Top-Rated Nephrology Billing Services in Texas to Maximize Collections
With our nephrology billing company in Texas, your practice can:
- Comply with Texas surprise billing laws and federal No Surprises Act requirements
- Manage Texas-specific balance billing restrictions for facility-based care
- Accurately bill high-volume nephrology CPT codes, including 90935 and 90945
- Prevent denials tied to medical necessity documentation for CKD and ESRD services
- Manage Medicare ESRD PPS rules correctly for dialysis and related nephrology claims
- Maintain HIPAA-compliant billing workflows aligned with Texas enforcement standards
What Common Nephrology Billing Challenges Do Practices Face in Texas?
Nephrology practices in Texas face several revenue-impacting billing challenges, including:
- Texas Surprise Billing Restrictions: Emergency and facility-based nephrology services are subject to Texas balance-billing bans and No Surprises Act rules.
- Strict Timely Filing Limits: Texas law requires providers to send bills to patients within an 11-month window after service. If they don’t, they may forfeit the right to collect certain charges.
- Complex Dialysis Billing Rules: Hemodialysis, peritoneal dialysis, and ESRD services require accurate application of Medicare ESRD PPS and payer-specific Texas policies.
- High Medical Necessity Scrutiny: CKD and ESRD claims are frequently reviewed, demanding detailed documentation to justify ongoing treatments and avoid post-payment recoupments.
How Transcure Helps Practices With Their Nephrology Billing Services in Texas?
Transcure delivers specialized nephrology billing services to help Texas practices overcome regulatory risk. We support Texas nephrology groups through the following services:
Insurance Eligibility Verification
Using our ELIXA AI agent, we verify Medicare, Texas Medicaid, and commercial coverage for dialysis and renal procedures to prevent eligibility-related denials.
Prior Authorization and Treatment Validation
Our Texas nephrology billing team manages authorizations for hemodialysis, peritoneal dialysis, vascular access services, and renal imaging to avoid treatment delays and denials.
Nephrology Coding and Charge Capture
With our CODIN AI agent and certified coders, we deliver accurate CPT and ICD-10 coding for high-volume nephrology services, such as 90935 and 90945.
Denial Management and Appeals
Transcure’s nephrology billing services providers, supported by the DEXA AI agent, identify denial trends and aggressively appeal underpaid or rejected nephrology claims.
Surprise Billing and Balance Billing Compliance
We align billing processes with Texas surprise billing laws and federal No Surprises Act rules to reduce regulatory exposure and payment disputes.
Auditing and Reporting Services
Our nephrology billing services in Texas support audit preparation, utilization reviews, and HIPAA-compliant medical billing operations across Texas practices.
Which Cities Does Transcure Support with their Nephrology Billing Services in Texas?
Houston, Texas
San Antonio, Texas
Dallas, Texas
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Austin, Texas
Fort Worth, Texas
Abbott, Texas
Corpus Christi, Texas
El Paso, Texas
Plano, Texas
Irving, Texas
Our Success in Numbers
How Much Will Texas Practices Save with Transcure’s Nephrology Billing Services?
According to ZipRecruiter, the average medical biller in Texas earns approximately $39,756 per year, depending on experience. A mid-sized nephrology practice generating $500,000 annually typically requires at least two billers to manage dialysis claims, ESRD coding, and denials. This results in an estimated $79,512 per year in direct salary costs alone, excluding benefits, training, and administrative overhead.
By outsourcing nephrology billing to Transcure, your practice pays only 5% of the revenue collected, which equals $25,000 annually on $500,000 in collections. This shift eliminates fixed staffing expenses and delivers an estimated annual savings of over $54,512.
In Which Counties Does Transcure Provide Nephrology Billing Services in Texas?
Andrews County, Texas
Aransas County, Texas
Bexar County, Texas
Tarrant County, Texas
Collin County, Texas
Travis County, Texas
What Types of Procedures Does Transcure Handle with Their Nephrology Billing Services?
Transcure delivers complete nephrology medical billing support for high-value renal procedures, aligned with Texas payer policies. Our Texas nephrology billing company manages a full range of services, including but not limited to:
Hemodialysis Billing
We manage accurate coding and claim submission for in-center and outpatient hemodialysis, including time-based units, and ESRD documentation required by Texas payers.
Dialysis Catheter Placement Billing
Transcure handles nephrology billing for tunneled and non-tunneled dialysis catheter placements, exchanges, and removals with accurate coding and modifier usage.
