Medtransic delivers powerhouse medical billing services across Texas. As the second-largest state with the Texas Medical Center in Houston, a booming DFW healthcare market, and vast rural healthcare needs, Texas practices need billing partners who master STAR Medicaid managed care, handle massive claim volumes, and navigate the state's unique regulatory landscape.
Medtransic delivers comprehensive medical billing and revenue cycle management services to healthcare providers throughout Texas. Our team of certified medical coders and billing specialists understands the unique regulatory environment, payer mix, and healthcare challenges that Texas practices face. Whether you operate a solo practice or a multi-location clinic, our customized billing solutions help maximize reimbursement, reduce claim denials, and accelerate collections so you can focus on delivering quality patient care.
Why Partner with Medtransic in Texas
Healthcare providers across Texas choose Medtransic for our proven track record of delivering measurable results in medical billing and revenue cycle management.
98% First-Pass Acceptance Rate — Clean claims submitted within 24-48 hours, reducing rejections and accelerating payments
25% Average Revenue Increase — Our clients see significant revenue growth within 90 days of onboarding
45% Denial Rate Reduction — Proactive denial prevention with root cause analysis and targeted appeals
HIPAA-Compliant Operations — SOC 2 certified, fully HIPAA compliant with encrypted data handling
Dedicated Account Manager — A single point of contact who knows your practice, specialty, and payer mix
No Long-Term Contracts — Month-to-month flexibility with transparent pricing and no hidden fees
Why Texas Practices Choose Medtransic
Healthcare providers across Texas partner with Medtransic because of our proven track record of improving practice revenue and reducing administrative burden.
Texas STAR Medicaid
Expert billing for Texas Medicaid STAR, STAR+PLUS, STAR Kids, and STAR Health managed care programs.
Texas Medical Center Support
Specialized billing for practices in the world's largest medical center and Houston's extensive healthcare corridor.
High-Volume Processing
Industrial-scale billing operations handling Texas's massive patient volumes with accuracy and speed.
Border Health Billing
Bilingual billing support and expertise in cross-border healthcare billing for Texas-Mexico border communities.
See How Much Revenue Your Texas Practice Is Leaving on the Table
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Texas enacted comprehensive surprise billing protections under SB 1264 (2019), one of the strongest state laws in the country. The law prohibits balance billing for emergency services and out-of-network services at in-network facilities, and establishes a mediation/arbitration process for payment disputes.
Statute of Limitations: 4 years for medical debt collections in Texas.
Timely Filing: Claims must generally be filed within 365 days, though individual payer contracts may impose shorter deadlines.
Surprise Billing Protection: Texas has enacted surprise billing protections for patients.
SB 1264 surprise billing protections (2019)
Balance billing prohibited for emergencies
Mandatory mediation for disputes over $500
Texas Department of Insurance oversight
Medical Billing Services We Offer in Texas
Our full suite of revenue cycle management services is available to healthcare practices across Texas. Each service is tailored to meet the specific needs of your practice and specialty.
Denial Management - Proactive denial prevention and aggressive appeals to recover lost revenue for Texas practices
Medical Coding - Certified ICD-10, CPT, and HCPCS coding by specialists familiar with Texas payer requirements
Accounts Receivable Management - Systematic follow-up on outstanding claims to reduce days in AR and improve collections
Provider Credentialing - Complete payer enrollment and credentialing for Texas insurance networks
Compliance Auditing - Regular audits to ensure your practice meets Texas and federal billing compliance standards
Patient Billing - Clear, professional patient statements and payment processing
Telehealth Billing - Virtual visit reimbursement following Texas telehealth regulations
Medtransic provides specialty-specific billing expertise for healthcare practices across Texas. Our coders are trained in the unique coding and billing requirements of each medical specialty.
Medtransic serves healthcare providers across every part of Texas with localized billing expertise.
Houston & Gulf Coast
Houston is home to the Texas Medical Center, the largest medical complex in the world, anchoring a healthcare market that includes MD Anderson Cancer Center, Memorial Hermann Health System, and Houston Methodist. The region's heavy energy sector workforce drives strong employer-sponsored commercial insurance coverage alongside significant Medicare and Medicaid populations.
Hurricane season creates recurring billing continuity challenges, requiring disaster-resilient claims submission processes and familiarity with emergency coverage extensions.
Key specialties in demand: Oncology, cardiology, neurosurgery, gastroenterology, pulmonology
Dallas-Fort Worth Metroplex
The DFW Metroplex is the fastest-growing metro area in Texas, with UT Southwestern Medical Center, Baylor Scott & White Health, and Texas Health Resources serving a rapidly expanding patient base. A large employer-sponsored commercial insurance market creates strong reimbursement potential for well-managed practices.
The competitive landscape includes a growing number of private equity-backed practices, driving demand for sophisticated revenue cycle management and payer contract negotiation.
