Medical Billing and Coding Services in Texas

Billing in Texas is more complex than the national averages. Payer scrutiny, timely billing laws, and debt relief initiatives all place additional weight on providers. Without precision, practices risk delayed reimbursements and compliance penalties.

Steady Medical Billing was built to solve these state-specific challenges with expertise rooted in Texas regulations.

Texas Healthcare Data That Shapes Billing

Revenue cycle strategies must reflect real conditions in Texas.

Population Growth

Texas now exceeds 31 million residents, adding over 2 million since 2020. This drives higher patient demand and payer diversity.

Uninsured Rate

16.7% of Texans remain uninsured, the highest in the nation, requiring payment plans and patient billing solutions.

Medicaid Coverage

16.2% of Texans are on Medicaid or CHIP, across multiple managed care organizations, each with different billing rules.

Medicare Coverage

11.4% of Texans are enrolled in Medicare, with Novitas enforcing strict edits and documentation checks.

Commercial Plans

Nearly half of Texans rely on commercial insurance, with payer contracts that vary by region.

These realities define how billing must be managed for providers statewide.

Our Approach to Texas Medical Billing

We build every workflow around the Texas payer mix. Claims are scrubbed before submission, compliance rules are applied automatically, and reporting gives full visibility into revenue performance.

Here’s What you gain with us

Predictable cash flow from faster payments
Revenue protection through compliance-first processes
Transparent dashboards to monitor KPIs

Medicaid Billing and Collection Services in Texas

Medicaid programs in Texas are complex and fragmented. We manage every variation
with payer-specific workflows.

Programs we support:

STAR – maternity, family, and child coverage

STAR+PLUS – seniors and disabled adults with long-term services

STAR Kids – children with special healthcare needs

Superior, Aetna Better Health, UHC Community, Texas Children’s Health Plan

Our solution: Customized rules for each MCO, ensuring faster reimbursements and fewer denials.

Medicare Billing and Coding Solutions

Medicare billing in Texas is governed by Novitas, which enforces strict edits and documentation standards. Our Medicare workflows prevent revenue loss.

We manage:

Traditional Medicare – edit compliance and crossover claims
Medicare Advantage – BCBS TX, UHC, Aetna, Humana with unique contract rules
MIPS/MACRA – reporting integrated to protect incentive payments

Our medical billing company in Texas ensures every Medicare claim is accurate, compliant, and paid on time.

Commercial Payer Billing Services

Commercial payers account for nearly half of all reimbursements in Texas, but every insurer applies unique rules, edits, and contract requirements.

Our expertise includes:

BCBS TX

Strict edits and network enforcement

UnitedHealthcare

Complex pre-authorization rules

Aetna and Cigna

Varied employer contracts with inconsistent reimbursement

Humana

Crossover billing with Medicare Advantage + commercial

By aligning claims with each payer’s requirements, we help providers collect every dollar owed.

Specialty-Focused Medical Billing Services in Texas

Each specialty in Texas faces unique billing challenges, from documentation requirements to payer-specific rules. We design billing workflows that match the way your practice operates.

Emergency medicine

Rapid submission, ER coding accuracy

Family practice

Preventive and chronic care billing

Geriatrics

Chronic care management documentation

Wound care

Procedure and supply claims

Neurology

EEG, EMG, infusion therapy

Mental health

Session-based and telehealth billing

OB/GYN

Bundled maternity workflows

Orthopedics

Surgery, implant, and therapy claims

By tailoring services to each specialty, we reduce errors, prevent denials, and create faster, more reliable collections that strengthen practice revenue across Texas.

Claim Submission and Denial Management

We keep claims moving quickly and accurately.

Claims are scrubbed for errors before submission
Modifier and documentation errors are corrected upfront
Denied claims are analyzed, corrected, and resubmitted within 72 hoursAppeals are tracked with full documentation for faster resolution

Patient Billing and Collection Services

Our services include:

Clear, easy-to-read patient statements
Flexible payment options
Compassionate collection workflows aligned with Texas debt relief laws

This ensures patients understand their bills while providers receive timely payments.

Texas Compliance Built Into Every Workflow

Compliance is central to every claim we manage.

Our safeguards include:

Texas timely billing law enforcement
Surprise Billing Act protections for patients
SB 490 itemized billing statement requirements
HIPAA security across all workflows
Workers’ comp compliance, forms, and fee schedules

Providers remain fully protected from compliance risks and penalties.

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Transparent Reporting and Local Expertise

We provide full visibility into billing performance with dashboards and payer analytics.

Metrics we deliver:

Clean claim rate
First-pass approvals
Denial trends
A/R aging

Combined with our Texas-based expertise in Medicaid, Medicare, and commercial contracts, providers gain confidence in both compliance and collections.

How to Verify Medicare Coverage for Providers

Partner With Steady Medical Billing

Steady Medical Billing is more than an outsourcing vendor. We are a leading medical billing company in Texas, committed to measurable KPIs, compliance-first solutions, and specialty-focused billing.