Nephrology Billing Services

Nephrology Billing Services by Revex Square is where you turn when you became a nephrologist to manage kidney disease, not to untangle ESRD bundling rules and monthly capitation Medical Coding. Your day often ends with dialysis rounds, CKD staging documentation, and insurance forms that don't work like billing in any other specialty. That's where nephrology billing services from Revex Square come in.

Nephrology practices get paid faster, cleanly, and predictably by engaging a nephrology billing company that feels like part of your team. No long meetings. No technical jargon. Just a partner who understands medical billing for nephrology completely, from routine CKD management to ESRD and dialysis care.

Imagine finishing your clinic day knowing that every encounter, whether it's a monthly ESRD capitation visit, a vascular access procedure, or a post-transplant follow-up, is coded right, submitted cleanly, and already in the payment stream. That's the peace we bring to nephrologists every day.

Schedule Free Consultation






    Nephrology Billing Service Specifications

    Complete billing & RCM overview for nephrologists

    Nephrology Billing Service Specifications

    Service Type
    Nephrology Medical Billing & Revenue Cycle Management
    Provider
    Practices Served
    Nephrology Clinics Dialysis Facilities Hospital Nephrology Departments Independent Nephrologists Multi-Specialty Practices Pediatric Nephrologists Transplant Nephrology Programs
    Services Covered
    Chronic Kidney Disease (CKD) Management End-Stage Renal Disease (ESRD) Care In-Center and Home Dialysis Peritoneal Dialysis Vascular Access Procedures Kidney Transplant and Post-Transplant Care
    Coding Systems
    CPT, HCPCS, ICD-10 — with nephrology-specific Monthly Capitation Payment (MCP) codes, ESRD bundled billing rules, and CKD staging-based medical necessity documentation.
    Service Price
    As low as 2.75% of your monthly collections — no hidden fees
    EHR Compatibility
    Epic athenahealth eClinicalWorks Most Major Nephrology & Dialysis EHR Platforms
    Availability
    Nationwide in the United States
    Compliance
    HIPAA-Compliant, encrypted, auditable, and secure HIPAA-Compliant HIPAA-Compliant
    Key Metrics
    99% Clean Claim Rate
    <24 Days in A/R
    <7% Denial Rate
    48hr Claim Turnaround
    Contact Number
    +1 737-227-1587
    Business Hours
    Mon – Fri: 6 AM – 9 PM (CST)

    Ready to boost your nephrology collections? Get a free demo.

    Schedule a Free Demo

    Why Nephrologists Choose Our Neprology Billing Services

    We handle the billing so you can focus on your patients.

    ✓

    05+ Years in Medical Billing

    Half a decade of specialized medical billing experience helping healthcare practices improve collections and revenue.

    ↗

    99% Clean Claim Rate

    Our experienced billing team focuses on accurate claim submission, reducing errors, rejections, and unnecessary payment delays.

    $

    Faster Payments

    We follow every claim from submission through payment, helping your practice receive revenue faster and maintain a healthier cash flow.

    â—†

    Work With a Nephrology Billing Specialist

    Our team understands Monthly Capitation Payment coding, ESRD and dialysis bundling rules, vascular access billing, and the unique challenges of nephrology revenue cycle management.

    Our Nephrology Billing Process

    Keep your Nephrology revenue cycle on track with our billing support built around your practice and payer requirements.

    01

    Patient Registration

    We verify patient demographics and insurance information, including ESRD Medicare entitlement status, which affects how and when a patient's dialysis care becomes billable to Medicare.

    02

    Charge Capture

    Our team captures every billable service, from monthly CKD and ESRD physician visits to vascular access procedures, dialysis encounters, and transplant-related care.

    03

    Medical Coding

    Certified coders assign accurate CPT, HCPCS, and ICD-10 codes while applying nephrology-specific coding, including Monthly Capitation Payment codes based on patient age and visit frequency, and CKD stage documentation that supports medical necessity.

    04

    Claim Submission

    Clean claims are submitted electronically to insurance companies for faster processing and reimbursement.

    05

    Payment & A/R Follow-Up

    We monitor payments, follow up on unpaid claims, and aggressively manage denials and outstanding accounts.

    Accurate Nephrology Coding

    Every visit, procedure, and diagnosis is carefully reviewed to reduce coding errors, claim rejections, and lost revenue.

    Faster Reimbursement

    Our streamlined billing workflow helps move claims through the revenue cycle and improves your practice cash flow.

    Nephrology Billing Services We Provide

    Comprehensive revenue cycle solutions designed specifically for nephrology and dialysis practices.

    01

    Nephrology Medical Coding

    Accurate CPT, HCPCS, and ICD-10 coding for CKD, ESRD, dialysis, and transplant care. Our certified coders understand Monthly Capitation Payment (MCP) billing, where physicians bill once per month based on age and number of face-to-face visits rather than per individual encounter, one of the most misunderstood parts of nephrology billing.

    →
    02

    Dialysis & ESRD Billing

    We handle the bundled ESRD Prospective Payment System (PPS) billing model correctly, distinguishing what's included in the facility bundle from what the physician bills separately.

    →
    03

    Denial Management

    Our team identifies the root cause of denials, corrects billing issues, and follows up with payers to recover lost revenue, including denials tied to CKD stage documentation and MCP visit-count requirements.

    →
    04

    Accounts Receivable Management

    We monitor outstanding accounts, prioritize aging balances, and actively follow up to accelerate reimbursement.

