Texas Medical Billing Services
Our medical billers are located throughout Texas, in major cities such as Houston, Dallas, Austin and San Antonio, and they are ready to help you meet your billing needs.
Contact For Texas Billing Services
Outsource Your Texas Medical Billing & Coding
Running a medical practice in Texas and maintaining an efficient medical billing department can be quite challenging. By contracting the services of a medical billing company, you and your staff can focus on practicing medicine and delivering quality patient care. Whether you are a primary care physician or run a specialty practice or urgent care facility, a Texas medical billing service can make your practice more profitable by increasing incoming payments.
Our medical billers are located throughout Texas, in major cities such as Houston, Dallas, Austin and San Antonio, and they are ready to help you meet your billing needs.
Benefits of Outsourcing With Us
Some of the medical billing services we specialize in include:
- Data entry of all charges
- Submission of both electronic and paper claims to primary and secondary insurers
- Tracking and follow-up on unpaid claims
- Preparing patient statements
- Payment posting
- Customizing billing reports
- Updating your practice on payer fee schedules
With extensive knowledge coupled with years of experience in the medical billing industry in Texas, our billers possess the qualities to help state providers and medical practices maximize their reimbursements and minimize their costs.
Our Medical Billing Services in Texas
5 Star Billing Services provides expert medical billing services to physician practices of all kinds. Our professional billers know the ins and outs of medical billing in Texas, and we make it a point to stay on top of changing procedures and legislation that affect Texas providers.
Besides helping healthcare professionals eliminate expenses and reduce payer denials, medical billing outsourcing reduces employee costs and eliminates human resource problems. Whether you are interested in having professionals handle your practice’s entire medical billing process or step in during a temporary staffing shortage, our knowledgeable billers are on hand to help you achieve your medical billing goals.
Speak with a Texas Billing Specialist today!
Our billing service helps podiatrists increase collections, decrease claims denials, and maintain healthier accounts receivable.
Our Software Experience
We understand that technology adoption in healthcare settings is growing, and fewer and fewer billing process are done on paper. Our medical billers in Texas know the value of automated processes, and we use those tools to our advantage in order to deliver more efficient and cost-effective services to our clients. No matter what EMR or Practice Management system your practice employs, rest assured that our medical billing experts in Texas have worked with it.
Texas Medical Billing Specialties
Our medical billing specialists in Texas have worked with physicians in a variety of specialties, including optometry, family practice, cardiology, internal medicine and physical therapy. We know the challenges that providers in a wide range of specialties face, and we possess the skills and tools to help them improve their billing and collections processes. Learn more about some of our specialty-oriented medical billing services:
Common Texas Billing Questions
In 2019, a state law went into effect protecting consumers from surprise medical bills or "balance billing." A similar federal law was passed in 2022. Starting January 1, 2022, the federal No Surprises Act will protect Texas consumers with health plans not regulated by the state from surprise bills for:
- Air ambulance services.
- Emergency care.
- Care provided at in-network facilities when the patient didn’t have a choice of doctors.
Texas Law
SB 1264, 86th Legislature - This bill, which became law on September 1, 2019, added and amended many sections of the Texas Insurance Code to protect consumers from surprise medical bills.
Federal Law
No Surprises Act (HR 133, 116th Congress) - Title I of the Consolidated Appropriations Act of 2021 contains the text of the federal "No Surprises Act." This law created protections against balance billing and surprise balance bills.
Texas and federal laws protect Texas consumers with state-regulated health plans from surprise bills.
- Federal law bans balance bills for air ambulance services received on or after January 1, 2022.
- State law bans balance bills for the following received on or after January 1, 2020:
- Emergency care.
- Care provided at in-network facilities when the patient didn’t have a choice of doctors.
State law authorizes arbitration (for doctors) and mediation (for facilities) to resolve payment disputes in those cases.
The law carves out a narrow exception when a consumer chooses an out-of-network doctor or provider at an in-network facility.
- The patient’s insurance card will have TDI or DOI on it.
- The patient is insured through the Employees Retirement System of Texas (ERS): HealthSelect and other ERS plans
- The patient is insured through the Teacher Retirement System of Texas (TRS): TRS ActiveCare and TRS-Care Standard for non-Medicare retirees
Top Tips for Texas Medical Billing: Streamlining Your Practice
Medical billing is an essential yet often overlooked aspect of healthcare practices. It can significantly impact a practice's financial health and patient satisfaction. In the state of Texas, medical billing has its unique set of rules and regulations, making it crucial for billers to stay up-to-date with industry standards and best practices. This article outlines the top tips for Texas medical billers to optimize their billing process and ensure smooth, efficient operations.Stay Informed on Texas-Specific Regulations
The Texas Department of Insurance (TDI) regulates health insurance and medical billing in the state. Regularly checking the TDI website and subscribing to updates can help you stay informed about any changes in the regulations that may affect your practice. Additionally, familiarize yourself with the Texas Administrative Code and Texas Health and Safety Code to ensure compliance with state-specific rules.
Verify Patient Insurance Information
Always verify patients' insurance information before scheduling appointments and providing services. Inaccuracies in insurance information can lead to claim denials, delayed payments, and increased administrative work. Make sure your staff is trained to request and verify insurance information during every patient encounter.
Implement Proper Coding Practices
Accurate coding is critical to avoid claim denials and ensure timely reimbursements. Invest in ongoing training for your coding staff and encourage them to stay updated on the latest coding guidelines, including the International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) codes. Regularly conduct internal audits to identify and correct coding errors before claims are submitted.
Utilize Electronic Health Records (EHR) Systems
EHR systems can streamline the medical billing process and reduce the risk of errors. They allow for seamless integration of patient information, insurance details, and billing codes. Choose an EHR system that is customized for your practice and offers features like automatic claim submission, billing analytics, and real-time eligibility checks.
Timely and Accurate Claim Submission
Submit claims promptly, ideally within 72 hours of providing services. This will help you maintain a healthy cash flow and avoid late submission penalties. Double-check claims for accuracy before submission, ensuring they contain the correct patient information, billing codes, and provider details.
Establish a Systematic Follow-Up Process
A well-organized follow-up process can significantly improve your practice's collection rates. Monitor outstanding claims and follow up on unpaid claims in a timely manner. Implement a multi-tiered approach, such as sending payment reminders via email, phone calls, or mailed statements, to collect outstanding balances.
Outsource Medical Billing Services
If managing the medical billing process in-house is proving to be too time-consuming or challenging, consider outsourcing your billing to a professional medical billing company. These companies have the expertise and resources to ensure accurate, compliant, and efficient billing, allowing your practice to focus on providing quality healthcare.
Educate Patients About Their Financial Responsibility
Transparent communication with patients about their financial responsibility is vital for successful medical billing. Ensure your staff is trained to explain insurance benefits, co-pays, deductibles, and other out-of-pocket expenses to patients. Provide written estimates for services and make financial assistance information readily available.
Conclusion
Efficient medical billing is crucial for the financial success of any healthcare practice. By staying informed about Texas-specific regulations, ensuring accurate coding, utilizing EHR systems, and implementing systematic follow-up processes, Texas medical billers can optimize their billing process, improve cash flow, and enhance patient satisfaction.
Speak with a Texas Billing Specialist today!
Our billing service helps podiatrists increase collections, decrease claims denials, and maintain healthier accounts receivable.