Peritoneal Dialysis Billing
Our Texas nephrology billing services handle continuous and intermittent peritoneal dialysis claims, including training sessions, supply modifiers, and payer-specific reimbursement rules.
Renal Biopsy Billing
Transcure bills percutaneous and image-guided renal biopsies using correct CPT codes, modifiers, and pathology coordination to ensure accurate Texas payer reimbursement.
CKD Management Billing
With the help of our Texas nephrology billing team, we manage CKD stage-based evaluation and management services with proper diagnosis linkage and visit frequency compliance.
Renal Imaging Billing
We bill renal ultrasounds, Doppler studies, and diagnostic imaging with correct technical and professional component separation under Texas payer rules.
Why Should You Outsource Texas Nephrology Billing Services to Transcure?
With many nephrology billing companies in Texas, Transcure helps your practice gain financial control and regulatory confidence through the following advantages:
Dedicated Texas Nephrology Billing Manager
You’re assigned a billing manager experienced in Texas Medicaid policies, Medicare ESRD rules, and state-specific nephrology documentation standards.
Hospital and Facility Billing Accuracy
We manage inpatient and outpatient nephrology billing to capture emergency dialysis and hospital-based services without missed charges.
End-to-End Nephrology Coding Expertise
Our certified coders apply accurate CPT, HCPCS, ICD-10, and modifier usage across dialysis, CKD management, and vascular access services.
Denial Prevention and Recovery Focus
Transcure identifies denial patterns early and pursues appeals aggressively to recover underpaid or rejected nephrology claims.
How Transcure Helped a Nephrology Practice Recover from a Billing Backlog?
Idaho Kidney Institute faced a billing problem, with more than $300,000 stuck in accounts receivable for over 60 days. Within 90 days, Transcure reduced that backlog to $100,000 by tightening eligibility checks and aggressively pursuing appeals. The recovered revenue restored cash flow and allowed physicians to focus on patient care instead of unresolved billing issues.
This outcome wasn’t a one-time fix. It reflects a repeatable revenue cycle approach designed to stop losses before they compound. If your Texas nephrology practice is struggling with denials or underpaid claims, Transcure can help convert aging AR into predictable revenue with its nephrology billing services.
What Nephrology EHR Systems Are Supported by Transcure?
We work confidently across leading nephrology EHRs to optimize documentation flow.
How Practices Benefit from Our Texas Nephrology Medical Billing Services?
Explore real success stories from practices we support to see how our nephrology billing services in Texas improve cash flow and support long-term financial stability.
Jackie Judd
Practice Manager
Wilson Creek Internal Medicine
As a practice manager, I was looking to streamline the medical billing process. I tried other companies, but they were all complicated and took too much of my time. Fortunately, I found Transcure. They excel in tailoring solutions to fit my requirements.
Amber Vaughan
Office Manager
Idaho Kidney & Hypertension Institute
We are a large practice with 15 providers. Transcure has been working with us for the last 5 years. This billing company has been a great asset to us. I work with Transcure and they provide everything I ask for. The team is friendly and very pleasant to work with.
Ashlee Rose
Practice Manager
Harding Memorial Healthcare
We’ve been working with Transcure for 8 years now and I just wanted to say how happy we are with their services. They always get back to us quickly and are very easy to work with. They get my bills paid in record time and help us to generate millions in revenue.
Frequently Asked Questions (FAQs)
What are common billing codes used in nephrology practice?
Nephrology billing involves a set of dialysis, evaluation, and procedure codes. Commonly used billing codes include:
90935, 90937 – Hemodialysis services
90945, 90947 – Peritoneal dialysis services
90951 to 90970 – ESRD-related monthly dialysis services
99202 to 99215 – CKD evaluation and management visits
36818 to 36833 – AV fistula and graft creation or revision
How to code hemodialysis sessions and evaluations?
Hemodialysis sessions are coded using 90935 for single physician evaluation and 90937 when multiple evaluations are performed during the same session. Documentation must clearly support time, frequency, and medical necessity. Monthly ESRD management codes may apply when dialysis care is ongoing and comprehensive.
What is AB 3275, and how does it impact nephrology billing?
AB 3275 mandates that clean claims be paid, denied, or contested within 30 calendar days, increasing pressure for accurate submissions.
How does Medicare ESRD (PPS) affect dialysis billing?
ESRD rules change payment logic, such as composite rates and bundled payments. Accurate application of ESRD PPS, modifier usage, and monthly documentation is required to avoid underpayments and recoupments.