Nephrology Billing Services

Nephrology Billing Experts That Work As Hard AS Your Kidneys

BilNow is known to provide you with the best medical billing solutions in nephrology.

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Why is Nephrology Billing like a chronic pain for Most Nephrologists?

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26% of nephrology claims are denied due to undercoding. Undercoding alone causes an estimated annual revenue loss of nearly $68,000 per nephrologist, undermining practice sustainability.

Complexity of ESRD Bundles and Dialysis Codes

Managing ESRD bundles, over 25 different dialysis codes (such as 90935 and 90945),  and specific modifiers is no joke. Nephrologists often find themselves drowning in frequent claim denials.

BilNow's Treatment

Prolonged Transplant Aftercare Disputes

Aftercare billing for transplants is often delayed by a lengthy dispute process, which can take up to 90 days. When revenue is tied up in protracted negotiation, patient satisfaction is compromised.

BilNow's Treatment

Lack of “Medical Necessity” Proof

One of the recurring challenges in nephrology billing is the inability to provide sufficient documentation of “medical necessity”. This challenge results in significant claim denials and forces healthcare providers to pursue prolonged appeals.

BilNow's Treatment

How Does BilNow Save Your Revenue Leakage?

Automated Claims Accuracy

Robust digital dashboards cross-check every ESRD bundle and dialysis code,

Enhanced Dispute Management

Our system provides transparent, evidence-based documentation for every claim, reducing recovery delays from over 90 days to a matter of days.

Maximized Reimbursement

By integrating advanced coding intelligence, no service goes unbilled or undercoded. This means each nephrologist can recover every dollar they deserve.

Expert Coding Excellence

Our expert nephrology billing coders have honed their skills specifically in managing the complexities of even the most complex procedures, such as hemodialysis (90935) or peritoneal dialysis (90945).

Comprehensive Care Integration

From pre-op evaluations to post-op care, our professional nephrology billers are trained in every step. This end-to-end management means rightful revenue with the right routine E&M visits, lab tests, and ongoing care services.

Revenue Leakage Prevention

By leveraging intelligent analytics and automated audit trails, BilNow identifies and eliminates undercoding practices and documentation gaps. The result is a streamlined billing process that saves significant revenue leakage and puts control back in your hands.

Who We Serve

Subspecialties of Nephrology Billing

A comprehensive suite dedicated to the nuanced needs of various nephrology subspecialties, ensuring tailored coding and billing expertise.

Procedures of Nephrology Billing BilNow Bills Right

Endoscopy Procedures

Accurate coding for endoscopic interventions ensures you capture the full spectrum of procedural care.

ERCP

Expert billing for ERCP procedures that safeguards against revenue loss with precision coding.

Pathology and Laboratory Services

Reliable documentation and billing for essential pathology and lab work, ensuring every test is accounted for.

Liver Procedures

Specialized billing processes are designed to handle the intricacies of high-cost liver interventions within nephrology care.

Evaluation and Management (E/M) Services

Comprehensive E/M billing that covers the full continuum of patient assessment and care coordination.

Urgent Care and Emergency Rooms

Efficient billing solutions for urgent and emergency scenarios to secure rapid reimbursements.

Radiological Imaging

Optimized coding that ensures every radiologic image is captured and billed accurately, reducing denials.

BilNow: Best Nephrology Billing Service in the US

75+ Nephrology Practices Relies on BilNow in the United States. Our specialized billing expertise scales them within a few months.

Through precise coding and automated checks, we’ve helped practices recover over $150 million in Recovered Revenue.
Experience the power of BilNow firsthand. Get a free, no-obligation demo to see how our system can revolutionize your billing process.

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Frequently Asked Questions

Do you do billing for home dialysis (90963-90966) coding?
We have pre-built templates, including progress notes and payer-specific ICD-10s (N18.1-N18.9).
Oral-only renal dialysis drugs are added to the ESRD PPS bundled payment. In 2025, expanded coverage for home dialysis, training for patients with Acute Kidney Injury (AKI), and revised wage index calculations were added to the CMS End-Stage Renal Disease (ESRD) Prospective Payment System (PPS).
Yes, our nephrology billing coders are entirely certified, and our systems are automated to improve the claims submitted ratio and control denials.
Our rare combination of human brains and automated systems sets us apart. Our highly professional coders clear all claims of multi-specialty practices (if involved), and our automated systems do the redundant work.
We have specialized, trained billing staff who specifically oversee home dialysis billing. The staff is compliant and knows home dialysis billing better than anyone else.
We handle all services, including Chronic Kidney Disease (CKD), End-Stage Renal Disease (ESRD), Dialysis (Hemodialysis/Peritoneal), Kidney Transplant, Renal Biopsy, Electrolyte Management, and Hypertension Management.