Streamline Your Nephrology Practice Revenue

Nephrology Medical Billing

Our expert nephrology medical billing solutions are designed to optimize your reimbursement process, reduce errors, and improve your cash flow. We help practices handle complex billing requirements such as dialysis procedures, CKD treatment coding, and chronic care management—all while ensuring full compliance with payer policies and Medicare guidelines.

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  • Complete Practice Audit
  • Specialty Specific Billing Staff
  • Complete on Provider's EMR/EHR

Get Paid Right Let Our Nephrology Billing Experts Take the Wheel

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Tailored RCM Solutions for Kidney Care Providers

Advanced Nephrology Billing to Meet the Demands of Complex Kidney Treatments

Nephrology billing involves more than just submitting claims—it’s about understanding intricate treatment plans like hemodialysis, peritoneal dialysis, and transplant management. Our team specializes in nephrology-specific CPT codes, modifiers, and payer rules to eliminate claim rejections and delays. With us, you can focus on treating CKD, ESRD, and hypertension patients, while we manage everything from prior authorizations and charge entry to denial management and patient billing. We’re committed to helping you achieve optimal financial performance through accuracy, automation, and complete transparency.

Covering the Full Cycle of Kidney Care Billing

All-in-One Nephrology Medical Billing for Practices & Clinics

We provide comprehensive nephrology billing services that allow practices to maximize reimbursements and minimize administrative burdens. Our services are aligned with MACRA, HIPAA, and evolving CMS guidelines to ensure smooth, compliant operations.

Chronic Kidney Disease Coding

We ensure accurate CKD staging and ICD-10 coding that reflects patient complexity and supports higher reimbursements.

Physical Therapy Billing Services

Hypertension & ESRD Management

Our billing system properly handles comorbid conditions like ESRD and hypertensive nephropathy, capturing every eligible charge.

Insurance Verification and Eligibility

Authorization & Eligibility Verification

We handle pre-authorizations and eligibility checks to minimize treatment delays and payment denials.

Nephrology Medical Billing

Dialysis Billing (In-Center & Home)

Billing for frequent treatments like in-center hemodialysis or home peritoneal dialysis demands precision—we streamline this with correct modifiers and documentation.

MACRA & MIPS Compliance Reporting

We help nephrology practices avoid penalties and earn incentives by correctly submitting performance metrics.

Rehab Medical Billing Services

Pre- & Post-Transplant Services

We manage billing across all phases of kidney transplantation, ensuring no gaps in claim submission or revenue.

Telemedicine Billing for Nephrology

Real-time claim tracking and prompt submissions with detailed reporting dashboards for complete visibility.

Pediatric Medical Billing Services

Nephrology-Specific Claim Scrubbing

We catch and correct nephrology coding errors before claims are submitted to ensure cleaner and faster reimbursements.

Looking to streamline your payment process?

Let Medfusion handle the details while you focus on growing your practice

Reduce Burden. Increase Cash Flow.

Your Nephrology Billing Partner for Consistent Revenue Growth

We understand the clinical and administrative complexities of nephrology care, from chronic disease management to high-frequency treatment billing. Our team is trained in nephrology-specific coding and payer policies to help you stay compliant and profitable. With real-time claim tracking, transparent reporting, and a 24/7 support team, you’ll gain full control over your revenue cycle. Whether you run a small nephrology clinic or a multi-provider dialysis center, our customizable billing solutions are designed to scale with your needs.

Medicare and Medicaid Credentialing
Commercial/ Private Insurances
NPI Registration Type I and II
CAQH Registration & Maintenance
Hospital Privileges
Provider State License
DEA Certificate & Renewal
CLIA Registration

A Systematic Approach to Billing Precision

Our Proven Workflow for Nephrology Billing Success

Every step in our billing process is tailored to meet the nuances of nephrology practices, ensuring every service is billed properly and paid promptly.

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Patient Data Verification

We begin with accurate intake and insurance verification, confirming coverage for dialysis and nephrology-specific procedures.

Expert Coding & Charge Entry

Certified coders enter nephrology codes like 90960–90970 and use modifiers like 26, 59, and LT/RT with utmost precision.

Claim Submission & Tracking

We submit error-free claims and monitor them in real-time, addressing payer rejections before they become denials.

Payment Posting & Follow-Up

We post payments accurately and follow up aggressively on underpaid or unpaid claims to maximize collections.

Patient Care While We Handle the Billing Headaches

We Help Nephrologists Focus on Patient Care While We Handle the Billing Headaches
Our team works like an extension of your staff to ensure fast claims, reduced denials, and long-term revenue stability.

UNDERSTAND YOUR PRACTICE OVERALL HEALTH

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Who We Are

Passionate About Precision in Healthcare Billing

We are a dedicated RCM medical billing company based in New York, committed to helping healthcare providers streamline their revenue cycle with accuracy, compliance, and speed. With expert teams in billing, coding, credentialing, and administrative support, we serve as your behind-the-scenes partner in achieving financial success.

We Specialize in Billing for Renal Health Providers

Choose the Experts Trusted by Leading Nephrology Practices

99.9% Coding Accuracy

Minimize rejections and denials with precise nephrology code selection.

Custom RCM Reports

Get real-time insights into key metrics like A/R days, collection trends, and CPT code performance.

Compliance-Driven Operations

We keep your billing in line with CMS, HIPAA, and MACRA/MIPS regulations.

Up to 98% Collection Rate

Maximize reimbursements with our aggressive follow-up and accurate billing.

Reduced Administrative Burden

Free your team from complex billing tasks and let us manage the back-end entirely.

Physical Therapy Billing Services

Flexible Solutions for Solo & Group Practices

Whether you’re a solo nephrologist or part of a dialysis network, we scale with you.

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