6,500+ specialty providersVisit-ready
Keep authorization and coverage aligned before the appointment is booked.
Nephrology PM & RCM Software
Nephrology Practice Management and RCM Billing, Built to Perform
Master ESRD bundle billing, dialysis facility fee splits, and CKD progression documentation. See why nephrology practices choose Unlimited Systems for practice management and RCM software.
Why Nephrology billing is different
Nephrology practices face uniquely complex billing environments spanning outpatient CKD management, inpatient acute kidney injury consultations, vascular access procedures, and the heavily regulated ESRD Prospective Payment System bundle.
The ESRD PPS bundle consolidates over 50 previously separate services into a single per-treatment rate. Failing to properly document excluded services or correctly split professional and facility fees leads to catastrophic revenue compression that generic systems cannot prevent.
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★★★★★5/5★★★★★5/56,500+ specialty providersSOC 2 certified
Trusted Payer & EHR Integration Partners
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6,500+
providers nationwide
$70B+
in claims processed annually
4.8/5
average client rating
Designed Around How Your Nephrology Practice ACTUALLY Works
Our connected workflows are built to make you and your work easier to do and increase your revenue.
Claim-ready
Validate nephrology codes, modifiers, and documentation before submission.
Practice-ready
Give teams one view of denials, margin, and A/R priorities.
Specialty RCM intelligence
Nephrology Revenue Cycle Challenges
ESA and iron therapy billing complexity makes dialysis-adjacent RCM uniquely challenging.
15%
Est. denial rate
7/10
Prior-auth burden
Where revenue is at risk
ESA Billing
Aranesp and Epogen are heavily scrutinized by CMS and require hemoglobin monitoring documentation.
How the platform addresses this
- Hemoglobin thresholds and dosing policy are checked before administration.
- J-code units are validated against the documented dose.
- Payer-specific ESA coverage rules are applied automatically.
Buy-and-bill drug reference5 agents · codes, channel, prior-auth, and billing notes
| Drug | Code | Route | Channel | Cost | PA | Billing notes |
|---|---|---|---|---|---|---|
| Aranesp (darbepoetin) | J0881 / J0882 | SQ/IV | Part B | $8K/yr | Yes | Hgb threshold documentation required each visit. |
| Injectafer (ferric carboxymaltose) | J1439 | IV | Part B | $3K/course | Sometimes | Two-dose protocol; single-use vial JW required. |
| Venofer (iron sucrose) | J1756 | IV | Part B | $1K/yr | No | Multi-dose vial; partial dose tracking needed. |
| Parsabiv (etelcalcetide) | J0606 | IV | Part B | $6K/yr | Yes | 3x/week dialysis dosing; bundle exclusion critical. |
| Monoferric (ferric derisomaltose) | J1437 | IV | Part B | $2K/course | Sometimes | Newer; single-dose; JW required. |
Cabinet integration: Dialysis-adjacent nephrology practices using in-office IV therapy rely on accurate dispensing records. Without ADC integration, ESA dose tracking across visits fails audits, especially for Hgb threshold compliance.
Hear It From Our Clients
Specialty practices describe, in their own words, what changed after moving to Unlimited Systems.
Video testimonial
Dunmore, Pennsylvania
“As I look back at the transition, the support and the collaboration with the folks at Unlimited really helped make us feel at ease. We had a partner that really wanted us to be successful.”
- CEO
- Days in A/R shrank from 21 to 15, consistently.
- Charges go out the next day.
- Less manual work, more clean claims, and stronger cash flow.
Calculate Your RCM Revenue Leakage
Drag the sliders to estimate how much unrealized cash remains locked in your current specialty billing cycles before optimization.
Model your current claim volume
Adjust both inputs to match your practice.
1,500
200 claims15,000 claims
$250
$80 value$3,500 value
See your recovery estimate
Enter your work email to unlock your estimated annual recovery.
See Your Results ImmediatelyGoogle5/5Gartner5/5G24.8/5
One platform for every nephrology workflow
Eight connected capabilities, grouped around the way your practice works.
