Nephrology Billing Services

From dialysis to kidney transplant billing, we’ve got your nephrology practice covered with precision and expertise. Focus on patient care while we handle the paperwork.

Simplified Nephrology Billing for Higher Reimbursements

At Rhode Island Medical Billing Company, we know the intricacies of nephrology billing and the struggles physicians go through with procedures like dialysis, CKD management, and ESRD care. This makes our services ideal for nephrology providers, as we don’t generalize services and solutions for handling claims. Instead, we focus on the intricate procedures involved in their processing, ensuring that all nephrology providers maximize their claims.

When you team up with us, your practice can focus on providing outstanding patient care while we manage your revenue cycles. Allow us to ease your billing process and give life to your nephrology practice.

Comprehensive Radiology Billing Services Provided by Us

For radiology practices, we have customized packages for radiology billing services that address their practices’ individual needs. Our services include:

Dialysis Treatment Billing

Complete billing for in-center, home, and peritoneal dialysis sessions with correct grouping and ungrouping of services depending on the payer.

Chronic Kidney Disease Management Coding

Generating the precise code for different CKD stages and related comorbidities to increase its reimbursement in the long-term follow-up patient care.

Billing for Kidney Transplants

Separate billing for the transplant evaluation services, organ transplant surgery, and any related postoperative services.

Nephrology-Specific Modifier Application

Using appropriate modifiers for procedures such as vascular access management or on the same day services like 25, 59, or 76.

Hypertension and Electrolyte Disorder Billing

Accurate billing in 90-day coding of conditions is often managed by nephrologists, such as resistant hypertension, hyperkalemia, and hypocalcemia

ESRD Monthly Capitation Payment Management

Billing for MCP services, including home visits and care coordination for patients with ESRD, to follow Medicare rules and regulations.

Vascular Access Procedure Billing

Consultation on coding and billing for fistula creation, maintenance, and all forms of procedures for proper remuneration for important processes.

Nephrology Billing Coverage Provided by Us

Comprehensive Radiology Billing Services Provided by Us

For radiology practices, we have customized packages for radiology billing services that address their practices’ individual needs. Our services include:

Specialized Expertise:

Nephrology billing is not a simple process that involves simple codes such as CPT and HCPCS but has many special cases, including dialysis coding as well as ESRD monthly capitation payment. 


Tailored Solutions:

We have services that are tailored to meet the needs of nephrology practices, including the provision of plans that can increase your reimbursements and efficiency.


High Clean Claim Rate:

For claim processing accuracy, we have a clean record of more than 95% claim rate and fewer denials and delayed payments.

Proactive Denial Management:

Claim denials are handled as a priority; issues and appeals are handled professionally in order to reduce or eliminate instances where revenues cannot be collected.

Regulatory Compliance:

Our team chronically monitors CMS and payer updates so that your nephrology practice plays by the rules and can pass an audit.

Dedicated Support Team:

Coordinate with the team of dedicated billing consultants who will help you and regularly report back with updates and clear explanations.

Proven Results:

We have the track record to demonstrate how our billing services have helped nephrology practices alleviate administrative headaches and optimize revenue.

Frequently Asked Question

Frequently Asked Questions

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What services are included in nephrology billing?

Dialysis billing, CKD management, ESRD MCP billing, kidney transplant services, vascular access procedures, and lab test billing.

It involves complex procedures, bundled services (e.g., dialysis), and condition-specific coding, requiring specialized expertise.

Managing bundled services, complying with strict regulations, addressing frequent denials, and handling high claim volumes.

Managing bundled services, complying with strict regulations, addressing frequent denials, and handling high claim volumes.

By ensuring accurate coding, reducing errors, resolving denials quickly, and optimizing revenue cycle management.

Are You Ready for a Revenue Boost in Your Nephrology Billing Services?

Allow Rhode Island Medical Billing Company to optimize your nephrology billing services while enhancing the amount of your collections. Join us today and receive easy billing customized to the needs of your nephrology practice with Simplicity.