Medical Billing Services in Texas
Don’t let the complexity of Texas payers cost your practice. We’ll handle your medical billing in Texas so you can focus on patient care.
World Class Medical Billing in Texas
Texas providers face a unique and complex Revenue Cycle Management (RCM) landscape, dealing with not only federal regulations like Medicare and general coding updates but also intricate Texas-specific Payer Regulations. The core challenge lies in navigating a market with numerous commercial insurance providers, including regional giants, alongside the state’s substantial Texas Medicaid Managed Care program, which covers over 97% of Medicaid recipients.
High claim denial rates, which can be as high as 30% on the first submission, often stem from a lack of payer-specific compliance, incorrect use of modifiers, or issues with prior authorization. We provide specialized Medical Billing Services in Texas to address these issues, ensuring your practice in Houston, Dallas, San Antonio, or Austin achieves consistent, accelerated cash flow and remains compliant with state laws, including those related to balance billing (Senate Bill 1264) and surprise medical bills.
Our Core Revenue Cycle Management Services in Texas
At MedBill & Transcription, we offer a comprehensive suite of Revenue Cycle Management solutions designed to enhance the financial performance of your Texas medical practice.
Medical Billing Services
in Texas
Our Medical Billing Services in Texas cover the entire lifecycle of a claim, starting with precise charge capture and meticulous claim scrubbing. We utilize the latest CPT and ICD-10 codes, applying correct modifiers tailored to specific procedures and payers. Our process ensures that claims are "clean", error-free and compliant before they are electronically submitted to the various Texas payers.
Medical Credentialing
Services in Texas
Our Medical Billing Services in Texas include expert Medical Credentialing, where we take on the burden of enrolling your physicians, non-physician practitioners (NPPs), and facilities with all necessary commercial and governmental payers across the state. We manage the submission, follow-up, and maintenance of all enrollment documentation, ensuring your providers are correctly linked.
Eligibility Verification
Services in Texas
We provide real-time Eligibility Verification of patient benefits, co-pays, deductibles, and required prior authorization before the patient is seen. This proactive approach reduces the most common source of front-end claim denials for all types of Texas clinics and facilities. By communicating the patient's financial responsibility clearly and accurately from the start
Denial Management
Services in Texas
Our Denial Management is a core component of our Medical Billing Services in Texas, employing a proactive and aggressive strategy to address and resolve claim denials quickly. This involves identifying persistent denial patterns, initiating prompt and well-documented appeals, and utilizing sophisticated Texas medical billing analytics to prevent future rejections.
Accounts Receivable
Services in Texas
The longer a balance remains outstanding, the less likely it is to be collected. Our expert management of Accounts Receivable (AR) focuses on utilizing a systematic, tiered follow-up process to pursue outstanding balances from insurance companies and patients efficiently. We diligently monitor the AR aging report, prioritizing high-value and long-pending claims to minimize your AR days.
Provider Credentialing
Services in Texas
This specialized service ensures that individual healthcare professionals—including physicians, Physician Assistants (PAs), and Nurse Practitioners (NPs) maintain up-to-date documentation and valid enrollment with all necessary state and federal entities. Lapse in credentials leads directly to non-payment, halting the effectiveness of any outsourced Medical Billing Services in Texas
Salient Features of Our Medical Billing
in Texas
Our features are specifically engineered to provide a high-level of financial security and efficiency for healthcare providers in Texas. We provide dedicated Billing and Coding Compliance specialists who are experts in the intricacies of the Texas Medicaid Provider Procedures Manual and the state’s evolving regulatory landscape.
- Eligibility Check
- Charge Entry
- Claim Scrubbing
- Electronic Submission
- Payment Posting
- Follow-up & Appeals
- Patient Statements
- Customized Reports
Why Choose Us to Outsource Medical Billing in Texas
Choosing us means partnering with a team dedicated solely to the nuances of the Texas healthcare market. We possess unparalleled expertise in Texas Medicaid Billing, understanding the complexities of the state’s managed care programs better than a generalist national service. Our localized credentialing support and payer-specific billing knowledge for all major Texas insurance providers guarantee maximum reimbursement.
