Nephrology practices require a deep understanding of complex billing codes, frequent patient visits, and long-term treatment plans that often span inpatient, outpatient, and dialysis care. At Velora, we specialize in medical billing and credentialing services tailored to the unique demands of nephrologists. Our goal is to streamline your revenue cycle, reduce denials, and ensure accurate reimbursement so your team can stay focused on patient care.
Nephrology billing includes a broad range of services, such as chronic kidney disease (CKD) management, dialysis sessions, inpatient consultations, and management of comorbidities like diabetes and hypertension. These services must be documented with precision and billed according to strict payer guidelines. For instance, outpatient dialysis billing involves monthly capitated payment (MCP) codes that vary based on patient visits and duration of care. Missing or incorrect documentation for even one visit can result in lost revenue. At Velora, our certified coders are trained to handle the intricate coding structures and compliance nuances specific to nephrology.
Our billing experts work closely with your practice to track patient eligibility, manage prior authorizations, and ensure clean claims submission. We handle claim scrubbing, timely filing, and proactive follow-up on denials to keep your cash flow consistent. Whether you’re billing for in-center hemodialysis, home dialysis, or managing end-stage renal disease (ESRD) patients in a hospital setting, Velora ensures the billing process is seamless and accurate.
Credentialing is another critical component for nephrology providers. Delays or errors in credentialing can result in reimbursement gaps and regulatory issues. Velora’s credentialing team works diligently to complete payer applications, submit all necessary documents, and follow up with insurers until approvals are secured. We keep your providers enrolled with Medicare, Medicaid, and private payers, ensuring continuous revenue and compliance.
We also offer nephrology-specific revenue cycle management (RCM) solutions, including detailed reporting and analytics that help you understand payer behavior, denial trends, and patient collections. Our RCM team provides monthly insights to help your practice optimize financial performance and identify opportunities for growth.
Nephrology practices often collaborate with dialysis centers, hospitals, and other care providers. Velora facilitates seamless coordination with all stakeholders, ensuring that each service is properly documented and billed — whether it’s a monthly assessment, a hospital consult, or an acute dialysis session. Our team understands the time-sensitive nature of these services and ensures claims are submitted promptly with all necessary supporting documents.
In addition, compliance is critical in nephrology billing due to CMS guidelines and frequent audits around dialysis billing and ESRD services. Velora supports your practice with internal audits, documentation reviews, and compliance checks to reduce audit risks and ensure your billing meets payer and regulatory standards.
We also assist with technology integration by connecting your EHR or practice management system to our billing platform, offering seamless data exchange, HIPAA-compliant security, and real-time tracking of claims.
Velora is more than a billing company — we are your strategic partner. With our expertise in nephrology billing and credentialing, your practice can expect fewer denials, faster payments, and greater peace of mind.