Nephrology Billing
HNA Dedicated Nephrology Billing Specialists
Nephrology Billing That
Captures Every Dialysis,
Every Visit, Every Service.
Nephrology billing is highly specialized — dialysis E&M (ESRD vs non-ESRD), hemodialysis procedure codes, peritoneal dialysis, CKD management visits, and dialysis-related drug billing. HNA's nephrology specialists maximize reimbursement across your entire patient panel. AR management included with full RCM.
Accepting new practices — Free audit slots available this week
Nephrology Specialists
Dialysis Billing Experts
ESRD Monthly Billing
AR with RCM Package
HIPAA Compliant
Nephrology CPT Coverage
Dialysis, ESRD & CKD management
HNA Specialists
Hemodialysis — Complete Procedure
90935 / 90937ESRD Monthly Capitation — Adult
90960 / 90961Peritoneal Dialysis — Complete
90945 / 90947Non-ESRD Dialysis E&M Visit
99202–99215AV Fistula / Graft Assessment
36818 / 36820Kidney Transplant Follow-Up
99213–9921597%
First Pass
2–4%
Our Rate
$0
Setup
AR Management included with RCM — Full revenue cycle with denial appeals, dialysis claim recovery & <30 day AR resolution.
Why Choose HNA
800+
Practices Nationwide
Trusted across 20+ specialties
4.8★
Google Rating
340+ verified reviews
$0
Setup Fee Ever
Start same week, zero cost
14
Day Notice Only
Industry's best exit policy
90+ Nephrology Practices Trust HNA — AR Management Included with RCM
Why HNA is the Best Choice for Nephrology
Nephrology billing is unique — ESRD monthly capitation codes, hemodialysis procedure billing, peritoneal dialysis, and the complex rules around billing multiple E&M visits within the dialysis capitation period. Most billing companies get the ESRD monthly billing wrong. HNA's dedicated nephrology coders maximize every ESRD patient's monthly billing and ensure full RCM with built-in AR management.
HNA's Nephrology Advantage
ESRD billing is one of the most complex in Medicare — monthly capitation codes that vary by visit frequency (90960 vs 90961 vs 90962), rules for billing E&M visits separately within the capitation period, and separate billing for non-ESRD dialysis patients. HNA's dedicated nephrology coders bill every ESRD patient at the highest correct monthly capitation code, and our full RCM service with AR management ensures every denied claim is recovered.
90+
Nephro Practices
<30d
AR Days (RCM)
97%
First-Pass
14d
Notice Only
💰 AR Management with Full RCM
Choose HNA's complete RCM service and AR management is built in — dialysis claim denials, ESRD capitation disputes, drug billing denials all recovered. <30 day AR resolution included.
ESRD Monthly Capitation Expertise
90960 (4+ visits/month), 90961 (2–3 visits), 90962 (1 visit) — correct capitation code billed every month based on actual visit count. Partial-month proration for new ESRD patients billed correctly.
Hemodialysis & PD Billing
Complete dialysis procedure billing — hemodialysis (90935/90937), peritoneal dialysis (90945/90947), CCPD, and home dialysis training codes — all correctly billed with proper modifiers.
ESA & Dialysis Drug Billing
Erythropoiesis-stimulating agents (EPO, darbepoetin), IV iron, and other dialysis-related drugs billed with correct J-codes, dose units, and Medicare dialysis bundle rules.
14-Day Notice — Industry's Best
No 30–90 day contracts. Cancel with just 2 weeks notice, no penalties, anytime. We earn your business every month.
💰 Included with Full RCM Service
AR Management Built Into RCM
Choose HNA's complete Nephrology RCM service and AR management is included — ESRD capitation disputes, dialysis claim appeals, drug billing denials, all pursued. Every denied claim recovered.
<30
AR Days
95%
Collection
48hr
Response
Revenue Recovery — Without vs With HNA RCM
Billing Area
Without HNA
With HNA RCM
ESRD monthly code
Always 90962
Visit-count based
Non-ESRD E&M visits
Bundled — missed
Billed separately
Dialysis drug J-codes
Wrong units
Exact dose billed
Home dialysis training
Not billed
All sessions captured
AR days
45–60 days
<30 days (RCM)
Denial follow-up
Written off
48hr (RCM)
Avg monthly gap
–$4,100/mo
Recovered ✓
Common Challenges
Where Nephrology Practices Lose Revenue
ESRD billing has unique monthly capitation rules, complex dialysis bundling restrictions, and drug billing requirements that most billing companies simply don't understand.
Wrong ESRD Monthly Capitation Code
Medicare ESRD monthly capitation billing depends on the number of physician visits per month — 90960 for 4+ visits, 90961 for 2–3 visits, 90962 for 1 visit. Most billing companies default to the lowest code (90962) regardless of actual visits, losing $80–$120 per patient per month. Across a panel of 100 ESRD patients, this is $8,000–$12,000/month in uncaptured revenue.
