Kidney Care. Clean Claims. Faster Pay.

Nephrology RCM that captures MCP, access procedures, and infusions—paid right the first time

Nephrology billing is nuanced—ESRD MCP (home & in-center) with monthly visit counts, inpatient AKI consults, vascular access work (AV fistula/graft, catheter), and drugs/infusions (EPO, iron) all carry specific rules, modifiers, and medical-necessity edits. We verify eligibility and auths up front, capture charges accurately, track MCP frequencies/POS, and scrub against NCCI/MUE and LCD/NCD payer edits across settings (office, hospital, dialysis). Expect higher first-pass yield, shorter A/R, and fewer write-offs—without slowing down patient care.

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  • ESRD MCP & Rounding Accuracy
  • Access Procedures & Correct Modifiers 
  • njectables/Infusions & Medical Necessity

Simplifying Complex Billing for Nephrology Practices

Nephrology billing isn’t straightforward. Between recurring dialysis sessions, frequent lab testing, bundled services, and ever-changing compliance rules, even the smallest coding error can trigger costly denials. Many nephrology practices struggle with high rejection rates, delayed reimbursements, and increasing administrative stress.

At Aquila Billing Solutions, we specialize in nephrology billing. Our team understands the intricacies of dialysis, chronic kidney disease management, and lab testing codes—and we know how to maximize reimbursements while keeping your practice compliant.

Nephrology Billing Challenges

Billing for nephrology comes with unique hurdles that demand expert handling:

  • Dialysis Billing Complexity – Multiple sessions per week, recurring claims, and strict CPT/ICD-10 rules.
  • Frequent Lab & Diagnostic Codes – Each test must be billed precisely and compliantly.
  • Multiple Payers & Authorizations – Medicare, Medicaid, and commercial payers each have different rules.
  • High Denial Rates – Missing documentation or coding errors can quickly drain revenue.
  • Compliance Risks – Ever-changing payer requirements add constant pressure to stay accurate.

How We Solve These Challenges

Aquila takes the complexity out of nephrology billing with specialized, client-focused support:

  • We handle dialysis, CKD, and transplant-related codes with precision.
  • Identify, address, and prevent revenue leakage from denials.
  • Ensure coverage and approvals before services are rendered.
  • HIPAA and payer rules are built into our process.
  • Get visibility into revenue performance, denials, and reimbursements.
Our Process Works - Aquila Billing Solutions

How Our Billing Process Works — Simple & Transparent

We believe billing shouldn't be a mystery. With Aquila Billing Solutions, you'll always know what's happening with your claims and your revenue. Our workflow is clear, efficient, and designed to keep your practice running smoothly.

1

Easy Onboarding

We get you set up quickly with minimal disruption. Our team handles credentialing, system setup, and data transfer so you're ready to go in weeks, not months.

2

Clean Claim Submission

From eligibility checks to coding and charge entry, every claim is scrubbed for accuracy before it goes out — giving you a higher approval rate and fewer headaches.

3

Continuous Monitoring & Follow-Up

We track every claim after submission. If denials or delays pop up, our A/R specialists jump in immediately to resolve issues and recover revenue.

4

Clear Reporting & Insights

You'll receive easy-to-read reports and real-time analytics that show exactly where your revenue stands. No guesswork, no black boxes — just full transparency.

Savings Calculator - Aquila Billing Solutions

See How Much Revenue You’re Missing

Our Savings Calculator helps you uncover the potential revenue your practice may be leaving on the table. Simply enter a few details about your patient volume and billing processes, and instantly see estimated savings you could recover each month. This tool is designed to give you transparency, insight, and a clearer picture of how professional medical billing can positively impact your bottom line.

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Benefits Of Choosing Aquila Billing Consultation Service

KPI Dashboard

Get visibility into key performance indicators such as copays collected and accounts receivable per payer.

Revenue Monitoring

Track your practice's revenue by monitoring patient and insurance payments, as well as identify trends and track financial progress.

Patient Balancing

Send reminder notices to patients with overdue payments and collect outstanding balances to reduce owed money.

Automated Validation

The system checks a patient's insurance benefits at check-in to avoid billing surprises. Patients are prompted to pay co-pays at this time.

Performance Metrics

Get a quick overview of your practice's financial performance and create performance initiatives to improve your practice at scale.

Bills Collection

Get a summary of your medical bills, including status (paid, denied, in process, rejected). Our experts will follow up on these bills for you and provide one-click support for any billing problems.

AI Workflow

An AI-powered billing rules engine automatically detects & corrects errors in medical claims, ensuring faster payments and higher reimbursement rates.

Intelligent Billing

Smart billing with a well-defined charge coding means accurate and compliant superbills with zero chances of up/down coding.

Compliance Driven

AI-charged algorithms recommend the appropriate E&M level, and identify and prevent medical fraud abuse to eliminate the need for a separate coder.

Aquila vs Others – Comparison

Why Aquila Billing Beats Other Solutions

When it comes to your practice's revenue, the details matter. Here's how Aquila Billing Solutions stacks up against typical billing firms — and why the difference directly impacts your bottom line.

Feature Other Billing Companies Aquila Billing Solutions Why It Matters for You
Claim Approval Rate 85–90% on average Needs work 98%+ acceptance ✓ Best-in-class Every denied claim is lost time and money. With fewer rejections, you get reimbursed faster and keep your cash flow steady.
Support Hours 9–5, weekdays only Limited 24/7 expert support Revenue questions don't stop at 5 p.m. Neither do we. Get answers and support whenever you need them.
Specialties Covered Limited (often just primary care) Gaps 15+ specialties supported From pediatrics to cardiology to telemedicine, our expertise fits your practice — not the other way around.
Transparency Generic monthly reports Low visibility Custom analytics & real-time insights Know exactly where your revenue stands, with reports that actually make sense for your practice.
Revenue Impact Slow, incremental improvements Slow ROI Up to 30% increase in collections We don't just manage billing — we actively help you grow revenue and reduce leakage.

Claim Approval Rate

Others
85–90% on average
Aquila
98%+ acceptance
Why it matters
Fewer rejections mean faster reimbursement and steady cash flow.

Support Hours

Others
9–5, weekdays only
Aquila
24/7 expert support
Why it matters
Get answers anytime—revenue questions don't stop at 5 p.m.

Specialties Covered

Others
Limited (often just primary care)
Aquila
15+ specialties supported
Why it matters
Expertise tailored to your practice—not the other way around.

Transparency

Others
Generic monthly reports
Aquila
Custom analytics & real-time insights
Why it matters
Always know where your revenue stands.

Revenue Impact

Others
Slow, incremental improvements
Aquila
Up to 30% increase in collections
Why it matters
Grow revenue and reduce leakage.
Your Trusted Partner

We're your partners in success.

Aquila Billing is here to help you achieve practice success. Our billing experts have deep knowledge of the medical billing and coding regulations for all specialties, and we use the latest technology to ensure accurate claim processing with quick payments.

24/7 Medical Billers Support

Our dedicated account managers are available 24/7 to provide you with personal attention and support. They work with you to ensure that your claims are processed correctly and on time.

Out of State Medicaid Billing

We understand the complexities of billing out-of-state Medicaid. And can help you navigate the process to ensure you get paid. We have experience billing out-of-state Medicaid for specialties like family medicine, pediatrics, and oncology.

Clearinghouse Support

Our medical coding consultants have engineered a high-performance clearinghouse connecting seamlessly to top insurers such as Aetna, UnitedHealthcare, and Blue Cross Blue Shield. This direct integration empowers rapid claim submission and prompt reimbursement.

Schedule a free Nephrology billing consultation today.

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