MedCare MSO provides comprehensive medical billing services in Texas customized to the specific needs of your practice. Our medical billing company helps Texas-based healthcare providers reduce administrative burdens, improve revenue cycle management, and stay compliant with state and federal regulations.
Book A Free Consultation96%
Collection Ratios
35%
Revenue Increase
50+
Billing Specialties
Let our Texas medical billing experts handle denials and coding, so you focus on patients.
Do you own a medical practice based in Texas? Are denials reducing your revenue? Get personalized medical billing services in Texas to improve your revenue cycle and maximize overall collections. Our billing team understands the Texas-specific payer rules and helps submit clean claims. As a result, you improve revenue and reduce claim denials. The experts at MedCare MSO manage your revenue cycle process with AI-powered tools and human oversight. So, focus on your patients while we help you collect more revenue from payers.
Save your time and focus on patients while we manage your revenue cycle process. Outsourcing to a trusted medical billing company in Texas allows you to reduce the stress of administrative tasks. In addition, we offer a customized billing solution based on your specific needs and do not follow a one-size-fits-all approach. Our medical billing services in Texas help with:
We understand the stringent state-specific billing and compliance problems like Texas Medicaid (TMHP) audits. Our experts track Texas patient-billing and itemized-statement deadlines so your patient balances stay collectible. As a HIPAA-compliant medical billing company in Texas, MedCare MSO focuses on reducing claim denials and improving your cash flow. With our custom billing solutions powered by AI technology, you receive faster and more accurate payments. Our software solutions and the entire communication keep the patient health information (PHI) safe as per Texas state regulations.
Texas has some of the most specific medical billing regulations in the US. Missing one deadline can mean losing revenue you legitimately earned. Here's what our team manages on your behalf:
Claims for Texas Medicaid must be received by TMHP within 95 days of the date of service for fee-for-service claims, as per the Texas Medicaid Provider Procedures Manual — Claims Filing. Our billers create workflows according to this deadline. We keep a vigilant eye on this deadline and the filing limits set by Medicaid MCOs to ensure seamless billing and improved reimbursements for Texas providers.
Under the Texas Insurance Code, health plans that are regulated by the state must generally pay clean claims within 30 days when submitted electronically and 45 days on paper. We submit accurate electronic claims so late payments get flagged and our team pursues them.
Texas Senate Bill 1264 protects patients in state-regulated plans from surprise balance bills for certain out-of-network care, working alongside the federal No Surprises Act. When out-of-network payment disputes arise, we prepare the documentation providers need for state mediation and arbitration under SB 1264, and federal IDR under the No Surprises Act.
Texas law limits how long providers have to bill patients after a service and requires itemized bills before certain collection activity. We generate compliant, timely patient statements so patient balances stay collectible.
We check your claims against the deadlines that matter in Texas and show you where revenue is slipping. Find out with a free billing audit.
Get a Free Claims ReviewMost billing teams struggle to manage the Texas-based payer mix. Our billing team works with:
Our team bills for fee-for-service claims directly to TMHP. For patients enrolled in managed care, most Texas Medicaid patients, we bill each patient's MCO through its own portal, following that plan's prior authorization rules and appeal windows.
Our medical billers and coders understand that a service that Medicare pays for in one state may be denied in Texas if it does not match the local rules. Our LCD-aware coders ensure that claims meet Texas-specific Medicare requirements.
As a medical billing company in Texas, we bill Blue Cross and Blue Shield of Texas, UnitedHealthcare, Aetna, Humana, Cigna, and other commercial payers.
We manage the billing for practices that serve military families and injured workers across Texas.
Whatever your payer mix looks like, our medical billing services adapt to it, across 50+ medical specialties.
Two tracks: billing the wrong one is a common cause of avoidable denials
Your practice - Which plan is the patient on?
Claim goes directly to TMHP - the state's claims administrator
State pays per service - One system, one portal, one set of rules
strict 95-day filing deadline
Claim goes to the patient's MCO not to the state
State pays MCO a fixed monthly fee so each MCO reviews claims closely
Own portal, own prior-auth rules, own appeal deadlines
We verify the track before every claim goes out, so nothing gets denied for being sent to the wrong place
Cardiology
Pulmonology
Hepatology
Hematology
Psychiatric
Traumatology
OB-GYN
Dermatology
Gastroenterology
Nephrology
Outsourcing medical billing services to a Texas-based billing company helps improve the rate of reimbursements. In the same way, we help reduce claim denials and take the burden of state-specific requirements off your shoulders. From timely filing limit law in Texas to balance billing compliance, we manage it all.
As a trusted medical billing provider in Texas, we help healthcare practices submit clean claims within the timely filing limit. Our experts understand the 95-day filing limit and all the Texas-specific regulatory requirements. So, optimize reimbursements and minimize the revenue leakages that occur due to filing limit issues. You do not deserve to lose revenue just because you submit the claim after the limit. Get an efficient medical billing team working as your partner.
