Medical Billing Services in Texas

Texas healthcare providers operate in one of the largest and most complex medical markets in the U.S. From sprawling urban hospitals in Houston and Dallas to rural clinics in West Texas, practices face challenges such as diverse payer networks, state-specific Medicaid rules, and staffing constraints. Even minor coding errors, missed authorizations, or delayed claim submissions can quickly lead to denied claims and lost revenue.

At Medix Revenue Group, we provide comprehensive medical billing and revenue cycle management services for Texas practices. Whether you run a family clinic in Austin or a multi-specialty hospital in San Antonio, we create tailored billing workflows to maximize reimbursements and minimize delays.

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Medical Billing Issues Texas Providers Face

Texas may be vast, but billing complexity spans every corner of the state:

Extensive rural regions create challenges for verifying patient eligibility and payer follow-up.
Texas Medicaid (STAR, STAR+PLUS) enforces strict documentation and prior-authorization requirements for specialty services.
Commercial payers—including Blue Cross Blue Shield of Texas, UnitedHealthcare, Cigna, and Aetna—have diverse policies for coding, modifiers, and telehealth.
Small in-house teams struggle to keep up with claims, appeals, and compliance audits.
Specialty-specific hurdles in cardiology, oncology, and behavioral health lead to denials.

Medix Revenue Group helps Texas practices optimize workflows, reduce errors, and recover revenue efficiently.

How Our Billing Transforms Texas Practices

98%

Clean claim rate

50%

Fewer preventable insurance denials

30%

Average increase in collections

100%

HIPAA-compliant billing workflows and data handling

Texas State Specific Payer Rules

Texas Medicaid – STAR/STAR+PLUS

Filing deadlines: Typically 12 months from the date of service
Authorization: Required for imaging, therapy, specialty care, and chronic conditions
Common denials: Missing prior authorizations, incomplete provider enrollment, exceeded service limits

Commercial Payers

Blue Cross Blue Shield, UnitedHealthcare, Cigna, and Aetna have unique coding, documentation, and modifier rules.
Telehealth coverage varies widely by plan.
Smaller practices often face challenges verifying network participation and eligibility.

Medicare (Part B)

Filing window: 12 months from service date
Documentation: Detailed E/M, procedures, and telehealth records required
Bundling and modifier compliance are essential to prevent underpayment

Medix Revenue Group develops Texas-specific billing protocols to ensure clean claims, faster approvals, and optimized reimbursements.

Our Full Suite of Medical Billing Services For Texas Providers

Eligibility Verification & Authorization

We verify patient insurance coverage, deductibles, and any required prior authorizations before appointments. By checking eligibility in advance, we prevent claim denials, avoid delays, and ensure that your Texas practice receives timely reimbursement for every visit.

Coding & Documentation

Our certified coding team ensures accurate ICD-10, CPT, and HCPCS coding for all specialties. We audit provider documentation for compliance, reduce coding errors, and optimize claims to maximize reimbursement while minimizing denials and audit risks.

Claim Submission

We submit claims to Medicare, Texas Medicaid, and commercial payers using multi-level edits and payer-specific workflows. This ensures claims are clean, processed efficiently, and paid faster, helping maintain smooth cash flow for your practice.

Denial Prevention & Recovery

We track and analyze denials to identify root causes, correct errors, and submit appeals promptly. Our preventive measures reduce recurring denials and improve first-pass acceptance rates, ensuring your Texas practice recovers revenue efficiently.

Payment Posting & Reconciliation

Daily payment posting and reconciliation ensure that all reimbursements align with contracts and expectations. Underpayments are flagged, reviewed, and corrected immediately, so your practice maintains accurate financial records and maximizes cash flow.

Reporting & Analytics

Actionable dashboards provide insights into AR aging, payer trends, collections, and revenue forecasts. These reports empower your practice to make informed financial decisions, identify revenue opportunities, and plan for sustainable growth across Texas.

Texas Cities We Serve

"From Dallas to El Paso, We Cover Texas Practices Large and Small"

Dallas/Fort Worth: Multi-specialty, behavioral health, and surgical clinics
Houston: Cardiology, oncology, family medicine, and outpatient centers
Austin: Primary care, wellness, and urgent care facilities
San Antonio: Multi-provider groups, specialty hospitals, and therapy centers
El Paso & West Texas: Rural practices, critical access hospitals, and independent clinics

No matter your location, Medix Revenue Group delivers customized, scalable billing solutions for Texas practices.

Our Specialty Billing Services in Texas

Podiatry Billing

Family Medicine

Physical Therapy

Urgent Care

Mental Health

Wound Care

Internal Medicine

ABA Billing

View All Specialties

Why Texas Healthcare Practices Choose Medix Revenue Group

Deep knowledge of Texas Medicaid, Medicare, and commercial payers

Specialty-trained billing teams for hospitals, multi-provider groups, and solo practices

Rapid claim submission and follow-up to improve cash flow

Transparent reporting with actionable insights

Dedicated account managers available for questions, not automated bots

Flexible contracts with no long-term commitments

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Turn Your Claims Into Cash
Partner With Medix Revenue Group Today!

Don't let denied claims or delayed reimbursements slow down your practice. Medix Revenue Group offers full-service medical billing for Texas providers. From small rural clinics to large multi-specialty groups, we streamline your billing workflows, reduce errors, and recover revenue fast.

Take the stress out of billing and focus on patient care while we handle the complex rules of Medicaid, Medicare, and commercial payers.

Schedule A Free Consultation Today

Frequently Asked Questions

We manage claims for all major payers, including Texas Medicaid STAR/STAR+PLUS, Blue Cross Blue Shield Texas, UnitedHealthcare, Cigna, and Aetna. Each payer has a dedicated workflow to ensure fast approvals and accurate reimbursement.

We specialize in supporting rural and small practices across Texas, addressing staffing challenges, eligibility verification, and specialized billing requirements for federal and state programs.

Most Texas practices notice measurable improvements within 45–60 days, depending on the current state of your accounts receivable.

We work with EMRs like Athenahealth, Kareo, Epic, DrChrono, and AdvancedMD, ensuring seamless automated charge capture, claim submission, and reporting.

We treat denials as an opportunity to improve processes. Our team identifies root causes, corrects errors, submits appeals, and implements preventive measures to avoid future issues, permanently boosting your first-pass acceptance rate.

Yes. Our team is trained across specialties, including cardiology, oncology, behavioral health, and family practice, so that we can optimize billing regardless of your patient population.