Medical Billing · Nationwide
Nephrology & Dialysis Centers Medical Billing Services
ESRD monthly capitation payment (MCP) tiers, in-center and home dialysis supervision, vascular access management, and CKD chronic disease coordination.
Aethera Healthcare Solutions provides full-service medical billing and revenue cycle management to nephrologists, dialysis centers, and kidney care clinics across the United States. We handle coding, claims, payment posting, denial management, and A/R follow-up end to end — so your team can stay focused on patient care while your revenue cycle runs cleanly.
Typical nephrology & dialysis centers CPT range we work: 90951–90970, 90935–90945, 90989, 90999, 99202–99215.
Why nephrology & dialysis centers billing leaks revenue
MCP monthly capitation denials (90951–90970) due to patient mid-month hospitalizations, transient dialysis treatments, or unbilled partial-month days (90970)
Dialysis facility vs professional physician duplicate claim rejections under CMS ESRD Prospective Payment System (PPS)
Commercial payer underpayments on immunosuppressive post-transplant medication management and complex CKD care plan oversight (G0511/99490)
Vascular access declotting and fistulogram coding mismatches (36901–36906) triggering NCCI PTP edits and bilateral bundling clawbacks
How Aethera fixes it
Specialty-trained coders (CPC/CCS) code to the documentation
First-pass claim scrubbing against payer and NCCI edits
Proactive denial prevention and 72-hour denial work
Relentless A/R follow-up to drive days-in-A/R down
Eligibility and prior-auth verification before service
Transparent, real-time reporting in the provider portal
Free tools for your billing team
Use these any time — no login required.
Nephrology & Dialysis Centers billing FAQ
How do you handle patient hospitalizations during an ESRD Monthly Capitation Payment (MCP) cycle?
When an ESRD patient is hospitalized during a month, full MCP codes cannot be billed. We automatically pivot to per-day MCP codes (90970) for the non-hospitalized days, preventing complete monthly reimbursement forfeiture.
How do you verify vascular access intervention coding compliance?
Our certified coders audit diagnostic angiography vs mechanical thrombectomy within the dialysis access circuit, ensuring proper usage of peripheral/central segment CPTs 36901–36906 with appropriate angiographic documentation.