Kidney care providers carry one of the heaviest clinical and administrative burdens in healthcare. We built ANR to remove the financial friction that distracts nephrologists from patient care.
Our mission is simple. Protect renal revenue. Strengthen compliance—and future-proof nephrology practices against constant payer changes.
Our billing teams specialize in nephrology-specific workflows. We understand dialysis MCP rules. We know how CKD staging impacts risk scores. We track ESRD PPS updates and injectable billing changes in real time. Most importantly, we speak the same language as nephrologists, administrators, and dialysis operators. When you work with ANR, you are not outsourcing billing. You are gaining a renal revenue partner.
Despite growing demand for kidney care, many nephrology practices struggle to maintain consistent cash flow. The reasons are not clinical. They are operational.
Difficulty distinguishing between bundled and separately billable dialysis services, injectables, and labs leads to underbilling or post-payment audits due to inconsistent CMS and commercial payer rules.
Errors in visit qualification, CPT selection, or billing frequency reduce MCP reimbursement and increase audit exposure across Medicare and managed care plans.
Vague or missing CKD stage documentation results in lower reimbursement and missed HCC risk adjustment capture, particularly for CKD stages 4 and 5.
Chronic kidney disease diagnoses are not updated annually or are not correctly linked to clinical evidence, resulting in lost revenue under Medicare Advantage and value-based contracts.
Expanding home dialysis programs face frequent denials due to missing, expired, or payer-specific authorization requirements.
Incorrect HCPCS code selection or misunderstanding of bundle exclusions result in claim rejections or reimbursement clawbacks for dialysis-related drugs.
Global period confusion, modifier misuse, and bundling edits impact reimbursement for fistulas, grafts, and access revisions.
Improper use of modifiers 25, 59, and X modifiers triggers denials for same-day visits and bundled renal services.
Missing or inaccurate quality data submissions reduce incentive payments and increase financial penalties.
Complete management of ESRD MCP billing covering visit qualification, CPT selection, modifier usage, and billing timelines. Align physician encounters with CMS MCP requirements, payer policies, and dialysis schedules.
ICD-10 coding services focused on CKD stage identification, disease progression, and related comorbidities. Coding reflects documented severity levels, stage transitions, and chronic status while supporting accurate claim submission and annual diagnosis reporting across payer contracts.
Billing oversight for dialysis-related injectables, labs, and services under the ESRD Prospective Payment System. The process evaluates bundled versus separately billable items in accordance with CMS guidance and payer carve-outs to maintain a compliant claim structure.
Coding and billing for vascular access procedures, including fistulas, grafts, revisions, and related interventions. Services address CPT selection, global surgical periods, modifier application, and bundling edits tied to renal access and interventional services.
Billing coordination for nephrology services associated with renal transplant evaluation, clearance, monitoring, and follow-up care. The service covers payer rules, authorization alignment, and documentation requirements across pre-transplant and post-transplant phases.
Billing support for tele-nephrology visits and remote patient monitoring related to kidney care. Services include CPT alignment, time-based documentation validation, consent requirements, and payer-specific telehealth coverage rules for renal populations.
Nephrology billing demands more than general RCM experience. It requires a deep understanding of renal workflows, ESRD regulations, CKD documentation standards, and payer behavior across dialysis and non-dialysis settings. ANR is built around these realities. Our processes, teams, and technology are aligned with kidney care reimbursement, allowing nephrology practices to operate with financial clarity and compliance confidence.
Kidney care is delivered across multiple clinical environments, and each setting carries its own billing rules, payer expectations, and documentation standards. Nephrology revenue cannot be managed with a single workflow because reimbursement requirements change based on where care is provided, how services are delivered, and which payer is involved. Accurate billing depends on understanding these setting-specific nuances and applying the correct revenue cycle processes at every level of renal care.
Our most advanced medical billing solutions are offered to all medical specialties across the state and include famous cities like:
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