Medical Billing Services in Texas

Stop losing revenue to denials and delays. Our Medicare- and Medicaid-certified medical billing experts reduce claim rejections by 33%, accelerate reimbursements by 50%, and ensure full compliance — so you can focus on patient care.

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Why Texas Providers Need Specialized Medical Billing

Texas has one of the most complex healthcare ecosystems in the U.S.:

  • Massive Medicaid Expansion: Over 5.2 million enrollees — with strict documentation and prior authorization rules
  • Diverse Payer Mix: Blue Cross Blue Shield of Texas, UnitedHealthcare, Aetna, Cigna, Humana
  • High Claim Volume: Texas ranks #1 in total medical claims filed annually
  • Unique State Rules: Texas-specific modifiers, bundling edits, and audit triggers

Generic billing services miss these nuances. We don’t.

Learn About Our U.S.-Aligned Model
Medical billing services for Texas hospitals and clinics - Mastermind Healthcare

Top Medical Billing Challenges in Texas

We help TX providers overcome these common revenue cycle obstacles

BCBS Texas Bundling & Downcoding

BCBSTX often bundles procedures or downcodes E/M visits — leading to 20–30% underpayments if not appealed.

Medicaid Prior Authorization Delays

Missing prior auth for imaging, surgery, or DME triggers automatic denials — causing 60+ day payment delays.

ER & Urgent Care Coding Errors

Undercoding 99284 vs 99283 in high-acuity ER visits costs $60–$90 per claim — lost revenue adds up fast.

Delayed Reimbursements

Texas providers average 48 days to collect — we cut that to 28 days with proactive follow-up.

Client Success: Houston Multi-Specialty Group

After switching to Mastermind Healthcare, this practice reduced claim denials by 36% and recovered $158,000 in written-off revenue within six months — while their billing staff workload dropped by 40%.

Read Full Case Study →

Our Texas-Specific Medical Billing Solution

We combine U.S.-based leadership with operational excellence in India — so you get the best of both worlds.

TX Payer Expertise

Trained on BCBS Texas, Medicaid, UnitedHealthcare, and Texas-specific coding rules — no guesswork.

Real-Time Eligibility

Verify Texas Medicaid, Medicare, and private insurance before service — prevent 60% of denials upfront.

Proactive Denial Prevention

Flag high-risk claims before submission. Appeal denials within 48 hours — average recovery: 87%.

Specialty-Specific Support for Texas Providers

We serve practices across Houston, Dallas, Austin, San Antonio, Fort Worth, and beyond with dedicated teams trained in your specialty.

ER Billing
Outpatient Billing
Hospital Billing
Cardiology Billing
Oncology Billing
Pulmonology Billing

Ready to Transform Your Revenue Cycle?

You’re leaving up to 30% of revenue on the table due to denials, undercoding, and slow reimbursements.

Let’s fix it — at no cost to you.

Get Your Free Revenue Audit

Call Us: +1 (812) 329-2773

Frequently Asked Questions

Do you work with small clinics in Texas?

Yes. We serve solo practitioners, multi-physician groups, and hospitals across TX — all with the same level of precision and compliance.

Are your services HIPAA-compliant?

Absolutely. We follow HIPAA, HITECH, and SOC 2 standards. All data transfers are encrypted and audit-ready.

Can you integrate with my current EHR system?

Yes. We seamlessly integrate with Epic, Cerner, Athenahealth, NextGen, eClinicalWorks, and 30+ other platforms — no new software needed.

How quickly can you start?

Most practices go live in 5 business days. Complex setups may take up to 10 days.