Front office
Keep registration and appointment calendars in sync.
Before the visit
Verify coverage and catch charge risk early.
Revenue cycle
Post payments, route denials, and prioritize A/R.
Practice intelligence
See margin, performance, and value-based results.
The Nephrology suite
Every part of the nephrology revenue cycle, in one system
Each module is configured for the codes, modifiers, and payer rules nephrology teams work with, not adapted from generic billing software.
Nephrology Patient Intake SoftwareVerify Medicare ESRD coverage, secondary payers, and dialysis patient enrollment status at intake.Nephrology Scheduling SoftwareManage three-times-weekly dialysis sessions, vascular access check-ins, and CKD clinic slots.Nephrology Financial Clearance SoftwareIdentify billable excluded services outside the ESRD bundle before session completion.Nephrology Charge Validation SoftwareEnforce professional vs. facility fee splits and validate vascular access procedure modifiers.Nephrology Payment Posting SoftwareAuto-post complex bundle payments and reconcile excluded service remittances separately.Nephrology AR Management SoftwareIdentify and bill missed transitional care management codes for pre-dialysis patients.Nephrology Analytics SoftwareMonitor per-session reimbursement rates, bundle exclusion yields, and facility profitability.Nephrology Value-Based Care SoftwareSubmit CMS ESRD Quality Incentive Program (QIP) measures to protect payment adjustments.
The cost of generic billing
You went into nephrology to treat patients, not to chase claims
These are the places nephrology practices most often lose revenue when their billing platform wasn’t built for the work. Unlimited Systems closes each one with rules configured for your specialty.
Review your workflowCommon nephrology revenue leaks
- Missed revenue from ESRD bundle exclusions on separately-billable drugs and laboratory services.
- High volume of same-day vascular access procedure denials due to missing modifier coordination.
- Difficulty tracking professional component billing separate from dialysis facility fees.
- Underutilization of CKD transitional care management codes for pre-ESRD patients.
Challenges we solve for nephrology
The work that generic platforms leave to your staff is the work nephrology margin actually turns on.
ESRD Bundle Exclusions
Automated exclusion engine flags all separately-billable services before claim submission.
Vascular Access Billing
Pre-audited vascular access templates automatically apply correct surgical modifiers.
Professional/Facility Split
System generates separate physician claims from facility remittances automatically.
Legacy software vs. Unlimited Systems
See why nephrology practices move off general-purpose billing platforms.
CRITERIA
LEGACY SYSTEM COMPROMISE
UNLIMITED SYSTEMS VALUE
ESRD Bundle Exclusions
✕Excluded services like calcimimetics and ESAs are bundled inside the PPS rate, leaving revenue uncollected.
✓Automated exclusion engine flags all separately-billable services before claim submission.
Vascular Access Billing
✕AV fistula and graft procedure claims are denied for missing modifier sequences.
✓Pre-audited vascular access templates automatically apply correct surgical modifiers.
Professional/Facility Split
✕Nephrologist professional fees get bundled into facility claims, reducing physician collections.
✓System generates separate physician claims from facility remittances automatically.
Still evaluating
Not Ready to Switch Yet? That's Exactly When to Start the Conversation.
You don't have to be actively replacing your current system to have a useful conversation with Unlimited Systems. Many nephrology practices talk with us months before a contract renewal or system evaluation to understand where ESA documentation, iron therapy billing, lab-value support, and dialysis-related complexity may already be showing up.
A conversation can help surface where ESA hemoglobin documentation, iron infusion dosing and wastage, TSAT/ferritin lab support, and bundle-versus-fee-for-service decisions may be creating audit and denial exposure.
Less billing work between the visit and payment
Specialty rules and connected data keep your team focused on the exceptions that need judgment.
Verify before the visit
Coverage and authorization stay tied to the order.
Validate specialty charges
Code, unit, and modifier checks happen before filing.
Work the right accounts
Denials and A/R are ranked by value and filing risk.
