Your dialysis panel keeps growing. Your collections do not keep pace. In nephrology, the leak usually starts with the monthly capitation code.
The Cost of Nephrology Billing Errors Adds Up Fast
Nephrology pays differently, so it leaks differently. One under-documented visit drops a whole month to a lower tier. Repeat that across a full dialysis panel and the loss compounds fast. The usual failure points:
- MCP codes tiered below the care actually delivered.
- A second monthly code triggering an overpayment recovery.
- Bundled ESRD items billed separately and denied.
- CKD office claims missing the staging specificity payers want.
- New nephrologists billing before Medicare enrollment clears.
Every one of these is preventable. Most billing vendors never catch them.
What Software-Led Billing Platforms Cannot Do
Platforms automate submission and call it billing. Submission is the easy part. Nephrology revenue turns on judgment: the right capitation tier, the bundled item held back, the appeal that takes three calls. Software submits. People close.
How HRG Handles Nephrology Billing
HRG verifies the MCP code matches your documented visits. Specialists keep bundled ESRD items out of separate claims. They flag CKD claims that lack the specificity payers expect. They work denials instead of filing and waiting. Everything happens inside your own EHR and portals. For the full breakdown, read our guide to monthly capitation billing. HRG also audits and verifies coding accuracy through our medical billing services, and supports payer enrollment so new nephrologists start billing sooner.
| What matters | Typical vendor | HRG |
|---|---|---|
| MCP tier accuracy | Generic | Matched to documented visits |
| ESRD bundling | Frequent violations | PPS rules built in |
| Systems | Their platform | Your EHR |
| Staffing | Often offshore | U.S.-based |
| Contract | Long lock-in | Month to month |
The Process Designed to Help Nephrology Practices Collect Faster
- Review. We map where your MCP tiers and dialysis claims leak.
- Set up. We work inside your existing EHR and portals.
- Clean the front end. Documentation and bundling checks stop denials early.
- Work the back end. We chase denials and rebuild your aged A/R.
- Report in real time. You see claim status inside your own system.
Get a 20-Minute Billing Review
How HRG Pricing Works
HRG bills hourly against a monthly hours budget you set. You review invoices before charges apply. No percentage of collections. No minimum term. One-page agreement, month to month.
What HRG Can Prove
HRG has run practice billing for more than 26 years. When a high-volume clinic switched to HRG from a non-responsive vendor, collections improved by 40% and denials dropped by 35%. A/R fell from millions to thousands. The pattern repeats. Clean documentation and real follow-up recover money your panel already earned.
Nephrology Billing FAQ
Do you understand ESRD and dialysis billing?
Yes. Monthly capitation tiers, ESRD bundling, and CKD staging are core to how we bill nephrology.
Will this disrupt our workflow?
No. HRG works inside your current EHR. There is no new platform for your team.
Who does the work?
U.S.-based billing specialists assigned to your account. No offshore handoffs.
Can we leave if it is not working?
Yes. The agreement is month to month with no lock-in.
Do you handle coding and prior authorizations?
HRG audits and verifies coding. HRG advises on prior authorization workflow. Both stay owned by your team.
Talk to the Person Who Will Run Your Billing
No pitch. A working review of where your nephrology revenue leaks. Book a 20-minute billing review or call 913-937-2995.