Nephrology Medical Billing Services

Specialized Billing Solutions for Nephrology Practices

Nephrology practices manage complex conditions like kidney diseases, hypertension, and dialysis care. Accurate billing is essential to reflect the intricacy of these services and ensure timely reimbursements. Hello MDS specializes in nephrology billing, helping practices navigate challenges like procedure-specific coding, compliance, and payer requirements to maximize revenue and reduce denials.

Challenges in Nephrology Billing

Billing for long-term care, such as dialysis and chronic kidney disease (CKD) treatments, requires accurate documentation and coding.
Frequent visits and routine procedures increase the likelihood of billing errors.
Keeping up with CMS guidelines and nephrology-specific coding updates is critical.
Verifying coverage for treatments like dialysis or transplant-related services is vital to avoid payment delays.

Key CPT Codes for Nephrology Services

Chronic Kidney Disease Management:

90935: Hemodialysis, single evaluation
90937: Hemodialysis requiring repetitive evaluations
90960–90962: ESRD-related services (monthly)

Procedures and Diagnostics:

50390: Aspiration and/or injection of kidney cyst
50551: Laparoscopic nephrectomy

Consultation and Office Visits:

99202–99215: New and established patient office visits
99221–99223: Initial hospital care (for inpatient nephrology consultations)

Preventive Services:

G0420–G0421: End-stage renal disease (ESRD) monthly team conferences
99487–99489: Chronic care management services

Hello MDS ensures precise coding for these and other nephrology-related procedures to reduce denials and improve revenue cycles.

Hello MDS’s Nephrology Billing Solutions

Accurate Coding and Compliance

Our team of certified coders specializes in nephrology-specific codes, ensuring accurate claims and adherence to payer regulations.

Dialysis Billing Expertise

We handle billing for dialysis services, including outpatient, inpatient, and home dialysis, to ensure timely and full reimbursements.

Denial Resolution and Prevention

From resolving denied claims to identifying trends, we help prevent recurring issues and improve first-pass claim acceptance rates.

Insurance Verification and Authorization

We verify patient eligibility and obtain prior authorizations for treatments, reducing administrative burdens on your staff.

Revenue Cycle Optimization

Advanced analytics and reporting tools streamline billing processes, reduce AR days, and ensure a steady cash flow.

Why Choose Hello MDS for Nephrology Billing?

Accurate coding and fast claim submissions maximize reimbursements and minimize delays.
We understand the unique requirements of nephrology billing, from CKD care to dialysis services.
Stay updated with CMS guidelines and payer-specific requirements for nephrology practices.
Transparent reporting helps you track financial performance and identify areas for improvement.

Transform Your Nephrology Billing with Hello MDS

Managing a nephrology practice comes with its unique set of challenges. Let Hello MDS handle the billing complexities so you can focus on delivering quality care to your patients. From dialysis coding to ESRD management, we provide the expertise and tools to optimize your revenue cycle.
Contact us today to learn how Hello MDS can support your nephrology practice and drive your financial success.

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