35%less manual workflow time
One platform
The rest of the platform your nephrology practice runs on
The same connected system handles the operational work that sits either side of billing.
Patient Intake
Digital intake, eligibility, and demographic capture before the visit.
Explore Patient IntakePatient Scheduling
Smart calendars and resource scheduling across providers and locations.
Explore Patient SchedulingFinancial Clearance
Automated eligibility checks and prior authorization management.
Explore Financial ClearanceCharge Validation
Pre-claim scrubbing for coding, modifiers, and compliance accuracy.
Explore Charge ValidationBuilt for nephrology
Follow one nephrology patient from intake to payment
Eight stages, one record. Nothing is rekeyed between systems, so a detail captured at the front desk is still there when the claim goes out, and when the remittance comes back.
Walk the workflow with us- 1Patient Intake for nephrologyDigital intake and demographic capture built around nephrology visit types.
- 2Patient Scheduling for nephrologyCalendars and resources that reflect how nephrology appointments actually run.
- 3Financial Clearance for nephrologyEligibility and prior authorization resolved before the patient arrives.
- 4Charge Validation for nephrologySpecialty scrubbing on codes and modifiers before the claim leaves the building.
- 5Payment Posting for nephrologyERA and EOB posting reconciled automatically against what was billed.
- 6AR Management for nephrologyWorklists ranked by dollar value, aging, and timely-filing deadline.
- 7Healthcare Analytics for nephrologyLive visibility into denials, yield, and performance by provider and procedure.
- 8Value-Based Care for nephrologyQuality measures and episode costs tracked under alternative payment models.
Frequently asked questions
We maintain a continuously updated excluded services list aligned with the CMS ESRD PPS final rule, automatically routing excluded drugs, labs, and supplies outside the bundle for separate billing.
New to revenue cycle terminology? Browse our healthcare RCM & billing glossary.
We Love Hearing From Our Users
Practices like yours, on what changed after moving to Unlimited Financials.
★★★★★4.8/5
★★★★★5/5
“
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Ernelita Dacumos
Billing Manager, SHOM
“
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
Melissa Shook
Medical Biller, SHOM
“
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Renee Bernacchi
Accounts Receivable Coordinator, COAS
“
Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.
Mel Davies
CFO, Oregon Oncology Specialists
“
Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.
Alisha Haslem
Patient Advocate Manager, Utah Cancer Specialists
“
Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.
Erin Wilcher
Executive Director, Commonwealth Cancer Center
“
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Ernelita Dacumos
Billing Manager, SHOM
“
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
Melissa Shook
Medical Biller, SHOM
“
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Renee Bernacchi
Accounts Receivable Coordinator, COAS
“
Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.
Mel Davies
CFO, Oregon Oncology Specialists
“
Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.
Alisha Haslem
Patient Advocate Manager, Utah Cancer Specialists
“
Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.
Erin Wilcher
Executive Director, Commonwealth Cancer Center
Don't Love Your Current RCM Software Provider?
That's putting it nicely based on what we hear every day.
A support line that never picks up. An overseas call center that's never heard of your account. Errors nobody catches until the denial shows up. We're Midwest-based, not offshore, and the team that answers already knows your account. Practices that switch tend to wish they'd done it sooner.
- Located in Cincinnati, Ohio — no offshore call centers
- Founded by healthcare leaders, not tech-bros
- Industry leaders in innovation, technology, and automation
“I would recommend Unlimited Financials to other specialty practices.”
Michelle LeandriCEO, NEPA
“We transitioned to Unlimited Financials in 2024... the team and platform are absolutely amazing.”
GinaAdministrator, FOUR
“We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.”
Renee BernacchiAccounts Receivable Coordinator, COAS
GET STARTED
Optimize Your Specialty Revenue Cycle
Connect with a specialized Nephrology RCM expert for a personal workflow walkthrough, and see where your current setup is creating avoidable revenue risk.
★★★★★4.8/5★★★★★5/5★★★★★5/5
★★★★★5/5★★★★★5/56,500+ specialty providersSOC 2 certified