    →
    05

    Insurance Verification

    Insurance eligibility and benefits are verified before services are provided, including confirming ESRD Medicare entitlement timing and coordination of benefits, which affects when Medicare becomes the primary payer for dialysis patients.

    →
    06

    Patient Billing

    Clear and accurate patient statements help improve collections while maintaining a positive patient experience for a patient population managing a chronic, ongoing condition.

    →
    07

    Payment Posting

    Payments, adjustments, and denials are posted accurately so that your practice can maintain a clear picture of its financial performance.

    →
    08

    Nephrology RCM Reporting

    Detailed reports and performance insights enable you to understand your collections, denials, accounts receivable, and the overall condition of your revenue cycle.

    →

    Need a Complete Nephrology RCM Solution?

    Let Revex Square handle your billing while you focus on patient care.

    Get Started
    NEPHROLOGY-SPECIFIC EXPERTISE

    Nephrology Billing Services Tailored to Your Practice

    Every nephrology practice is different. A CKD-focused clinic managing monthly capitation visits has very different billing needs than an in-center dialysis program, a home and peritoneal dialysis practice, or a transplant nephrology program managing pre- and post-transplant care.

    Revex Square provides specialized nephrology billing services designed around the unique needs of your practice. From routine CKD management to complex ESRD and transplant billing, our team manages the entire billing process, including the bundled payment models that make nephrology billing unlike almost any other specialty.

    $
    Monthly Collections Revenue Growth
    Clean Claims 99%
    Denial Rate <6%
    Days in A/R <25
    ✓
    99% Clean Claims
    $
    Faster Payments
    ↗
    <25 Days in A/R
    WHY REVEX SQUARE

    Why Choose Revex Square for Nephrology Billing Services?

    Your practice deserves more than a general billing company. You need a revenue cycle partner that understands the complexities of nephrology.

    ✓

    Nephrology-Specific Expertise

    Our billing professionals understand Monthly Capitation Payment coding, ESRD PPS bundling, dialysis and vascular access billing, and transplant care coding.

    ✓

    Transparent Pricing

    Simple and clear pricing with no hidden fees. You will always know exactly what you are paying for.

    ✓

    Secure Billing Practices

    Patient financial and health information requires careful handling. Our billing operations follow HIPAA requirements and established safeguards for protected health information.

    ✓

    Complete Revenue Cycle Management

    We handle the entire revenue cycle, from patient registration and eligibility verification through to coding, claims, denials, and follow-up on accounts receivable.

    Talk to a Nephrology Billing Specialist →

    Turn Your Nephrology Billing Services Challenges Into Results

    From claim denials to capitation coding confusion, Revex Square helps identify the problems affecting your revenue and provides practical solutions.

    01

    High Claim Denials

    We identify denial patterns, correct billing errors, and follow up with payers to recover revenue.

    Solution Denial Management
    02

    Slow Insurance Payments

    Our team actively tracks outstanding claims and follows up with insurance companies to accelerate reimbursement.

    Solution A/R Follow-Up
    03

    Monthly Capitation Payment (MCP) Errors

    MCP codes depend on patient age and the number of documented face-to-face visits in a month, and incorrect visit counts or documentation gaps routinely lead to underbilling or denials.

    Solution Specialty Coding Expertise
    04

    ESRD & Dialysis Bundling Confusion

    Understanding what's included in the ESRD PPS facility bundle versus what the physician can bill separately is one of the most common sources of missed nephrology revenue.

    Solution ESRD Billing Expertise
    05

    Growing A/R

    We prioritize aging accounts and maintain consistent follow-up to keep your accounts receivable under control.

    Solution A/R Management
    06

    Lack of Billing Visibility

    Clear reporting gives you better visibility into collections, denials, A/R, and overall revenue performance.

    Solution RCM Reporting
    ✓

    Stop Leaving Revenue on the Table

    Let our nephrology billing experts identify opportunities to improve your revenue cycle.

    Get a Free Billing Assessment →
    GOT QUESTIONS?

    Frequently Asked Questions About Nephrology Billing

    Answers to common questions about nephrology billing, coding, claims, and revenue cycle management.

    Nephrology medical billing manages claim submission, coding, payment posting, denial follow-up, and A/R for kidney care and dialysis services.

    Specialized nephrology billing helps manage complex coding, ESRD billing requirements, dialysis services, and payer rules while reducing avoidable claim errors.

    MCP billing is a monthly physician payment model for managing certain outpatient dialysis patients, with coding based on patient age and documented face-to-face visits.

    Common causes include incorrect coding, incomplete documentation, MCP billing errors, eligibility issues, missing modifiers, and services affected by ESRD payment rules.

    CKD care generally uses standard evaluation and management coding, while ESRD and dialysis care involves specialized payment and billing requirements.

    Yes, our nephrology billing support covers billing requirements for in-center hemodialysis, home hemodialysis, and peritoneal dialysis services.

    Yes, accurate claims, proactive denial management, timely payment posting, and consistent A/R follow-up can help improve collections and reduce revenue leakage.

    Yes, our team can support nephrology coding, claim review, denial follow-up, appeals, and A/R management to help practices maintain a healthier revenue cycle.

    Yes, nephrology billing support can include applicable kidney transplant, vascular access, and related specialty services with appropriate coding and documentation.

    Nephrology billing costs vary based on claim volume, services, and practice requirements, with Revex Square offering flexible pricing based on your needs.