Expert Medical Billing Services in Texas
Transcure provides medical billing services for Texas practices. AAPC-certified coders and AI-driven automation with human review reduce denials and keep claims compliant with Texas and federal billing rules. Our team:
- Applies the federal No Surprises Act and Texas surprise-billing law (Insurance Code Ch. 1467) to out-of-network claims
- Automates billing from eligibility verification to payment posting with human review, at a 98% first-pass clean claim rate
- Submits electronic and paper claims to Medicare, Texas Medicaid and commercial payers
- Bills for 40+ specialties, including nephrology, pain management and OB/GYN
- Handles provider credentialing and payer enrollment
Trusted by
500+ Physicians
Catering to
40+ Specialties
1100+ Certified
Medical Billers & Coders
End-to-End
RPA Billing Solutions
Up to 98% First Pass
Clean Claim Rate
Our Success in Numbers
Results vary by practice size, specialty and payer mix. Across Transcure clients, these are typical results:
What Medical Billing Challenges do Texas Practices Commonly Face?
Texas practices deal with strict state filing laws, a large Medicaid managed care program, and payer rules that change often. These are the challenges that cause the most delays and denials:
Strict Filing and Payment Deadlines
Texas law requires physicians to submit claims to HMO and PPO plans within 95 days of service. Plans must then pay clean claims within 30 days (electronic) or 45 days (paper), but missed deadlines on the provider side mean lost revenue.
Prior Authorization and Utilization Review
Many services need preauthorization, and adverse decisions go through Texas utilization review rules. Texas gold carding (HB 3459) can exempt qualifying physicians from some prior authorizations, but tracking eligibility takes work.
Balance Billing Restrictions
Texas SB 1264 and the federal No Surprises Act limit patient billing for emergency care and out-of-network care at in-network facilities. Disputed payments go through TDI mediation or arbitration instead of the patient.
Texas Medicaid Managed-Care Complexity
Texas Medicaid claims run through the Texas Medicaid & Healthcare Partnership (TMHP) and managed-care plans, under rules set by the Texas Health and Human Services Commission (HHSC). Each plan has its own edits and the rules change often, which leads to denials and resubmissions.
Which Texas Practices Trust Transcure for Medical Billing?
Transcure currently provides medical billing services to 25+ active medical practices across Texas, from psychiatry groups in North Texas to cardiology, internal medicine, and family medicine clinics. Some of the Texas practices we work with include:
How Transcure Helps Practices With Their Medical Billing Services in Texas?
Transcure’s Texas medical billing team manages the full revenue cycle, from eligibility checks to A/R recovery:
Which Cities are Served by Transcure Medical Billing Services in Texas?
Transcure provides comprehensive medical billing services across the entire state of Texas, supporting healthcare practices in all major and regional cities, including:
Austin, Texas
Fort Worth, Texas
Abbott, Texas
View All Cities
Corpus Christi, Texas
El Paso, Texas
Plano, Texas
Irving, Texas
How Does Transcure Ensure Compliance With Texas Medical Billing Regulations?
Medical billing in Texas must follow both federal rules and state billing laws. Transcure applies the following rules to every claim submitted for your practice:
Law or Rule
Texas Prompt Pay Law
SB 1264 and No Surprises Act
Texas SB 490
TMHP Timely Filing
TDI-DWC Rules
HIPAA
What It Requires
Claims must generally be submitted within applicable timely-filing deadlines; qualifying clean claims are subject to Texas payment deadlines.
Protects eligible patients from certain out-of-network balance billing and surprise medical bills.
Requires compliance with applicable itemized-billing and patient-collection requirements.
Texas Medicaid claims are subject to applicable timely-filing deadlines, generally including a 95-day period for many fee-for-service claims.
Establishes Texas workers' compensation billing, reimbursement, fee, and documentation requirements.
Requires covered entities and business associates to protect protected health information.
How Transcure Handles It
Files claims promptly and identifies qualifying late-payment penalties.
Bills the health plan correctly and follows applicable TDI dispute-resolution processes.
Sends accurate itemized statements before applicable collection activity.
Submits Medicaid claims promptly and monitors timely-filing deadlines.
Processes workers' compensation claims according to applicable TDI-DWC guidelines.
Uses HIPAA-compliant processes to protect patient information.
Why Texas Healthcare Providers Must Choose Transcure for Outsourcing Medical Billing Services?
With countless medical billing companies Texas, Transcure helps your practice gain:
Specialty-Specific Certified Coders
Transcure employs AAPC/AHIMA certified coders who ensure accurate CPT, HCPCS, ICD-10, and modifier usage for 40+ medical specialities, including Nephrology, OB GYN, and Pain management.
Support Team Trained on Texas Billing
Our billing team knows Texas billing rules, including HIPAA, Texas claim filing deadlines and surprise-billing laws, and is available 24 hours.
