Stop Losing Revenue
to Nephrology Billing Complexity
Recover ESRD revenue, eliminate MCP coding errors, and accelerate collections with AI-powered nephrology billing backed by certified revenue cycle specialists. Starting at 2.99%. Live in 7 days.
- Up to 97% first-pass claim acceptance - nephrology industry avg is 70%
- ESRD specialists for MCP codes 90951-90966, dialysis, CKD, and vascular access billing
- Live in under 7 days - no migration, no downtime, no setup fees
- Solo nephrologists, group practices & dialysis centers across 40+ states
Trusted by Nephrology Practices Across 40+ States
Practice Management Software Supported
And 50+ more systems supported
Works with Your Existing Practice Software
No migration. No downtime. Live in days. We connect directly to your nephrology practice management system without disrupting a single patient appointment.
- Go live in under 7 days from contract signing
- Zero data migration - we work inside your existing system
- 24/7 technical support during and after onboarding
- Dedicated integration specialist for your practice
Is Your Nephrology Practice Leaving Money on the Table?
Most nephrology practices lose 10-18% of collectible revenue every month - from ESRD billing errors that are completely preventable.
MCP Visit Miscounting
One undocumented monthly visit drops your ESRD payment per patient by 20-25%. Billing 90960 when only two visits are on record is not just lost revenue - it triggers retroactive recoupment when payers audit your panel.
ESRD Bundling Violations
Billing dialysis sessions (90935, 90937) inside an MCP month without understanding bundle boundaries creates overpayment liability and audit exposure on every single claim - even ones coded correctly.
CKD Stage Coding Errors
Unspecified CKD codes trigger automatic payer rejections. N18.1 through N18.6 must match documented stage exactly. Combined codes like I12.0 for hypertensive CKD routinely get submitted as two separate codes - denied every time.
Dual Eligibility Chaos
The 30-month Medicare secondary payer rule catches practices every year. Employer plans pay primary for the first 30 months after ESRD diagnosis. Wrong COB sequencing means chronic rejections on otherwise clean claims.
Collection Rate Comparison
Our nephrology clients recover an average of 18% more revenue within the first 90 days of going live.
Everything Your Nephrology Practice Needs to Get Paid Right
From ESRD monthly management to the last dollar collected, we handle your entire nephrology revenue cycle so you can focus on kidney care.
ESRD Monthly Management
We track every patient's face-to-face visits throughout the month and select the correct MCP code (90960, 90961, 90962) based on documented visits. One miscounted visit costs 20-25% of monthly patient revenue. We catch it before submission.
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Prior Authorization & Vascular Access
Vascular access procedures require pre-authorization with most payers. We manage every auth from submission to renewal, track expiry windows, coordinate rescheduling if approval delays arise, and ensure zero procedure interruptions for your patients.
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Dialysis & Procedure Coding
Certified nephrology coders handle hemodialysis (90935, 90937), peritoneal dialysis (90945, 90947), vascular access (36821, 36832), and all associated modifiers. Every ESRD bundle boundary tracked. Zero accidental unbundling.
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CKD Coding & Charge Entry
Accurate ICD-10 staging (N18.1-N18.6), correct combination codes (I12.0 for hypertensive CKD, E11.22 for diabetic nephropathy), and complete diagnosis sequencing per payer. Unspecified CKD coding is the fastest route to a payer audit - we eliminate it.
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Denial Management & Appeals
ESRD bundling denials, MCP visit-count mismatches, dual eligibility rejections - we investigate every denial, build appeals with complete documentation, and resubmit. More than 70% of properly appealed nephrology denials get paid.
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AR Follow-Up & Collections
Systematic follow-up across Medicare, Medicaid, dual-eligible, and commercial payers. Every claim tracked against timely filing windows. We prevent ESRD write-offs before the filing deadline closes - permanently.
Get Started6 AI Agents Working for Your Nephrology Practice 24/7
Our proprietary nephrology billing AI works in parallel with certified human specialists - catching ESRD errors, preventing bundling violations, and protecting revenue around the clock.
SiriusVerify™
Verifies ESRD eligibility, dual-eligible status, Medicare secondary payer timing, and authorization requirements before every encounter. The 30-month MSP rule catches practices every year - we track it automatically for every single patient.
SiriusCode™
AI-driven MCP code recommendations cross-checked by certified nephrology billing coders. Every code (90960, 90961, 90962), visit count, modifier, and dialysis type verified - maximum reimbursement per patient, full compliance every month.
SiriusScrub™
Claims checked against 2,000+ payer-specific nephrology billing rules. MCP visit count mismatches, ESRD bundling violations, Modifier 25 conflicts, and CKD stage coding errors caught before submission - never reach the payer.
SiriusGuard™
Monitors every nephrology transaction for ESRD compliance issues, CMS audit triggers, and billing pattern anomalies. CMS actively benchmarks ESRD billing against peer groups - we keep your practice protected before flags are raised.
