Nephrology Billing Services for Dialysis and Chronic Care Claims
Trusted by urgent care centers and multi-site groups.
96.8%
Clean claim rate
Nephrology billing breaks in ways general billers never catch
MCP overbilling
Billing more than one Monthly Capitation Payment code per patient per month triggers automatic Medicare denials and compliance flags.
Missed vascular access modifiers
AV fistula and catheter procedures billed without required modifiers get bundled away or denied outright.
ESRD PPS bundling confusion
Labs, drugs, and supplies that should be packaged under the ESRD PPS bundle get billed separately — and rejected.
CKD staging left undocumented
Missing or vague CKD stage documentation downgrades E/M levels and understates medical necessity.
Part B drug billing errors
ESAs and other injectable drugs billed with the wrong J-code or missing units quietly erode reimbursement.
Staffing that can't track monthly cycles
In-house billers juggling monthly MCP cycles across hundreds of dialysis patients fall behind, creating aging AR.
● How We Fix It
A billing team fluent in nephrology's bundling rules, from first visit to final payment
● Full-Service RCM
Every stage of nephrology revenue cycle management
Insurance Verification
Real-time eligibility and Medicare Secondary Payer checks confirmed before every dialysis session and office visit.
Charge Capture & Coding
Every session, lab, drug, and procedure captured and coded correctly — MCP, CPT, ICD-10, and HCPCS, by nephrology specialists.
Claim Submission
Clean claims scrubbed against ESRD PPS and payer-specific edits before they ever leave the building.
Payment Posting
ERA/EOB reconciliation posted daily so your AR reports always reflect what's actually been collected.
Denial Management
Every denial is diagnosed, corrected, and appealed with the documentation nephrology payers require.
AR Management & Patient Billing
Aging claims worked back to payment, plus clear, timely patient statements for coinsurance and deductible balances.
We speak fluent MCP and ESRD coding for every visit type you see
● Why Practices Switch to Us
What actually changes when Claim Click Solutions takes over
● The Bottom Line
What specialized nephrology billing does for your practice
No learning curve, no generic templates — just billers who already know the codes your center uses every single shift.
● Case Study
How a 4-location nephrology group recovered $612K in stalled AR
● Common Questions