Expertise in 40+ EHR/EMR Software
We have hands-on experience with over 40+ EMR and EHR systems, including Epic and athenaHealth, so practices don’t need to switch their existing software.
Transparent Pricing and No Hidden Fees
Fees are a flat percentage of collected revenue, with no setup costs or hidden charges. Multi-provider practices and long-term partners may qualify for discounts.
Detailed Financial Reporting
Transcure provides detailed daily, weekly, and monthly financial reports, including A/R aging, collection rates, and revenue trends.
AI-Powered Billing Services
We employ dedicated AI agents to automate every step of the billing process, resulting in 99.99% clean claim accuracy and up to 20% increase in revenue.
Nationwide Reach with Transcure's Medical Billing Services
Transcure serves all 50 states across the United States including:
Which Counties are Served by Transcure Medical Billing Services in Texas?
With coverage spanning all 254 counties in Texas, Transcure supports providers in both urban and rural areas with reliable medical billing solutions
Andrews County, Texas
Aransas County, Texas
Bexar County, Texas
Tarrant County, Texas
Collin County, Texas
Travis County, Texas
How Transcure Optimized Billing for MD TruCare in Texas?
MD TruCare, a psychiatry practice based in Texas, faced ongoing revenue losses due to billing inefficiencies, frequent claim denials, and time-consuming manual processes. To address these challenges, Transcure implemented Robotic Process Automation (RPA) within their billing workflow. By automating repetitive tasks and improving coding accuracy, the practice was able to significantly enhance its revenue cycle performance.
Over 18 months, MD TruCare saw a 30% increase in collections and a 40% gain in operational efficiency. Accounts receivable turnaround improved by 25% and claim denials fell by 88%.
Dr. Imran S Khawaja, MD, FAASM
CEO, MD TruCare
After nearly 18 months with Transcure, I’m extremely pleased with the results we’ve achieved. They’ve streamlined our billing processes, resolved persistent payer issues, and significantly improved our overall efficiency.
Which Specialties are Covered by our Medical Billing Company in Texas?
We bill for 40+ specialties, from nephrology to OB/GYN, for practices of all sizes across Texas.
Which EHR Software is Supported by Transcure?
Transcure’s billing team is well-versed in 40+ major EHRs to ensure seamless integration with your practice management system, accurate data capture, and efficient medical billing workflows.
Our Certifications
We strictly adhere to compliance and state regulations and our certifications exhibit that well.
What Do Texas Medical Practices Say About Transcure?
Don’t just take our word for it. Here’s what healthcare providers across Texas have experienced after partnering with Transcure for their medical billing needs:
Imran S Khawaja M.D.
CEO, TruCare
MD True Care
Transcure focused on resolving TFL, referral, and authorization-related denials, obtaining required PCP referrals, and correcting charge submission errors. These efforts helped reduce claim delays and improve the overall billing process.
Asad Islam M.D.
Medical Director
North Point Psychiatry PA
Transcure’s psychiatry billing services fixed our AR through relentless follow-up. Collections at our Texas practice went from 200k to 325k, and their TMS and Spravato tracker keeps costly claims accurate.
Fayak Kamili M.D
Cardiologist
Crescent Cardiology Associates
Transcure recovered our aged receivables and delivered consistent, accurate reporting. For a cardiology practice in Texas, having a billing partner this responsive has made a measurable difference.
Trusted by Thousands Across the Nation
We strictly adhere to compliance and state regulations and our certifications exhibit that well.
Frequently Asked Questions About Medical Billing Services in Texas
From Medicaid regulations to payer-specific policies, Texas healthcare providers face unique billing challenges. Here’s clarity on the issues that matter most.
How long do you have to pay medical bills in Texas?
Texas law gives patients up to 4 years to pay medical bills before a provider can take legal action. However, this can depend on the terms of the payment agreement.
Can a hospital bill you 2 years later in Texas?
Yes, a hospital can bill you up to 4 years after services are provided, but it depends on the specifics of your contract and if any payment was made during that time.
Can a hospital sue you for unpaid medical bills in Texas?
Yes, hospitals can sue for unpaid medical bills in Texas if the debt remains unpaid and the statute of limitations has not expired. This typically occurs after several months of non-payment.
How quickly does Transcure resolve denied claims in Texas?
Transcure’s expert billing team identifies errors, corrects claims, and resubmits them within 24 hours to ensure faster reimbursements and minimal revenue disruption.
How does Transcure keep up with new billing regulations in Texas?
Transcure’s team stays updated on federal and Texas-specific billing laws by following CMS updates, Texas Medicaid & HHSC rules, CPT/HCPCS code changes, NCCI edits, and major commercial payer guidelines. This ensures your practice remains compliant and avoids claim denials.
Connect with transcure’s Texas Billing Team
- Transcure Medical Billing Services
Phone:
Email:
Website:
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