance and Speeds Up Your Revenue
Renal billing challenges can significantly impact revenue for nephrology practices. Our renal care billing services help reduce preventable denials through AI-powered denial prevention and automated claim submission tools, ensuring more accurate and timely reimbursement.
Our specialty-specific nephrology billing solution includes:
AAPC/ CPMA certified billers
RPA for faster operations
Support EHR/EMR integration (Epic, Cerner, Meditech, etc.)
Detail-driven clinical documentation
Strategy for 30/60/90+ day AR aging buckets
No More Revenue Loss: Dialysis, CKD, and ESRD Billing Solutions
Dialysis billing is complex, with ever-changing CMS rules, bundled payments, and strict documentation. Our nephrology billing company ensures that every service is coded accurately, that claims are compliant, and that reimbursements arrive quickly, so you can focus on patient care, not on lost revenue.
What this means for you:
Fewer denials and faster reimbursements
Accurate capture of dialysis, CKD, and ESRD services
Proper handling of bundled payments and consolidated billing
Clean, compliant claims that stand up to audits
More predictable revenue without constant follow-ups
Our HIPAA-Compliant Nephrology Medical Billing Services
Insurance Verification
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, preventing rejections.
Medical Coding (ICD-10, CPT, HCPCS)
Our team of certified coders applies accurate nephrology-specific ICD-10, CPT, and HCPCS codes to procedures and ensures precise claim submissions.
Claim Submission
We utilize RPA bots for claim submission. Our AI dashboards provide real-time claim tracking, enabling instant visibility into claim acceptance or rejection.
Payment Posting
We accurately post insurer and patient payments, including adjustments, write-offs, and patient responsibility, keeping your accounts receivable clear and balanced.
AR & Denial Management
We monitor outstanding claims and follow up promptly with payers to resolve delays. We monitor unpaid claims with predictive analytics and resubmit them with proper documentation.
Expert Kidney Transplant Billing for Every Claim
| Billing Challenge | How We Solve It for You |
|---|---|
| ESRD PPS (Bundled Payments) | We handle all bundled vs. non-bundled dialysis services, capture outlier payments, and prevent costly errors. |
| Home Dialysis (HHD & PD) | Our experts apply the correct home dialysis codes and payment adjustments, including training sessions. |
| CKD Staging & HCC Coding | We check every CKD claim for the correct stage, preventing under-coding and maximizing reimbursement. |
| Vascular Access Procedures | Accurate coding for AV fistulas, grafts, catheters, and dialysis interventions, with global period tracking. |
| Medicare Secondary Payer (MSP) Coordination | We track each patient's 30-month ESRD coordination period and bill the correct primary payer each time to avoid denials. |
AI-Powered Nephrology Billing Solutions — Keeping Everything in One Place
Still relying on paperwork for renal care billing? Today,, nephrology billing demands more. Our RCM outsourcing combines RPA for repetitive tasks, AI for coding accuracy, and pre-error detection.
Seamless EHR Integration
Direct patient data transfer eliminates redundant entry and reduces errors.
RPA Automation
Digitize repetitive tasks for faster turnaround times and operational efficiency.
Advanced Analytics
Provides insights into payer trends, revenue cycle gaps, and compliance risks.
Scalable Support
Built for nephrology practices, multi-physician groups, and large national nephrology networks.
Advanced Scrubbing and Error Detection
Advanced AI tools to scrub your claims not once but twice, eliminating any chance of errors.
Intuitive Dashboards
Track your claims, payments, and overall billing performance in a few clicks.
Increased Revenue
AI-powered solutions minimize errors, boosting your revenue.
Value-Based Services
Support the ESRD bundled payment model and quality metrics aligned with KDOQI guidelines.
Mastering Every Inpatient and Outpatient Billing Code
We don’t just bill these codes; our home dialysis billing excerpts make sure nothing gets missed, so every visit, session, and procedure is accurately billed.
| Code | What It Covers | Why It Matters for Your Practice |
|---|---|---|
| 90951–90962 | ESRD monthly dialysis care | Core of nephrology revenue; missing visits or miscounts directly reduce monthly payments |
| 90935 / 90937 | Hemodialysis sessions (non-monthly billing) | Ensures you're paid correctly when not billing under ESRD monthly services |
| 99202–99205 | New patient visits | Prevents undercoding of complex CKD and referral cases |
| 99211–99215 | Follow-up visits | Keeps routine CKD care properly billed and consistent |
| N18.3–N18.6 | CKD Stage 3–ESRD | Most commonly used stages, critical for medical necessity and approvals |
| Z99.2 | Dialysis dependence | Required to support ESRD claims and avoid denials |
| 36821 / 36830 | AV fistula & graft procedures | High-impact procedures where coding errors lead to major revenue loss |
Serving Dialysis Practices Nationwide — Multiple States
Do you need state-specific or payer-specific coverage for nephrology billing services in the USA? Talk to us! Our affordable nephrology billing outsourcing services cover every state, including:
- Texas
- California
- New York
- Florida
- Illinois
- Washington
Pennsylvania
We Cover Your Specialty
- Dialysis Nephrology
- Pediatric Nephrology
- Interventional Nephrology
- Transplant Nephrology
- Renal Pathology
- More
Questions Answered
How can I avoid claim denials?
Denials usually happen when paperwork isn’t complete, the wrong codes are used, or claims are submitted late. Keep clear, detailed records of every visit, dialysis session, or procedure. Use current CPT and ICD-10 codes, and double-check what each insurance requires. Training your billing staff regularly helps everyone stay on top of updates. Reviewing rejected claims carefully can also prevent the same mistakes from happening again.
How is in-center hemodialysis billing different from home dialysis?
In-center hemodialysis is billed using codes such as 90935 and 90937, which cover what happens in the clinic under physician oversight. Home dialysis uses codes such as 90945 and 90947. Home dialysis billing often requires extra documentation for training and remote monitoring. Knowing these differences ensures your claims are processed correctly and that payments aren’t delayed.
What is the ESRD 30-month coordination period, and why is it important?
The ESRD 30-month coordination period is when private insurance pays first and Medicare picks up the rest. Billing during this time can be tricky because you have to follow specific coordination rules and make sure the right codes are used. Mistakes can cause delays or denied claims. Understanding how this period works helps your practice get paid on time and keeps ESRD patient care running smoothly.
How can outsourcing nephrology billing help my practice?
Partnering with a nephrology billing expert allows your staff to focus on patient care instead of paperwork. Experienced billing teams make sure CKD, dialysis, vascular access, and ESRD claims are coded correctly, submitted on time, and followed up promptly if issues arise. This approach reduces administrative work, prevents missed revenue, and keeps your practice running smoothly while staying compliant with insurance and Medicare rules.
Stop Billing Errors From Losing Your Revenue!
Our ESRD PPS billing excerpts catch underbilling, prevent denials, and optimize every claim.