Key specialties in demand: Orthopedics, dermatology, urology, ENT, pain management
Austin & Central Texas
Austin is the fastest-growing healthcare market in Texas, fueled by tech industry migration and young professional demographics. Ascension Seton, St. David's HealthCare, and Baylor Scott & White serve a population that skews younger with strong commercial insurance coverage from major tech employers.
The growing independent practice market and influx of new providers create demand for credentialing services and new practice launch support alongside ongoing billing management.
Key specialties in demand: Primary care, psychiatry, pediatrics, sports medicine, OB/GYN
San Antonio & South Texas
San Antonio's healthcare market is heavily influenced by its large military population centered around Joint Base San Antonio and Fort Sam Houston. University Health and Methodist Healthcare serve both military families and a large Hispanic population, creating a payer mix that includes substantial TRICARE, VA, and Texas Medicaid volumes.
Bilingual billing support in Spanish is essential for effective patient communication and collections in this region, alongside expertise in military insurance processing.
Key specialties in demand: Family medicine, internal medicine, military medicine, behavioral health, geriatrics
Our Track Record in Texas
Medtransic has a strong track record of delivering results for healthcare practices in Texas.
475++ practices served across Texas
115++ billing specialists dedicated to Texas accounts
18++ years of experience in Texas medical billing
98% first-pass claim acceptance rate
25% average revenue increase for Texas practices
45% average denial rate reduction
Frequently Asked Questions About Medical Billing in Texas
What is the Texas Prompt Pay Act and how does it affect claim payments?
The Texas Prompt Pay Act (HB 2256) requires insurers to pay or deny clean claims within 30 days for electronic submissions and 45 days for paper claims. Insurers that fail to meet these deadlines owe penalty interest at 18% annually on the unpaid amount. Medtransic tracks every claim against these deadlines and files prompt pay complaints with the Texas Department of Insurance when payers fail to comply.
How does Texas Medicaid (STAR, STAR+PLUS, CHIP) billing work?
Texas Medicaid operates through managed care organizations under the STAR program for families and children, STAR+PLUS for adults with disabilities, and CHIP for children's coverage. Each MCO (Amerigroup, Molina, UnitedHealthcare Community Plan, Superior HealthPlan) has separate authorization requirements and fee schedules. Medtransic manages the complexities of each plan to ensure maximum reimbursement for our Texas providers.
How does Texas SB 1264 protect against balance billing?
SB 1264, Texas's surprise billing law, prohibits out-of-network providers from balance-billing patients for emergency services and certain non-emergency services at in-network facilities. The law establishes a mediation and arbitration process for payment disputes between providers and insurers. Our team applies SB 1264 rules to all applicable claims and navigates the dispute resolution process when needed.
How does having no state income tax in Texas affect practice finances and billing?
Texas's lack of state income tax means practice revenue is not reduced by state-level taxation, but this also means the state relies on other revenue sources that can impact healthcare. Practices benefit from keeping more of their collections, making efficient billing even more impactful to bottom-line profitability. Medtransic helps Texas practices maximize every dollar collected through clean claims, denial prevention, and aggressive follow-up.
What are the Texas Medical Board requirements for billing documentation?
The Texas Medical Board requires physicians to maintain complete and accurate medical records that support all billed services, with records retained for at least seven years. Insufficient documentation is a leading cause of claim denials and audit risk in Texas. Medtransic provides documentation improvement guidance and pre-billing audits to ensure our clients' claims are fully supported.
What are the timely filing deadlines for Texas insurance claims?
Texas commercial payer timely filing deadlines typically range from 90 to 365 days depending on the payer contract, with many major plans using a 180-day window. Medicare requires claims within 12 months, and Texas Medicaid MCOs generally require submission within 95 days of the date of service. Medtransic submits claims within 24-48 hours to ensure no revenue is lost to missed deadlines.
How much do medical billing services cost in Texas?
Medical billing outsourcing for Texas practices typically ranges from 4-8% of monthly collections, depending on practice size, specialty, and claim volume. Medtransic offers transparent, competitive pricing with no hidden fees. Most Texas practices see a net revenue increase after partnering with us because of reduced denials and faster collections. View our pricing plans for details.
How do I get started with Medtransic in Texas?
Getting started is simple. Contact us for a free practice assessment where we analyze your current billing processes and identify improvement opportunities. Our onboarding typically takes 2-4 weeks, during which we integrate with your existing EHR system and begin processing claims with zero disruption to your practice.
Get Started with Medical Billing Services in Texas
Ready to optimize your Texas practice's revenue cycle? Contact Medtransic today for a free, no-obligation practice assessment. Call us at 888-777-0860 or submit a contact form to speak with a billing specialist who understands Texas healthcare. Let us handle the billing complexities so you can focus on what matters most — your patients.