Do you understand state-specific billing rules?

Yes, our team is trained on key state regulations including California AB 72, New York no-fault billing, Texas Medicaid (TMHP), Florida Medicare audits, and Illinois HFS rules.

Which states do you serve?

We serve all 50 U.S. states, with deep expertise in California, Texas, Florida, New York, and Illinois—where billing complexity and patient volume are highest.

Can you handle Medicaid billing for my state?

Yes, we manage Medicaid billing for all 50 states, including eMedNY (NY), Medi-Cal (CA), TMHP (TX), Sunshine Health (FL), and HFS (IL).

Medical Billing Services for Hospitals & Clinics in CA, TX, FL, NY & IL

While medical billing follows federal guidelines, each U.S. state has unique challenges—from Medicaid rules to commercial payer dominance. Providers in California, Texas, Florida, New York, and Illinois face high patient volumes, complex reimbursement models, and staffing shortages.

At Mastermind Healthcare, we deliver state-aware, specialty-specific billing services tailored to your region’s regulatory and payer landscape—so you get faster payments, fewer denials, and more time for patient care.

Billing Challenges by State — And How We Solve Them

California

High Medicaid (Medi-Cal) volume, strict AB 72 billing rules, and dominant payers like Blue Shield and Kaiser. We ensure compliance with state-specific documentation and timely filing rules.

Texas

Large rural provider networks, high uninsured rates, and complex TMHP (Medicaid) billing. Our team handles charity care reporting and Texas-specific claim edits.

Florida

High Medicare volume (due to aging population), frequent audits, and strict Medicaid (Sunshine Health) rules. We specialize in geriatric and oncology billing for Florida providers.

New York

Complex no-fault (auto) billing, Medicaid (eMedNY) challenges, and high denial rates from Empire BlueCross. We manage NYS-specific modifiers and timely filing windows.

Illinois

Medicaid (HFS) billing complexities, hospital charity care reporting, and high commercial denial rates. We ensure compliance with Illinois Department of Healthcare and Family Services rules.

Specialty + Location = Maximum Reimbursement

A cardiology clinic in Miami faces different billing rules than an ER in Houston or an oncology center in Los Angeles. That’s why we combine:

State-specific payer knowledge (Medicaid, Medicare, commercial)
Specialty-specific coding expertise (e.g., oncology, ER, cardiology)
Local regulatory awareness (e.g., CA AB 72, NY no-fault, TX charity care)

We also support surgical, radiology, neurology, pediatrics, and 15+ other specialties across all 50 states—with a focus on these high-volume states.

Why U.S. Providers in These States Trust Us

98.5% average clean claim rate for U.S. clients
HIPAA-compliant workflows with end-to-end encryption
U.S. business hours (8 AM–8 PM EST) and fluent English communication
Seamless integration with Epic, Cerner, Athenahealth, and more

Serving Providers Across the U.S. — With Local Insight

Get state-aware billing that understands your market.

Get a Free State-Specific Billing Audit

Call us: +1 (812) 329-2773