GLACERCM | NEPHROLOGY BILLING
Nephrology Medical Billing Service That Works Every Claim to Resolution
GlaceRCM bills your claims in your EMR or ours, charged at a percentage of collections with no base fees. We would rather run it on our platform, where the billing team sees the documented visit count and the CKD stage in the same chart, but if you are staying on your EMR our team works your claims there.
- Percentage of collections, no base fees, $0 implementation
- 95%+ first-pass claim adjudication
- 99%+ collection rate of payer-allowed amounts*
- Works in your EMR or ours
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Tell us about your practice. A nephrology billing specialist calls you back within one business day.
95%+
First-pass claim adjudication
99%+*
Collection rate of payer-allowed amounts
$0
Implementation fee
25+
Years serving practices
*Of payer-allowed amounts.
WHAT WE HEAR FROM NEPHROLOGY PRACTICES
You Manage a Curve, but the Chart Shows a Table
The trajectory is buried in a table
CKD is staged on the slope, but the chart hands you a column of numbers. The transplant-referral conversation starts late because nobody graphs the eGFR until it is already in the 20s.
Dialysis billing has its own grammar
MCP capitation is stratified by age, modality, and visit count. A general billing team writes off the difference between a four-visit and a one-visit MCP because nobody flagged the gap, and the loss compounds across the census.
Three buildings, three records
The office, the dialysis unit, and the hospital each keep their own record, and the constant drip of inpatient discharges arrives by fax. The potassium from Tuesday’s run is not in front of you when the patient shows up Thursday.
Stage coding never reflects the panel
N18.9 unspecified versus N18.4 stage-4 sets both the reimbursement and the HCC contribution. On most platforms the problem list still says CKD unspecified five years into a relationship with a creatinine north of 3.0.
HOW GLACERCM HELPS
A Billing Team That Knows MCP, ESRD, and Stage Coding
GlaceRCM bills your claims in your EMR or ours, charged at a percentage of collections with no base fees. We would rather run it on our platform, where the billing team sees the documented visit count and the CKD stage in the same chart, but if you are staying on your EMR our team works your claims there. The service is built for the dialysis MCP grammar and the Medicare-heavy nephrology payer panel.
MCP billing at the right tier
Our billing team bills the 90951-90970 series at the tier your documented visit count supports for the patient’s age and modality, and follows up on every MCP denial. The difference between a four-visit and a one-visit MCP gets captured instead of written off across a census of forty or fifty patients.
Stage-accurate ICD-10 capture
N18.1 through N18.6, E11.22, I12.9, D63.1, and E83.42 are captured to the stage and complication that match the slope. The single digit that separates an unspecified claim from a stage-4 claim drives both the reimbursement and the HCC contribution, so your problem list reflects the panel you actually carry.
Denials worked to resolution
MCP visit-count denials, stage-specificity denials, and inpatient consult denials get worked, not written off. Appeals are tracked through second-level reviews and peer-to-peer when necessity is disputed. A write-off happens only when you sign off, and the dashboard shows where every disputed dollar stands.
A named billing specialist
A dedicated account manager who knows nephrology payer mix in your state, the MCP and ESRD rules, your stage-coding patterns, and your top denials. Not a ticket queue, not an offshore call center. They know your dialysis census and your practice by name within a month of go-live.
See everything GlaceEMR and GlaceRCM do for nephrology · How GlaceRCM works
“Revenue impact has been great.”
Larry Flowers, MD, Texas
QUESTIONS WE HEAR
Nephrology Billing FAQ
What does GlaceRCM pricing actually look like, and can we keep our EMR?
You pay a percentage of what we collect, with no base fees and no implementation charges. The exact percentage depends on your code mix, payer panel, dialysis census, and volume, and you will have it after a 20-minute discovery call. We would rather run the full bundle, where the billing team reads the documented visit count and the CKD stage in the same chart, and most Glenwood clients choose that path.
Does GlaceEMR handle the MCP 90951-90970 series natively?
Yes. The dialysis encounter templates capture the monthly comprehensive visit and the interim visits, and the face-to-face visit count is a structured field rather than a number your biller reconstructs at month-end. Your billing team then bills the 90951 through 90970 series at the tier your documented visit count supports for the patient’s age and modality, so the difference between a four-visit and a one-visit MCP gets captured instead of written off.
How does GlaceEMR handle CKD staging and the eGFR slope?
The chart graphs the eGFR over time and stages CKD automatically from the slope, not from the most recent value. The patient whose line is bending toward access planning surfaces a year before the eGFR is in the 20s, so the transplant-referral and access-planning conversations start on time instead of late. Because the staging is structured, it also drives the diagnosis specificity: the problem list moves from CKD unspecified to the stage that matches the trajectory, which is the difference between an N18.9 claim and an N18.4 claim and the difference in the HCC contribution.
Talk to a Nephrology Billing Specialist
A 20-minute call. We look at how your practice runs today and show you what changes.