An average nephrology practice has suffered a
9% - 21% reduction in collections in the past five
years.
Our typical client practice employs 5-10
physicians, who are board-certified in
nephrology and internal
medicine and
focus on kidney conditions such as
urinary tract infections, renal
insufficiency, hypertension, diabetes-
related
kidney problems, congenital
kidney abnormalities, kidney stones and
more. Our clients treat kidney disease in a
single- or multi-location practice, operate
dialysis centers, and oversee the care of
patients receiving dialysis treatments (in-patients)
in multiple hospital locations.
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Our clients specialize in diagnosing and
treating kidney
disorders, including electrolyte disturbances and
hypertension, and the care of those requiring renal
replacement therapy, including dialysis and renal
transplant patients. Many diseases affecting the
kidney are not limited to the organ itself, but are
systemic disorders, and may require not only
a whole
patient approach, but also special
treatment,
such as systemic vasculitides or
other autoimmune diseases, such as lupus.
But the average nephrology practice lacks the
processes, technology, and expertise to match the
power, efficiency, and scale of payers' systems and so its
revenue suffers because of shrinking allowed amounts, increased
coding complexity, higher volume of denied, underpaid, or delayed
claims, insurance oligopsony, and increased audit frequency.
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