Nephrology Billing Services

Clean Claims, Faster Payments, Maximum Revenue for Your Nephrology Practice

Nephrology practices face some of the most complex billing challenges in healthcare. With ESRD bundles, dialysis supervision, vascular access procedures, and frequent lab testing, one small mistake can lead to significant payment delays.

Swiftcare Billing specializes in nephrology revenue cycle management, ensuring your claims are accurate, compliant, and reimbursed efficiently. We handle the paperwork, denials, and insurance follow-ups so your practice can focus on saving kidneys — not chasing AR.

From dialysis to lab interpretations, Swiftcare Billing handles your nephrology revenue cycle so you can focus on patient care.

About Swiftcare Billing

At Swiftcare Billing, we provide end-to-end revenue cycle management for nephrology practices of all sizes — from solo nephrologists to multi-location dialysis centers.

Our team combines certified coders, payer experts, and billing specialists who understand the nuances of nephrology billing:

We don’t just submit claims—we optimize every step to reduce denials, increase cash flow, and maintain compliance.

Why Nephrology Billing Can Cost You Revenue

ESRD Bundle Errors: Missing or incorrect billing for monthly dialysis bundles leads to underpayments.
Dialysis Coding Complexity: Frequent CPT and HCPCS updates require vigilance to avoid denials.
Vascular Access Reimbursements: Modifier or documentation errors can delay fistula/graft payments.
Lab Denials: Improper lab coding, misaligned diagnoses, or missing documentation trigger rejections.
Medicare Audits: ESRD-focused audits are standard and require precise records and coding accuracy.
Coordination of Benefits Challenges: Mismanagement of secondary and tertiary insurance can result in lost revenue.

Swiftcare Billing resolves these issues through specialized workflows, payer-specific expertise, and continuous audit readiness.

Our Nephrology Billing Services

Patient Registration & Insurance Verification

We confirm ESRD status, dialysis coverage, and secondary insurance before the first visit. Accurate eligibility checks prevent claim delays.

Nephrology Coding & Documentation Review

Certified coders assign CPT, ICD-10, and HCPCS codes for dialysis supervision, AV fistula/graft procedures, office and hospital visits, and labs. Documentation is verified to meet payer requirements.

Monthly Dialysis Billing

All MCP services are tracked, and correct G codes are submitted each month. Patients’ recurring dialysis visits are never missed or misbilled.

Claims Scrubbing & Electronic Submission

Claims are reviewed for modifier accuracy, diagnosis matching, and compliance with ESRD-specific requirements before submission. This reduces denials and accelerates payment.

Denial Management & Appeals

Denied claims are corrected, recoded, and submitted with evidence-based appeals. We follow up with payers to ensure reimbursement.

Payment Posting & AR Control

ERAs are posted, partial payments are resolved, and AR reports are cleaned weekly to maintain lean, predictable cash flow.

Compliance Audits & Revenue Reporting

You receive detailed monthly reports on collections, denial trends, and payer performance. Audit-ready documentation ensures long-term compliance.

Seamless Workflows, No Disruption

Swiftcare Billing integrates with your nephrology practice systems, including:

Our team works behind the scenes to streamline billing without affecting your staff or patient workflow.

Tailored Billing Solutions for Every Nephrology Practice

Swiftcare Billing works with a wide range of nephrology providers, offering customized revenue cycle solutions to fit the unique needs of each setting:

Independent Nephrologists: Solo practices or small groups receive end-to-end billing, from dialysis supervision to office visits, ensuring accurate claims and timely payments.
Dialysis Centers: We handle complex ESRD PPS billing, capitation codes, and monthly bundle submissions for both in-center and home dialysis programs.
Hospital-based Nephrology Departments: Our team coordinates inpatient and outpatient claims, including vascular access procedures, lab testing, and consultations.
Multi-specialty Internal Medicine Groups: We seamlessly integrate nephrology billing with other specialties, ensuring accuracy and compliance across all services.
Academic Nephrology Clinics: We support teaching hospitals and research-focused nephrology departments with detailed documentation review, billing education, and audit-ready claims.
Pediatric Nephrology Practices: Specialized coding for CKD and ESRD management in children, including dialysis supervision and growth monitoring.

With Swiftcare Billing, every provider type benefits from faster reimbursements, reduced denials, and transparent reporting.

Nationwide Coverage for Urban and Rural Nephrology Practices

Swiftcare Billing provides comprehensive nephrology billing support across the United States, including major metropolitan areas and underserved rural regions:

New York

Los Angeles

Chicago

Houston

Miami

Atlanta

San Francisco

Seattle

Boston

Denver

Dallas

Philadelphia

Phoenix

Minneapolis

Orlando

San Diego

Portland, Nashville

Plus hundreds of smaller cities and rural clinics nationwide.

No matter the location, Swiftcare ensures your claims are submitted accurately, denials are aggressively managed, and cash flow stays consistent.

Revenue Cycle Expertise That Keeps Your Practice Profitable

Nephrology billing is complex, but Swiftcare Billing makes it manageable. Here’s why providers trust us:

Nephrology-specific Billing Expertise: Certified coders with specialized knowledge in ESRD, dialysis, and CKD management.
ESRD & Dialysis Reimbursement Optimization: Accurate G-code and bundle submissions maximize monthly revenue and minimize missed payments.
Faster Payment Cycles & Shorter AR Days: Efficient claim scrubbing, submission, and follow-up keep cash flow steady.
Aggressive Denial Management: Swiftcare identifies root causes, corrects coding errors, and appeals denied claims until reimbursement is received.
Transparent Reporting & Audit-ready Documentation: Detailed dashboards and monthly reports let you track collections, payer performance, and claim status.
Compliance with Medicare, Medicaid & Commercial Payers: Reduces risk of audits and penalties while maintaining full regulatory adherence.

Get Fully Reimbursed With Swiftcare Billing

Your patients rely on your care, and your practice relies on clean, timely revenue.
Swiftcare Billing ensures your nephrology claims are accurate, compliant, and fully reimbursed — so you can focus on patient outcomes instead of paperwork.

Frequently Asked Questions

Do you handle monthly dialysis and ESRD bundle billing?

Yes. Swiftcare Billing tracks all monthly dialysis encounters, ensures accurate G-code submission, and confirms each bundle is billed to prevent lost revenue.

Can you manage both Medicare and secondary insurance claims?

Absolutely. Our team coordinates primary, secondary, and tertiary payers, verifies eligibility, and prevents underpayments across all coverage types.

Do you bill both hospital-based and office-based nephrology services?

Yes. We manage inpatient consults, outpatient visits, dialysis procedures, vascular access, and lab billing across multiple sites.

How do you reduce claim denials in nephrology billing?

We use a multi-step process: coding audits, documentation review, modifier validation, payer-specific claim scrubbing, and proactive follow-up on denials.

Can Swiftcare Billing scale for large dialysis centers?

Yes. Our workflows are flexible, allowing us to handle multi-provider practices, independent dialysis centers, and hospital systems of any size.

Get in Touch With Our Billing Specialists

Have questions or need support? Our team is here to guide you with credentialing, billing, coding, and A/R solutions tailored to your practice. Reach out now to get started.