Nephrology Billing Services That Work for You

check_circle 95% Dialysis Claim Accuracy

check_circle 50% Fewer CKD Denials

check_circle HIPAA-Compliant Partner

check_circle 24/7 Transplant Billing Support

2+

Satisfied Providers

26+

Medical Specialties

6+

Billing Experts

Why Nephrologists Trust Medical Biller

Nephrology billing involves complex codes for dialysis, CKD staging, and transplant care. Errors in CPT 90935/90945 (dialysis), ICD-10 documentation for ESRD, or transplant immunosuppressant billing lead to denials and lost revenue. Medical Biller ensures precision in kidney care billing, from routine labs to life-saving transplants.

check_circle Dialysis Coding Mastery

check_circle CKD Documentation

check_circle Transplant Billing

check_circle Lab Test Optimization

check_circle ESRD Compliance

check_circle Biologic Prior Auths

Exclusive Free Guide:

Optimize Billing & Maximize Profits

Reduce errors, speed up claim approvals, and enhance revenue with expert-backed strategies. This guide provides step-by-step insights, practical tips, and useful resources to refine your billing process.

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Avoid Errors


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Quick Approvals


Key Benefits

Dialysis Billing Expertise

Ensure accurate coding for hemodialysis (90935) and peritoneal dialysis (90945).

CKD & ESRD Reimbursement

Maximize claims for chronic kidney disease (CKD) and end-stage renal disease (ESRD) treatments.

Medicare Part B Compliance

Properly bill monthly capitation payments (MCP) for ESRD patients.

Prior Authorization Success

Streamline approvals for dialysis, transplant evaluations, and specialty medications.

Telehealth for Nephrology

Correctly bill virtual CKD consultations with GT/GQ modifiers.

Bundled Payment Optimization

Navigate ESRD PPS and nephrology-related value-based care models.

Revenue Recovery Strategies

Reduce denials for nephrology procedures like AV fistula placements.

Nephrology Drug Billing

Correct coding for EPO, iron infusions, and phosphate binders.

How It Works

1

Share Your Challenges

Struggling with dialysis denials or CKD coding? Let’s talk now.

2

Get a Custom Audit

Medical Biller’s experts identify gaps in dialysis, transplant, and CKD billing.

3

Launch & Thrive

We manage claims, compliance, and denials—you focus on patient care.

How it works

What is the size of your medical practice?

Which medical billing services do you require?

What is your medical specialty?

What is your primary objective for medical billing services?

Please provide your contact information

Case Study

How Medical Biller Helped NephroCare Center Recover $300K


NephroCare Center faced 40% denials for dialysis claims and 90-day delays in transplant reimbursements. Staff struggled with CKD staging errors and ESRD compliance gaps.

Dialysis Claim Denial Rate
Average Transplant Reimbursement Time
Before
After

Detailed Insights:

The clinic faced significant challenges with dialysis claim denials due to incorrect modifier usage, such as applying -59 for multiple procedures. Transplant payment processing was slow, primarily caused by billing errors for immunosuppressant drugs. Additionally, chronic kidney disease (CKD) documentation was often incomplete due to unclear ICD-10 coding for comorbid conditions, leading to reimbursement delays and compliance risks.
To address these issues, the medical billing team conducted a thorough 12-month audit of claims to identify and correct dialysis coding errors and CKD documentation gaps. They implemented real-time alerts to ensure compliance with ESRD PPS guidelines and improve the accuracy of modifier usage. Additionally, staff received specialized training on transplant billing procedures and prior authorization workflows to accelerate reimbursement processing.
The implementation of these solutions led to a dramatic reduction in dialysis claim denials, decreasing from 40% to just 8%. The average time for transplant reimbursement significantly improved, dropping from 90 days to only 20 days, ensuring faster revenue cycles and better patient care continuity.
As a result of these improvements, the clinic successfully recovered $300K in lost revenue within six months. The accuracy of CKD documentation increased to 98%, reducing compliance risks. Additionally, the clinic maintained a perfect record with zero ESRD audit penalties over the past 12 months, demonstrating its commitment to regulatory compliance and operational efficiency.

“Medical Biller reduced our dialysis denials by 70%. Cash flow is now reliable!”

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Dr. Emily Carter

★★★★★

“Transplant billing errors vanished. Revenue increased by 55%!”

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John Smith

★★★★★

“Their CKD staging templates saved us 15 hours/week in admin work.”

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Sarah Lee

★★★★★

“ESRD compliance is seamless now. Audits are stress-free!”

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Dr. Raj Patel

★★★★☆

“Prior auths for EPO take 5 days instead of 4 weeks. Game-changer!”

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Jane Doe

★★★★★
nephrology billing support

Optimize Your Nephrology Billing

Ensure accurate and efficient billing for nephrology services. Reduce denials, improve reimbursements, and streamline revenue cycles with expert billing support.

Get Billing Assistance

Why Nephrologists Need Expert Billing Services

$100K+

Annual revenue loss due to incorrect nephrology coding and denied claims

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30%

Of nephrology claims are initially denied due to complex payer requirements

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95%

Claim acceptance rate with specialized nephrology billing solutions

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Optimized Billing Solutions for Nephrology Practices

Nephrology billing presents unique challenges due to the complexity of dialysis treatments, kidney transplants, and ongoing chronic kidney disease management. Our specialized billing service ensures compliance with Medicare, Medicaid, and private insurers while maximizing reimbursements.

We handle CPT Codes specific to nephrology, ensuring accurate submission for inpatient, outpatient, and telehealth nephrology visits. Our team minimizes claim rejections by implementing detailed documentation practices and prior authorization processes, allowing nephrologists to focus on patient care rather than administrative burdens.

Any Questions?

Dialysis Billing

We ensure documentation includes training duration, patient/caregiver participation, and home setup details.

Yes! We code HLA typing (CPT 86812-86817) and pre-op consultations accurately.

We align ICD-10 codes (N18.1-N18.9) with eGFR results and comorbid conditions.

Absolutely. We use CPT 90945 with modifier -22 for prolonged CRRT sessions.

We submit prior auths with hemoglobin levels and iron studies to justify medical necessity.

Yes. We use CPT 90952 (ESRD telehealth) with proper documentation of virtual assessments.

We use ICD-10 codes like Q61.3 (polycystic kidney disease) and link to treatment plans.

Yes. We ensure claims meet bundled payment rules for dialysis, labs, and medications.