SiriusCollect™
Automated follow-up that never lets a nephrology claim age past its timely filing threshold. Tracks every outstanding balance across Medicare ESRD, Medicaid, dual-eligible, and commercial payers - before the filing window closes permanently.
SiriusAudit™
Runs a continuous audit against your nephrology billing history. Identifies MCP undercoding, missed chronic care management codes (99490, 99439), incorrect dialysis bundling, and payer-specific reimbursement trends before losses compound.
Every Practice Type. Billed Right.
Nephrology billing is not one-size-fits-all. Each practice type has unique ESRD rules, payer requirements, and documentation standards. We have specialists for every one.
Live in 7 Days. Not 7 Weeks.
Our onboarding is straightforward and stress-free. Most nephrology practices are submitting cleaner claims within a week of signing.
Free Nephrology Billing Audit
We review your MCP coding patterns, ESRD claim history, dialysis bundling practices, and AR aging. 30 minutes reveals exactly where revenue is leaking and how to recover it.
Revenue Analysis & Strategy
Your dedicated account manager builds a custom nephrology RCM strategy covering ESRD optimization, CCM billing gaps, dual eligibility workflows, and a 90-day improvement roadmap for your practice.
System Integration
We connect directly to Epic, Athenahealth, eClinicalWorks, OmniMD, or any other platform. No data migration, no downtime. Average integration time is under 2 days.
Billing Optimization & Go-Live
First claims go out with our full team monitoring every ESRD submission. MCP codes, dialysis codes, and bundling rules validated from day one to ensure clean-claim momentum from the start.
Continuous Revenue Improvement
Monthly MCP audits, performance reviews, and proactive optimization as CMS updates ESRD PPS rules. Your revenue strategy stays current so your collections keep growing.
The Sirius Difference for Nephrology
Your team should be focused on kidney care, not chasing MCP visit counts. Here is why more nephrology practices choose to outsource.
AI + Human
Every claim processed by AI, reviewed by a certified nephrology billing specialist. Speed and accuracy - not one or the other.
Fully HIPAA Compliant
256-bit AES encryption, zero data breaches in 6+ years, PCI-DSS Level 1 certified. Your patient data is treated like our own.
Real-Time Visibility
Live dashboard showing every claim, payment, and denial. Know exactly where your revenue stands - at any moment, from anywhere.
Trusted by Nephrology Professionals
Real results from real nephrology practices - not projections.
"Working with Sirius Solutions Global has completely transformed our billing process. Their expertise, transparency and dedication helped us increase collections while reducing administrative stress. We can now focus more on our patients, knowing our revenue cycle is in expert hands."
"Our front desk used to spend hours chasing insurance authorizations and untangling modifier issues. Since switching to Sirius, they actually have time for patients. Our denial rate dropped, collections are up, and I can see exactly where every dollar stands."
"Our ESRD claims were getting denied constantly - MCP codes didn't match documented visit counts and no one was catching it. Sirius corrected everything within weeks. Medicare revenue jumped over 22%."
"Three nephrologists billing across two dialysis centers - the bundling errors were silently eating our revenue every month. Sirius standardized everything, cut our AR days from 52 to 19, and the MCP reports finally make sense."
"My team was systematically underbilling on ESRD patients - wrong MCP codes, missed CCM billing, incomplete dialysis documentation. Sirius ran an audit and found tens of thousands I was leaving on the table every month."
Real Results. Real Nephrology Practices.
These are the kinds of outcomes our clients experience when they stop losing revenue to nephrology billing complexity.
$68K in Aging ESRD AR - Recovered in 90 Days
A solo nephrologist had $68,000 in AR aging past 90 days. ESRD denials were going unanswered - MCP codes didn't match visit documentation and bundling violations were stacking up with no one to appeal.
MCP Underbilling Across 200+ Patients - $42K Recovered
Three-provider nephrology group systematically billing 90961 when documented visits supported 90960 for the majority of patients. Revenue was silently eroding every month with no audit trail to catch it.
$115K in ESRD Revenue Recovered Across 2 Locations
Growing nephrology group with dialysis sessions billed inside MCP months, dual eligibility COB sequencing errors, and unspecified CKD diagnosis codes across hundreds of claims at both locations.
Certified. Audited. Accountable.
Every badge below is independently verified - not self-claimed.
Questions About Nephrology Billing?
Clear answers to the most common questions nephrology practices ask before making the switch.
Get Your Free Nephrology Billing Audit
In 30 minutes, we will show you exactly where your nephrology practice is losing revenue - MCP underbilling, ESRD bundling violations, or AR aging past timely filing windows. No obligation, no sales pressure.
- Free nephrology billing and ESRD audit - no strings attached
- Revenue recovery report specific to your practice type and payer mix
- Response within one business day
HIPAA-compliant. Your information is never shared.