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Specialty billing

Billing built for Nephrology

Nephrology billing built around MCP dialysis rules, transplant coordination, and CKD care management revenue.

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The challenges

Where nephrology revenue leaks

  • Monthly capitation payment (MCP) rules depend on visit counts
  • Dialysis facility and professional billing coordination is complex
  • CKD education and care management codes go unbilled

Our playbook

How we fix it

  • MCP visit-count tracking and billing accuracy
  • Facility/professional billing coordination
  • CKD education (G0420/G0421) and CCM capture
  • Transplant phase billing coordination

Core solutions

What nephrology clients typically use

Medical BillingEnd-to-end claim submission, scrubbing, and follow-up that gets you paid faster — engineered to a 98%+ first-pass clean claim standard.
Medical CodingAAPC- and AHIMA-certified coders delivering 95%+ accuracy across ICD-10, CPT, and HCPCS — with built-in audit protection.
CredentialingEnd-to-end provider lifecycle management — credentialing, primary source verification, expirable tracking, and AI-monitored compliance from application to recredentialing.
Denial ManagementEvery denial worked within 48 hours and root causes eliminated — because the best denial strategy is preventing the next one.
AI Revenue IntelligenceMachine learning that predicts denials before submission, prioritizes A/R by recovery probability, and finds patterns humans miss.
MIPS & Quality ReportingFull Quality Payment Program management — measure selection, data capture, submission, and score optimization that turns MIPS from a penalty risk into a payment adjustment you earn.

Get a billing health check for your nephrology practice

Free, 30 minutes, with a consultant who knows your specialty's codes and payers. We'll benchmark your denial rate, A/R days, and collections — and tell you exactly what we'd fix first.

Book my free consultation