✓HNA bills ESRD capitation at the correct visit-count-based code every month
ESRD Denials Not Appealed
ESRD capitation and dialysis claims are denied for various reasons — wrong capitation code, billing outside the capitation period, dialysis bundle conflicts. Without AR management — which comes with HNA's full RCM service — these denials sit in aging AR and get written off. HNA's RCM-included AR management appeals every denial within 48 hours.
✓AR management with HNA's RCM — all ESRD denials appealed within 48 hours
Non-ESRD E&M Visits Not Billed
The ESRD monthly capitation covers routine dialysis-related E&M — but E&M for unrelated problems (hypertension exacerbation, infection, new complaint) can be billed separately as standard E&M codes. Most nephrology practices don't bill these separate E&M visits, losing $80–$200 per qualifying visit across their dialysis patient population.
✓HNA identifies and separately bills all qualifying non-ESRD E&M services
Dialysis Drug Billing Errors
ESA drugs (epoetin alfa J0885, darbepoetin J0882) and IV iron (ferric gluconate J0172, iron sucrose J1756) administered during dialysis are separately billable with correct J-codes and dose units. Getting the units wrong — EPO is billed per 1,000 units — causes massive underpayment or denial on every drug administration.
✓HNA bills all dialysis drugs at correct J-codes with exact dose unit calculation
Home Dialysis Training Not Billed
Training patients or caregivers for home hemodialysis or peritoneal dialysis is separately billable — each training session (per day of training) can be billed using specific dialysis training codes. Most nephrology practices never bill home dialysis training, leaving $50–$100 per training day uncaptured across what can be 2–4 weeks of daily training sessions.
✓HNA captures all home dialysis training days — every session billed correctly
CKD Pre-Dialysis Visits Miscoded
CKD management visits for stages 1–4 (pre-dialysis) should be billed as standard E&M codes, not dialysis codes. Many practices use dialysis codes for all kidney patients regardless of whether they're on dialysis, causing claim denials. Conversely, billing complex CKD visits at lower E&M levels (99213 instead of 99214/99215) misses $30–$60 per qualifying CKD visit.
✓HNA correctly distinguishes ESRD vs CKD billing and maximizes E&M levels
Our Services
Complete Nephrology Revenue Cycle Management
Full RCM — ESRD capitation, dialysis procedures, drug billing, CKD management, and AR management included. Everything your nephrology practice needs.
ESRD Monthly Capitation Billing
Complete ESRD monthly billing with visit-count-based capitation code selection — 90960 (4+ visits), 90961 (2–3 visits), 90962 (1 visit) — tracked per patient per month. Partial-month proration for new ESRD patients. Maximum capitation revenue on every ESRD patient every month.
⭐ Highest Volume — Per-Patient Optimized
Dialysis Procedure & Drug Billing
Complete dialysis billing — hemodialysis (90935/90937), peritoneal dialysis (90945/90947), plus all dialysis-related drugs: EPO (J0885 per 1,000 units), darbepoetin (J0882), IV iron (J0172/J1756) — all billed with exact dose units and correct Medicare bundle rules.
💰 Drug Units Critical
CKD Management Billing
CKD stage 1–4 E&M visits billed at the highest supported level — 99213 through 99215 — with correct time-based and MDM documentation
Home Dialysis Training
All home HD and PD training sessions billed per training day — every session captured across the full training period for every home dialysis patient
Transplant Follow-Up Billing
Post-kidney transplant E&M billing, immunosuppressant drug codes, and rejection episode management — all correctly billed
AR Management — with RCM
Full AR management included with complete RCM service — ESRD denial appeals, dialysis underpayment recovery, <30 day AR resolution guaranteed
💰 Included with RCM
Get Started Today
Nephrology RCM — AR Management Included
Every Dialysis Session Done.
Every Dollar Collected.
Book a free nephrology billing + RCM audit. We identify wrong ESRD capitation codes, unbilled non-ESRD E&M visits, drug dose unit errors, missed home dialysis training, and aging AR. Our full RCM service includes AR management so every denied dialysis claim is recovered.
Your Free Audit Includes:
✓
ESRD capitation code review — visit count assessed✓
Dialysis drug unit calculation review✓
AR aging analysis — denied dialysis claims identified✓
Revenue recovery estimate — no obligation90+
Nephro Practices
Nephrologists served
$0
Setup Fee
Start same week
2–4%
Our Rate
vs 5–8% market avg
14
Day Notice
Industry's best policy
🔒 HIPAA Certified✅ No Setup Fee🏥 800+ Practices⭐ 4.8/5 Google🫘 Nephro Specialists💊 ESRD Experts💰 AR with RCM📅 14-Day Notice