Health Thrive Billing

Professional Nephrology Medical Billing Services

Accurate Coding. Faster Reimbursements. Better Outcomes.

Health Thrive provide specialized nephrology billing services that reduce denials, improve revenue cycle performance, and support the complex needs of nephrology practices. From in-center dialysis billing to transplant global periods, our team understands every detail, so you don’t have to.

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Why Nephrology Needs a Dedicated Billing Partner

Billing for nephrology isn’t just another specialty, it’s a complex matrix of:

We ensure accurate documentation, modifier usage, and payer compliance maximizing reimbursements and reducing administrative burden.

Reduce Claim Denials & Revenue Leakage

With rising payer scrutiny, incorrect nephrology billing can cost thousands in lost
revenue every month. Health Thrive nephrology billing experts are trained in,
We focus on clinical accuracy and financial integrity helping you
avoid payer rejections and compliance risks.

  • ESRD dialysis claims (90935–90970)
  • CKD management and time-based E/M codes
  • Remote monitoring and chronic care billing
  • Kidney biopsy, stent, and catheter placement billing
  • Modifiers (25, 59, 76, 79) and frequency tracking
  • Transplant episode tracking within and beyond global periods
  • Onco-nephrology crossover billing between nephrology and oncology

Why Nephrology Needs a Dedicated Billing Partner

Billing for nephrology isn’t just another specialty, it’s a complex matrix of:

We ensure accurate documentation, modifier usage, and payer compliance maximizing reimbursements and reducing administrative burden.

What You Get With Health Thrive Nephrology Billing Services

Accurate Coding: ICD-10 and CPTs for CKD, dialysis, AKI, ESRD, hypertension, transplant, and more
Claims Submission: Error-free and timely electronic filing
Pre-authorizations: For procedures, dialysis, imaging, and infusions
AR Follow-Up & Denials Management: Rapid resolution of denied or underpaid claims
Real-Time Reporting: With clear revenue insights and KPIs
Dedicated Account Manager: A nephrology billing expert, not a generalist
Eligibility & Benefit Checks: Including Medicare Part B and dual eligibility

Success in Numbers

98%+ Average AR
24 Days Turnaround Time (TAT)
48 Hour Average Reduction in Denials
30% % Revenue Growth for Most Clients
5–10% Client Retention Rate
99%

Trusted By Nephrologists Nationwide

We serve: Whether you manage complex inpatient cases, coordinate with oncologists, or provide chronic CKD care, our billing services are built to match your workflow.

  • Solo Nephrology Providers
  • Group Practices & RCM Partners
  • Dialysis Centers (In-Center & Home Modalities)
  • Transplant Units
  • Onco-Nephrology Programs
  • Hospital-Based Nephrology Teams

Why Choose Health Thrive Billing?

Deep knowledge of nephrology-specific CPTs & ICD-10 codes

Experience with transplant, dialysis, and chronic disease billing

Seamless integration with all major EHRs (Epic, Athena, eClinicalWorks, All Scripts, etc.)

Fully HIPAA-compliant systems and US-based support

Hands-on account management by experts in nephrology billing

Transparent monthly reports to track your growth and reimbursements

Ready to Stop Leaving Money on the Table?

Schedule a free nephrology billing audit and discover how much revenue your practice may be missing due to coding errors, missed modifiers, and payer miscommunication.

Frequently Asked Questions (FAQs)

Nephrology billing involves complex procedures like dialysis, transplant follow-ups, and chronic disease management. These require accurate time-based billing, use of specific modifiers, and frequency tracking, unlike most general specialties. A minor coding error can lead to significant revenue loss in nephrology.

Yes. We have dedicated billing workflows for in-center hemodialysis (CPT 90935–90970), peritoneal dialysis, and home dialysis, including proper documentation of place of service, frequency, and ESRD patient eligibility.

Absolutely. We support both inpatient and outpatient nephrology billing—including consults, inpatient dialysis, follow-up E/M codes, and global transplant care. We ensure accurate coordination across settings.

You’ll get detailed monthly reports including:

  • Claims submitted & reimbursed
  • Denials by reason & resolution rate
  • AR aging reports
  • Clean claim percentage
  • Revenue growth trends
  • Provider-level performance

No. We work seamlessly with all major EHRs and PM systems like Epic, Athenahealth, eClinicalWorks, NextGen, and Greenway. Our billing team adapts to your existing workflow.

Yes. We manage the global periods associated with kidney transplant surgery, track immunosuppressive medication coverage, and ensure proper billing of pre- and post-transplant services to prevent denials or payer pushbacks.

Our certified coders are trained in nephrology-specific CPTs, ICD-10 codes, and modifiers. They’re experienced in ESRD coding, CKD staging, dialysis, hypertension management, and comorbidity documentation.

We follow strict HIPAA-compliant protocols for all patient data and billing processes. Our platforms are fully encrypted, and we sign BAAs with all clients. Compliance audits are conducted regularly.

We can onboard your nephrology practice in as little as 7–10 business days. Our team ensures a smooth transition from your current billing setup without disrupting patient care or cash flow.

Our pricing is flexible and based on your monthly collections, practice size, and scope of services. Schedule a free consultation to get a personalized quote tailored to your nephrology practice.