Our experts follow Texas-specific requirements when filing electronic claims with every payer that supports them. We also track every payer against Texas prompt-pay timelines, so late payments get pursued, not forgotten. Our clean claim submissions help reduce denials and accelerate claim processing while ensuring compliance. As an expert medical billing company in Texas, we create and submit accurate claims that align with the Texas insurance laws. That’s how we help providers in Texas capture the reimbursements they are entitled to receive.
MedCare MSO has a team of expert billers who understand the intricacies of Texas-related revenue cycle management. We offer medical billing services to healthcare providers in Texas to keep the claims away from regulatory scrutiny. Our team understands the laws of the Texas Department of Insurance and submits accurate claims within the limits. In the same way, we are aware of the Independent Dispute Resolution (IDR) related to out-of-network scenarios. So, avoid unfair billing practices to keep you profitable.
When you choose MedCare MSO, you get a billing partner built around Texas payer rules and clean revenue cycle operations. We help you maintain an effective revenue cycle management process and achieve hassle-free billing. Medical practices in Texas can outsource billing services to our experts who know the ins and outs of state-specific insurance laws. In addition, boost your practice income, reduce denials, and increase profitability. We help Texas-based providers comply with the state-specific laws and avoid penalties. So, stay compliant and revenue-focused with our medical billing company in Texas.
Get Free Audit!
MedCare MSO doesn’t believe in one-size-fits-all solutions like many medical billing companies in Texas. We take the time to understand your practice and create billing solutions that fit your specific needs. Here’s how:
We start by scrubbing claims for accuracy, ensuring they meet all requirements. Our coding experts get it right the first time, so you can rely on us for your medical coding needs. Our coding experts follow up consistently on unpaid claims and resolve issues promptly, helping you secure the maximum collections for services rendered without unnecessary delays or denials.
Using the IMPR strategy (Identify, Manage, Prevent, and Resolve), our denial management services help reduce denials. Accurate documentation plays a crucial role in preventing denials: it supports every claim we submit and keeps your billing compliant with payer and regulatory guidelines. With a 96% First Pass Resolution Rate, we identify issues early, handle appeals efficiently, and prevent future denials to ensure faster payment.
Our AR recovery services help recover revenue from 120+ day-old accounts and cut AR by 35%. Our CPCs (Certified Professional Coders) play a big role in AR management by doing detailed audits and coding and claims scrubbing. We have a team of AAPC-certified professionals who manage the entire AR process, ensuring faster recovery of outstanding balances.
Professional
Our experience with MedCare MSO has been consistently positive and in particular the support and professionalism provided by James Archer.
Travis Gannon
Founder, ODAT Services
Recommended
I highly recommend MedCare MSO if you are looking for help with your billing and gain some freedom to see more patients or manage your business.
Dr. Jose Correa
Practice Owner, TXEC
Outstanding
MedCare MSO has been an excellent organization to work with, I highly recommend them for their quality of service and commitment to excellence.
Shaunna Mock
Back Office Manager, STST
Talented
We are definitely impressed by the Team’s performance. I worked with a lot of different folks from all over the world on different business transactions, and Mark is truly a top notch talent!
Max Owens
Director of Corporate Development, SC & SF
Exceptional
MedCare MSO’s exceptional communication and expertise elevated our RCM experience and my bank accounts!
Kelly Ballou
Owner, R.D.
Communicative
MedCare MSO did a great job with our billing and helping clean up old AR. Regular updates and good communication were very appreciated.
Bret
Co-Owner, PCP
Great
JOSHUA ARANT
Chief Operating Officer, MAKO MEDICAL LABORATORIES
Efficient
SHOBHA SOLOMON
Chief Executive Officer, CARE NOW CLINIC
Outstanding
JAMES BERG
Chief Operations Officer, ION DIAGNOSTICS
Responsive
Doctor Godfred Mensah
Co-Founder, AW Care
Efficient
Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.
Dr. Chess
Practice Owner, F&A Clinic
Excellent
We have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage.
Daniel
President/CEO, RLT
Impressive
I am impressed with MedCare MSO’s promptness to respond to any inquiries, with the time they dedicate to reviewing each one of the cases.
Dr. Neufeld
Practice Owner/FBH
MedCare MSO offers medical billing services in every part of the state, including Dallas, Houston, Austin, San Antonio, El Paso, Fort Worth, Arlington, Corpus Christi, Plano, and Lubbock. You get the same specialized support across every corner of Texas. Wherever you operate in Texas, the rules of the TMHP filing window and prompt-pay rules do not change by city. So, we help you grow your revenue in all parts of Texas, from DFW to the Panhandle.
Dallas
Houston
Austin
San Antonio
El Paso
Fort Worth
Arlington
Corpus Christi
Plano
Lubbock
Texas Medicaid claims must generally be received by TMHP within 95 days of the date of service, according to the Texas Medicaid Provider Procedures Manual. Some scenarios, like retroactive eligibility or third-party billing, follow modified deadlines, which is why our team tracks filing windows claim by claim.
