Optimizing Revenue of

Kidney Care & Dialysis Care
Providers all over the USA

The Economic Supporting Hand of Kidney Care

Nephrology is a very specialized field of medicine that aims at diagnosing and treating kidney diseases, electrolyte disorders, high blood pressure associated with kidney disorder, and also removing dialysis — a life-maintaining treatment method for kidney patients, especially those with End Stage Renal Disease (ESRD).

Although the provision of excellent patient care is the most basic necessity of the practices, financial health is also important to allow nephrology practices to maintain their operations and offer quality services.

Regrettably, nephrology billing constitutes one of the most difficult sectors in medical billing as a result of:

  • The variety of offered services – office consultation, repeated dialysis.
  • A number of procedures coded per patient per month.
  • Strict compliance rules of Medicare ESRD.
  • Bundled payment systems associated with dialysis and drugs based on dialysis.

Denials, delayed, or under-payments can happen because of even the slightest coding or documentation error. This is the reason why practices align with NexCure LLC — a reputable name in billing and revenue cycle management — to have their nephrology billing done with precision, compliance, and efficiency.

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    Reasons Why Nephrology Billing Is More
    Complicated than Most Specialties

    Nephrology billing does not only entail the submission of codes like CPT and ICD-10. All the claims should be thoroughly reconciled with: Payer policie, Medical necessity requirements, The End-Stage Renal Disease Prospective Payment System (ESRD PPS) introduced by Medicare.

    Notable reasons that led to complexity include:

    Dialysis for the Kidney

    In-center hemodialysis is usually done thrice a week and should be appropriately coded per session and combined every month using MCP (Monthly Capitation Payment) codes. Billing rules governing home dialysis (peritoneal or hemodialysis) are different.

    BPS Payment System

    Many ESRD-related services (such as lab tests and particular drugs) are not reimbursed separately but under bundled rates.

    Expansion of Providers & Points of Service

    Nephrologists serve patients across outpatient clinics, dialysis centers, and hospitals — each with different billing requirements. Improper documentation or coding can cause recoupments and fines. Nephrology claims are often audited by Medicare and Medicaid due to the high cost of dialysis.

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    Why NexCure LLC?

    NexCure LLC – End-to-End Nephrology Billing Solutions

    We provide a complete revenue cycle management solution to nephrology and dialysis providers. Our method ensures every service is documented, coded, and reimbursed appropriately while minimizing compliance risk.

    • Reverse dialysis for Acute Kidney Injury (AKI).
    • Pre- and post-care billing for kidney transplant.
    • Split/shared services with other specialists or hospitalists.

    Complex denial resolution and appeals

    • Check demographics, insurance, and ESRD coverage.
    • Coordinate benefits for dual-insured patients.
    • Verify Medicare Part B or other dialysis benefits.
    • Seek prior approval for procedures and expensive treatments.

    Zero-error nephrology coding at the front end eliminates coverage or authorization denials.

    Our AAPC-certified coders are highly skilled in:

    • MCP Codes for ESRD.
    • Renal biopsies, vascular access procedures, kidney transplants.
    • CPT codes for home, peritoneal, and in-center hemodialysis.
    • Applying modifiers for multiple services or split-month MCP billing.

    We continuously audit coding to ensure compliance and identify lost revenue opportunities.

    We ensure:

    • Accurate charging of drugs and ESRD services.
    • Proper facility and professional service billing.
    • Training charges for home dialysis users.
    • Compliance with NCCI edits to prevent rejections.
    • Correct billing during split-month care transitions.
    • Use nephrology-specific claim scrubbers to detect missing data, coding errors, or bundling discrepancies before submission.
    • Submit claims online to speed up reimbursements.
    • Manually check ERA posting accuracy.
    • Identify underpayments against contract rates.
    • Immediate follow-ups with payers for shortfalls.
    • Monthly reconciliation reports.
    • Detailed denial analysis (e.g., missing documentation, time constraints).
    • Formal appeals with supporting documentation and payer policy references.
    • Monitor denial patterns to prevent future issues.
    • Ensure CMS ESRD compliance.
    • Provide monthly/quarterly revenue performance reports.
    • Supply audit-ready reports for internal/external reviews.
    • Analyze trends and payer reimbursement mix.
    • Recommend actions to improve cash flow and reduce A/R days.

    Why Nephrologists Choose NexCure LLC

    HIPAA-Compliant Processes

    Secure patient data handling

    Specialized Expertise

    Billers and coders dedicated to nephrology and dialysis practices.

    Proven Results

    Over 98% clean claims rate.

    Increased Revenue

    Fewer coding errors and missed charges.

    End-to-End Service

    From eligibility checks to denial appeals.

    Transparent Communication

    Real-time updates and reports.

    Partner with NexCure LLC

    Nephrology billing is too important and too complex to leave to chance. When you choose NexCure LLC, you get a committed team of experts who understand the medical, financial, and regulatory aspects of kidney care billing.

    Whether you have a solo nephrology clinic, a multi-provider practice, or a dialysis center, we have the tools, knowledge, and determination to maximize your reimbursements and ensure compliance.

    Call us today or send us a message to arrange a free consultation and discover how NexCure LLC can transform your nephrology billing process.

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      Client Testimonials

      What Healthcare Providers Say About Us

      "Working with NexCure LLC has been a relief for my clinic. They took care of my credentialing process from start to finish, no delays, no confusion. I also like how they keep up with CMS quality programs and explain things clearly. Honestly, they’ve made my life much easier."

      Dr. Ayesha Rahman, MBBS

      "Before NexCure LLC, our billing was a nightmare — denials, delays, you name it. Their team stepped in and fixed our revenue cycle quickly. What I appreciate most is their guidance on MIPS reporting; they walked my staff through the requirements and we’ve already seen the results. Dependable and professional."

      Dr. James Whitman, MD

      "The attention to detail at NexCure LLC is impressive. They helped us get credentialed with several payers and made sure everything stayed compliant. Their support with HEDIS reporting boosted our scores, which directly benefited our contracts. I’m grateful for their hard work."

      Dr. Maria Gonzalez, MD

      "I’ve been very satisfied with the services from NexCure LLC. They keep me updated on payer rules and compliance, which is something many billing companies overlook. My billing cycle is smoother now, and their assistance with MIPS reporting has been a real plus. It feels like they are part of my team."

      Dr. Omar Al-Farouq, MD

      "Our practice needed someone who really understood billing and coding. NexCure LLC improved our collections and made the whole process less stressful. They’re straightforward, easy to reach, and they actually deliver on what they promise. I recommend them without hesitation."

      Dr. Alejandro Ramirez, DO
      12+

      Years of Expertise in Medical Billing & Revenue Cycle Management

      85+

      Providers Across Multiple Specialties Trust NexCure LLC Consultancy

      97%

      Clean Claims Rate Achieved on First Submission of Project Delivery

      15K+

      Claims Accurately Processed Every Month

      Book Consultation

      (929) 587-3833

      Email address:

      Info@nexcurellc.com

      1500 N Grant ST #5001, DENVER, CO, 80203

      United States

      WhatsApp:

      (929) 587-3833

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