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Texas nephrology practices and dialysis centers lose $200K–$300K annually to ESRD capitation miscoding, visit-tracking errors, and denial rates hovering at 18%. This 2026 guide ranks the top nephrology billing companies in Texas, highlights Sirius Solutions Global as the clear leader for MCP billing (90960–90962), multi-payer compliance, and 96%+ clean claims, and gives you the exact checklist to choose the right partner.

“We thought our billing was fine—until we discovered we were losing $140,000 a year to preventable denials.” Nephrology practices routinely write off $600K–$800K annually from ESRD bundle errors, MCP visit miscounts, missed transitional care codes, and dual-eligibility mistakes. This guide reveals the exact denial categories costing you the most and the systematic fixes that drop denial rates below 5% while recovering real revenue.