Nephrology billing runs on the monthly capitation payment model for dialysis — a system unlike any other specialty. Our certified coders specialize in nephrology and ESRD so your dialysis and clinic revenue is captured in full.
Get a Free Nephrology Billing AuditWe handle nephrology billing end to end — dialysis MCP billing, ESRD care, home dialysis, and inpatient nephrology. Because dialysis reimbursement uses age-based monthly capitation codes with visit requirements, a specialty-trained team is what prevents the denials and lost revenue unique to the field.
The usual losses: wrong MCP code for age/visit count, missed visits affecting the capitation tier, CKD clinic visits under-coded, and inpatient consults billed incorrectly. Nephrology-trained coders apply the dialysis rules correctly.
Monthly capitation dialysis codes billed to the correct age and visit tier.
End-stage renal care coded to meet visit and complexity requirements.
Home dialysis, CKD clinic, and inpatient care all billed.
Outpatient dialysis is billed with monthly capitation payment (MCP) codes (90957–90970) that vary by the patient's age and the number of face-to-face visits that month. Correct tier selection is essential to full, compliant payment.
Yes — home and self-care dialysis billing and end-stage renal disease management, coded to the applicable visit and complexity requirements.
Yes, with correct E/M leveling for hospital visits and consults alongside outpatient dialysis and CKD management.
Most nephrology practices see cleaner dialysis MCP claims and fewer tier-related denials within the first one to two billing cycles.
Explore our full billing, coding & denial management services and provider credentialing, or see other specialties including 25+ more.