Dialysis billing with facility and professional work kept distinct.
Dialysis care involves recurring treatment, monthly professional work and supplies that may follow different payment arrangements. We help renal teams define which claims belong to their organization and reconcile the service dates, supporting records and payer responses for that scope.
- ClaimsDocumentation review
- A/RPayer follow-up
- ReportsClear next actions
Three ways Dialysis claims quietly lose value
Review these issues against the documentation, remittance and policy that applied on the date of service. They can appear as denials or underpayments.
- Facility and practitioner claims are mixed
Dialysis facility billing and a nephrologist’s professional services are not interchangeable. We identify the billing responsibility before reviewing charges.
- Monthly records do not support the claim
Professional monthly services require supporting encounter information. We query missing details instead of assuming the same service level each month.
- Bundled items are treated as separately payable
Some services or supplies may fall within a payment bundle. We check the applicable arrangement before adding separate claim lines.
What we bill for dialysis teams
If something you do is not on this list, ask. We will tell you honestly whether we have the depth for it.
How Dialysis accounts are actually run
The worklist connects each claim to its documentation, payer requirements and next follow-up date.
- Confirm the renal billing model
We define whether the organization needs facility, professional or separately agreed support for both.
- Reconcile the service records
Treatment and professional encounter dates are checked against the relevant claims.
- Review payment relationships
Potential bundling or responsibility questions are resolved before further submission.
- Track outstanding treatment periods
Reporting separates documentation gaps from payer decisions and payment discrepancies.
Included for dialysis teams
- Charge review against the clinical record
- Eligibility and benefit checks within the agreed scope
- Submission and rejection follow-up
- Payer denial review and supported appeals
- Payment posting and balance reconciliation
- Aged receivable review
- Specific documentation queries for your team
- Reporting on outstanding work and next actions
These describe how we run the service. They are commitments about our process, not a guaranteed outcome on any individual claim.
We work inside the system you already use
We agree user permissions, claim queues, reporting access and escalation contacts in your current system before work begins.
Dialysis / ESRD Services billing across the country
These state guides explain local Medicaid programs and payer administration. They cover general billing requirements, rather than a separate Dialysis service in each state.
Arizona payer guideAHCCCS and 7+ plans
Washington payer guideApple Health and 7+ plans
Texas payer guideTexas Medicaid and 8+ plans
New York payer guideNY Medicaid and 8+ plans
California payer guideMedi-Cal and 8+ plans
Ohio payer guideOhio Medicaid and 8+ plans
Florida payer guideFlorida Medicaid and 8+ plansWhat dialysis teams ask
Is this the same as nephrology office billing?
Not entirely. Nephrology can include office care, while dialysis facility and monthly professional services have distinct billing workflows.
Can supplies always be billed separately?
No. The applicable payment bundle and coverage rules must be reviewed.
Will you assume a monthly visit count?
No. The professional claim must be supported by the actual encounter record and applicable requirements.
Let’s review your Dialysis billing
Tell us your specialty and the billing issue you want reviewed. We will agree the scope and arrange a secure way to share any records needed.