Precision Billing for Dialysis, CKD, and ESRD Management
From monthly capitation payments to inpatient dialysis rounds, our nephrology billing experts ensure accurate coding, timely claims, and clean documentation. We stay ahead of MAC, Medicare, and commercial guidelines to optimize reimbursement for complex renal care.
Nephrology Billing Services That Understand Renal Complexity
At MedicalBiller.co, we specialize in revenue cycle management for nephrologists and dialysis centers. Our billing experts handle recurring MCP (Monthly Capitation Payment) billing, outpatient E&M codes, inpatient dialysis rounding (CPT 90935, 90937), and all associated modifiers to ensure your practice gets paid without delays or denials.
We align with your EMR, streamline documentation, and manage billing for CKD stages 1-5, ESRD, transplant follow-ups, and hypertension. Our team knows the nuances of Medicare 72-hour rules, dialysis frequency edits, and lab billing across modalities.
What Sets Us Apart
- MCP Billing & CKD/ESRD Code Management
- Inpatient Dialysis Visit Coding (90935, 90937)
- MACRA/MIPS and Compliance Monitoring
- Audit-Ready Documentation Assistance
- EMR Integration with Epic, Cerner, eClinicalWorks
Mission Statement
We help nephrologists focus on patient care by delivering transparent, accurate, and compliant billing services. From monthly dialysis billing to outpatient E&M codes—we simplify your financial operations so you can focus on kidneys, not claims.
Why Nephrologists Choose MedicalBiller.co
Nephrology billing goes far beyond outpatient visits. We handle monthly capitation (MCP), inpatient dialysis coding, lab bundling, transplant-related billing, and care plan oversight (CPO) with absolute precision—so you can focus on kidney care, not claims.
MCP & Dialysis Billing
Accurate billing for monthly capitation, inpatient dialysis rounds, and home dialysis follow-ups.
Reduced Denials
Proper modifier use (25, 59, 78), documentation support, and lab billing guidance to prevent rejections.
Nephrology Account Managers
Work with a team that understands CKD stages, transplant coding, and MAC/FI policies.
HIPAA & OIG Compliant
We maintain PHI security, follow payer audit trends, and help you stay risk-free with compliance checks.
Affordable Nephrology Billing Plans
Our nephrology billing services are priced with your practice model in mind—solo nephrologists, large renal groups, and dialysis centers. No setup fees, no lock-in contracts, and full billing cycle support included.
Large Practices
For renal groups and dialysis centers billing over $20,000/month.
What’s Included
- Monthly capitation (MCP) billing
- Inpatient & outpatient dialysis coding
- Appeals & denial resolution for nephrology
- Monthly performance insights and analytics
Custom plans available for multi-location practices. Let’s talk about the best option for your nephrology group.
Streamlined Nephrology Billing in 4 Simple Steps
Whether you're billing monthly MCPs, inpatient dialysis visits, or transplant consults, our nephrology billing process is designed for clean claims, faster payments, and full compliance with CMS and private payer rules.
Nephrology Practice Review
We assess your workflow, billing issues, dialysis center affiliations, and EMR setup to tailor the onboarding plan.
System Integration & Enrollments
We connect to your EHR (Epic, Cerner, eCW, etc.), verify payer contracts, and initiate nephrology-specific credentialing.
Coding & Claim Submission
We validate CPT/ICD-10 codes for MCPs, ESRD visits, dialysis sessions, and promptly submit clean claims.
Follow-Up & Financial Reporting
We track all nephrology claims, resolve denials fast, and share transparent monthly performance dashboards.
0%
Nephrology Claim Accuracy
0 Days
Avg. Reimbursement Turnaround
0%+
Revenue Boost for Nephrology Groups
Nephrology Billing Services That Protect Your Revenue Stream
Whether it’s in-center dialysis, CKD management, or inpatient consults, our billing team is well-versed in nephrology’s unique coding rules and reimbursement risks. We ensure precision in every claim so nephrologists can focus on patient outcomes—not paperwork.
Monthly Capitation Billing
Expert handling of MCP billing (90951–90970) across all dialysis modalities, ensuring compliance and timely payment.
CKD Stage-Specific Coding
Accurate ICD-10 coding for CKD stages 1–5, ESRD, and related conditions, reducing denials due to specificity errors.
Rapid Claim Turnaround
All nephrology charges—including dialysis rounds, consults, and procedures—are processed within 24 hours.
Denial Prevention & Appeals
We proactively catch modifier and frequency errors on 90960/90961 codes and appeal denials for incomplete documentation.
Patient Insurance Support
We verify nephrology coverage for Medicare, Medicaid, and Advantage plans and guide patients through cost-sharing questions.
Dialysis Revenue Insights
Custom reports on MCP payments, per-visit revenue, and claim trends across inpatient, outpatient, and home dialysis care.
What Our Clients Are Saying
Trusted by healthcare providers, billing managers, and business owners nationwide.
“ The team at MedicalBiller.co has made our billing operations smoother than ever. Their support is top-notch, and their response time is fantastic. ”
“ Their website made it incredibly easy to find the right billing service provider for our specialty. Everything is well-organized and tailored for healthcare needs. ”
“ I highly recommend MedicalBiller.co for any medical practice looking to outsource billing. They understand both the technical and human side of revenue cycle. ”
“ We've worked with several billing companies in the past, but MedicalBiller.co stands out with their accuracy, transparency, and proactive communication. ”
“ Their claim turnaround time is impressive, and we’ve seen a significant drop in denials since we partnered with MedicalBiller.co. ”
“ From credentialing to collections, they handle everything with professionalism. It's like having an in-house billing department without the overhead. ”
Frequently Asked Questions
Answers to common questions about our nephrology billing expertise, MCP billing, ESRD compliance, and reporting systems.
Get in Touch with Our Nephrology Billing Experts
Whether you're managing CKD, ESRD, or dialysis patients, our billing team is ready to help optimize your nephrology revenue cycle. Let’s connect for a free consultation and start reducing denials, improving reimbursements, and simplifying compliance.
IL 62701 United States