Full-service revenue cycle and patient contact center solutions focused on maximizing operating margin.
Custom-tailored nephrology medical billing and coding services to match your organization’s unique RCM needs.
Nephrology medical billing is an intricate specialty which requires a deep understanding of complex dialysis codes and administrative tasks. Renal care is difficult to bill because there are often prior illnesses or conditions, such as diabetes or hypertension, that can cause problems within the kidneys. Underlying health issues necessitate a comprehensive approach to billing, as they may involve multiple treatments and medications that need accurate documentation and coding for insurance purposes.
Global Healthcare Resource recognizes these challenges and addresses them efficiently through end-to-end revenue cycle management (RCM) support. We work with nephrology practices and departments across the United States, giving us unique insights into how your operations function. As a nephrology billing and coding solutions provider, we are HITRUST certified and HIPAA compliant, ensuring we meet your regulatory compliance requirements.
We operate as an extension of your team, seamlessly integrating with your practice to manage essential administrative functions so you can remain focused on what matters most—providing exceptional patient care. From call center support to comprehensive revenue cycle management (RCM) solutions and beyond, we handle the operational complexities behind the scenes, empowering your staff to focus on the work they were trained to do.
Dialysis coding involves a mix of CPT codes, ICD-10 codes, and specific guidelines for various dialysis procedures—whether hemodialysis (CPT 90935-90999), peritoneal dialysis (CPT 90945), or dialysis access surgical procedures. Staying up to date with ongoing changes can be incredibly time-consuming.
Global’s experienced professionals will code dialysis procedures within 24 hours of submission and meet or exceed 95% accuracy rates. Let our skilled staff reduce denials and streamline your coding process—leading to higher reimbursement rates.
Step 1: We learn the intricacies of your specific operations and how we can address your most pressing challenges.
Step 2: We assemble, train, and manage a specialized team that exclusively works on your project.
Step 3: Within an average of 30 days, we fully integrate with your practice and begin generating results that help you reach your operational goals.
For more than 25 years, Global Healthcare Resource has been a leader in revenue cycle management for nearly every specialty, including nephrology. Our HIPAA-compliant professionals are highly adaptable and easily navigate persistent challenges like out-of-network charges, long payment periods, and patient miscommunications. Trust us to support you through:
Global Healthcare Resource is dedicated to improving productivity and maximizing ROI. Our medical billing and coding services for nephrology are just part of our comprehensive RCM services that help your practice serve patients better. Schedule a consultation today and learn how we can help.
Medical billing and coding for nephrology are usually best handled by RCM specialists as opposed to nephrologists and their medical care teams. By outsourcing your billing needs, you can look forward to:
Cost reduction: An outsourcing team like Global Healthcare Resource has all the tools and training necessary to start working with you today. That means you do not have to get the software yourself or hire people to train and manage it. This benefit results in significant cost savings over time, increasing your revenue potential and ensuring you can continue expanding your organization.
Enhanced patient care: When you pass your administrative work onto us, you and your staff have more time to focus on your patients. This ability may allow you to take on more new patients, provide better care to existing patients, and overall optimize your workflow to improve productivity and performance.
Operational scalability: With thousands of employees, Global can support all your needs with revenue cycle management services for nephrology. As your practice grows, we add more of our professionals to your team, allowing you to keep up with demand without bringing in additional support staff.
Our team is prepared to address common errors, such as:
Inaccurate Documentation: Failing to document all relevant details about dialysis procedures can lead to improper coding, missed reimbursements, or denials.
Not Distinguishing Between Acute and Chronic Conditions: Codes for acute renal failure (ICD-10 N17) vs chronic kidney disease (CKD) (ICD-10 N18) need to be used correctly.
Upcoding and Downcoding: Charging for more services than were provided (upcoding) or charging less (downcoding) can both result in audits or financial penalties.
Failure to update regulations: The requirements for nephrology medical billing and coding can vary from year to year. Keeping track of each change on top of managing healthcare operations slows every process down.
