The Medical Billing handles medical billing and coding for practices in Austin, TX — from solo physicians and specialty groups to independent labs and clinics across Travis County. We take the full revenue cycle off your desk so your staff can focus on patients.
Medical Billing for Austin's Healthcare Market
Austin practices work alongside large systems such as Dell Seton Medical Center, St. David's HealthCare, Ascension Seton and Baylor Scott & White. That brings a steady flow of referrals and shared patients, but also more payer edits on referrals, authorizations and place of service. Our coders check those details before the claim goes out.
Texas Payer Rules We Handle for Austin Practices
- Medicare: Part B claims go to Novitas Solutions; Medicare Advantage claims go to the patient's private plan with its own authorization rules.
- Medicaid: Texas Medicaid is run by the Texas Medicaid & Healthcare Partnership (TMHP), and most members are in STAR, STAR+PLUS, STAR Kids and STAR Health managed care plans.
- Commercial plans: we bill Blue Cross and Blue Shield of Texas, UnitedHealthcare, Aetna and Cigna and the employer plans common in Travis County.
- Local detail: Most Texas Medicaid patients are enrolled in managed care, so claims usually go to the patient's STAR or STAR+PLUS plan instead of straight to TMHP — submitting to the wrong payer is one of the most common avoidable denials we fix.
What's Included for Austin Practices
- Insurance eligibility and benefits verification before each visit
- Medical coding (CPT, ICD-10-CM, HCPCS and modifiers) by certified coders
- Charge entry and claim scrubbing to catch errors before submission
- Electronic claim submission to Medicare, Texas Medicaid plans and commercial payers
- Denial management and appeals with root-cause tracking
- A/R follow-up on aging claims, worked daily
- Payment posting from ERAs and EOBs, including underpayment checks
- Credentialing and payer enrollment, including TMHP provider enrollment
- Monthly reporting on collections, denials and days in A/R
Why Austin Practices Outsource Billing to Us
Most revenue is lost in small gaps: an eligibility check that was skipped, a denial nobody had time to appeal, a payment that was posted short. We close those gaps for Austin practices with a structured process and transparent reporting, and we start with a free audit so you can see the numbers first.
We also support practices in Round Rock, Cedar Park, Pflugerville and Georgetown, and across the rest of the state — see our Texas medical billing services or nearby pages for Houston and San Antonio. Specialty groups can read more about our rheumatology billing and pathology billing services.
Specialties We Bill For in Austin
Frequently Asked Questions
Do you provide medical billing services in Austin, TX?
Yes. We work remotely with physician practices, clinics, specialty groups and labs in Austin and across Travis County. We handle coding, claims, denials and A/R follow-up for Medicare, Texas Medicaid and commercial payers.
Which insurance payers do you bill for Austin practices?
Medicare Part B through Novitas Solutions, Medicare Advantage plans, Texas Medicaid and its managed care plans, and commercial payers such as Blue Cross and Blue Shield of Texas, UnitedHealthcare and Aetna.
Do you work with practices near Austin?
Yes — including Round Rock, Cedar Park, Pflugerville and Georgetown. Billing is done remotely, so practices anywhere in Texas can work with us.
How much does medical billing cost for a Austin practice?
Most billing companies charge a percentage of monthly collections, commonly between 4% and 10% depending on specialty and claim volume. We give you a fixed quote after a free audit of your claims and A/R.
How long does it take to switch to your billing service?
It depends on how quickly payer and EHR access can be set up. We plan the transition so that existing A/R keeps being worked while new claims move to our team, and we share a timeline after the free audit.