SpecialtiesNephrology
Nephrology
medical billing
Monthly capitation for dialysis, fee-for-service for everything else.
Where it leaks
Why this specialty
loses money.
Nephrology runs two payment models at once. Dialysis is billed as a monthly capitated service banded by visit count and patient age, while the rest of the practice is fee-for-service. Claims that cross the boundary are where the money goes missing.
What makes it different
- Monthly capitation banded by visit frequency and age
- Home dialysis billed differently from in-centre
- Vascular access procedures as separate claims
- Hospital visits carved out of the monthly rate
How it is covered
The same eight disciplines,
tuned to this specialty.
Nephrology billing is not a separate service — it is the same revenue cycle, with the rules that matter here applied at each stage. The assessment reviews all eight against your own data.
Revenue assessment
How is nephrology
billing performing for you?
A revenue assessment reviews all eight disciplines end to end and shows you where the reimbursement is going.