Under Texas prompt-pay rules, state-regulated plans must generally pay clean claims within 30 days when filed electronically and 45 days on paper. We monitor payer turnaround and follow up on anything that runs late.
Yes. We bill both fee-for-service Texas Medicaid through TMHP and the state's Medicaid managed care organizations, each with its own submission, prior-authorization, and appeal requirements.
We charge a straightforward flat percentage of collections, no hidden charges, no upfront setup costs, and no software expenses. Pricing depends on your claim volume and specialty; contact us for a customized quote.
Yes. Our team works within your current EHR/PM system including AdvancedMD, athenahealth, eClinicalWorks, Kareo, and others, or you can use our HIPAA-compliant platform. Switching software is never required.
Maximize collections, reduce denials, and improve reimbursements with our medical billing services in Texas. Reach out to our experts for a customized solution.
ODAT Services
I am writing on behalf of ODAT Services to express our strong satisfaction with MedCare MSO, and in particular the support and professionalism provided by James Archer.
Our experience with MedCare MSO has been consistently positive. The team has demonstrated reliability, responsiveness, and a clear understanding of the operational and compliance needs of our organization. James Archer has been especially instrumental—bringing a high level of expertise, clear communication, and a solutions-oriented approach to every interaction.
James is proactive, knowledgeable, and dependable, making complex processes easier to navigate and helping ensure our operations run smoothly. His professionalism and commitment to service have made MedCare MSO a valued partner to our organization.
We are pleased to recommend MedCare MSO and James Archer without reservation and look forward to continuing our work together.
Travis Gannon
Founder
ODAT Services
TXEC
I have worked with MedCare MSO for the past eight months, and it has been a great experience. Moses, Mark, Travis, Sebastian, and Tammy have been a pleasure to work with, as well as the rest of the team, including the credentialing folks.
I highly recommend this group and MedCare MSO if you are looking for help with your billing. They will meet with you once a week to review the issues that need to be fixed to improve your payment and capture rate.
If you are looking for help with your billing and gain some freedom to see more patients or manage your business, this is the team you need to work with.
Dr. Jose Correa
Practice Owner
TXEC
STST
MedCare MSO has been an excellent organization to work with. Mark has consistently demonstrated outstanding attention to detail, thorough documentation, and strong professionalism in maintaining accurate records of his findings.
His reliability and dedication have contributed greatly to a positive experience.
I highly recommend MedCare MSO for their quality of service and commitment to excellence. I can’t say enough good things about Mark and his company.
Thank you
Shaunna Mock
Back Office Manager
STST
SC & SF
Hi Ali, I hope this message finds you well. I wanted to give you some feedback on the team.
We are definitely impressed by the Team’s performance. Definitely what we were looking for from switching partners.
In particular Mark Zaiden has been very helpful. In my 5+ years of experience as a M&A Professional, I worked with a lot of different folks from all over the world on different business transactions, and Mark is truly a top notch talent!
Austin has done a great job of leading the communications process and keeping the train going in the right direction. Tammy and some other folks have been key players as well. We really are happy with everyone on the team.
I wanted to pass this feedback along to you as we are really pleased with working with MedCare MSO so far.
Have a great weekend!
Max Owens
Director of Corporate Development
SC & SF
R.D.
MedCare MSO’s exceptional communication and expertise elevated our RCM experience and my bank accounts!
Most helpful is the open/responsive communication of their team with my office and each other, along with the specialty levels of expertise amongst my team for each aspect of RCM.
Kelly Ballou
Owner
R.D.
F&A Clinic
Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.
I would like to take time to recognize two members of MedCare MSO specifically. Moses for his exceptional support and dedication. He is always responsive, and knowledgeable, and goes above and beyond to ensure smooth operations. His professionalism and commitment make a huge difference in our day-to-day workflow. George also for his quick feedback and recognition of what is needed most. He is extremely efficient and always available for clarification and to share his knowledge and expertise.
I highly recommend MedCare MSO to any healthcare provider looking for a reliable and efficient billing partner.
RLT
Hello,
I am writing this email to express our appreciation of the MedCare MSO’s team and all they have done for our business at RLT. In the past year, we have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage. We went from having over $100k in uncollected/billed claims to now reaching near $100k in collection some months.
We are also happy to express our thankfulness that MedCare MSO is now helping us acquire new contracts with different insurance companies. This will in effect benefit everyone involved, allowing us to expand our services and provide more resources for our staff/business partners.
Please note special appreciation for the following:
David Lucas
Mario Ortega
Ambrose William
FBH
I have been a customer of MedCare MSO for one year. They have provided billing and credentialing services for my private behavioral health practice, and I am impressed with their promptness to respond to any inquiries, with the time they dedicate to reviewing each one of the cases, and with their willingness to educate me and my staff about the ever-changing rules of medical billing and the best use of coding. This is a company I Trust with my billing needs.
Dr. Neufeld
Practice Owner
FBH
