Houston, TX

Medical Billing Services in Houston, TX

Billing and revenue cycle support for Houston practices dealing with Medicaid managed care, commercial denials and AR that keeps getting older.

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Billing Help for Practices Outside the Big Health Systems

Houston has some of the largest health systems in the country, and their billing departments have whole teams for every payer. Independent practices in Houston rarely have that depth of medical billing staff. A pediatric group in Pearland or a cardiology practice in Sugar Land might have two people handling eligibility, coding questions, claim edits, denials and patient calls, often while covering the front desk. When one of them leaves, AR starts aging within weeks. We give practices like these an outside medical billing team that keeps claims moving whether or not your office is fully staffed.

Unstoppable Revenue is a Texas-based team in Dallas that handles medical billing remotely for practices statewide. We work inside your existing EMR or practice management system, follow HIPAA-conscious processes for access and data handling, and report on collections, denials and AR aging in terms an administrator can act on. For one multi-provider mental health practice, that work produced an 18% increase in collections and a $1M reduction in AR over twelve months.

The Houston Payer Mix Is Not Simple

Medical billing for Houston practices means handling a demanding blend of payers. Texas Medicaid is delivered mostly through managed care, so a single practice may bill several STAR and STAR Kids plans, each with its own authorization rules and portal. Harris County also has a large uninsured and underinsured population, which pushes more balance onto patients and makes clear statements and payment plans important. Commercial plans add their own prior authorization lists for imaging, procedures and specialty drugs, and those lists change during the year.

Many Houston specialists also send patients to, or receive them from, the Texas Medical Center, which means outside records, mismatched demographics and authorizations issued under another provider. Those details cause a steady trickle of denials that are easy to fix one at a time and expensive to ignore in bulk. Occupational medicine and orthopedic practices near the industrial corridor along the Ship Channel see workers' compensation claims as well, which run under a separate set of Texas rules.

We support practices in Houston and the surrounding area, including the Texas Medical Center area, Bellaire, Memorial, Sugar Land, Katy, Pearland, Cypress, The Woodlands, Humble and Webster.

Houston Medical Billing and Revenue Cycle Services

Eligibility and Prior Authorization

We verify coverage before visits and track authorizations for Medicaid managed care and commercial plans, so procedures aren't performed on an expired or missing approval that guarantees a denial later.

Coding and Charge Audit

Coding review and charge entry checks catch missing modifiers, unbundled codes and diagnosis mismatches before claims go out, rather than after a payer rejects them and the clock starts running.

Denial Management

Every denial gets a reason, an owner and a deadline. We correct and resubmit what can be fixed, write appeals where the payer got it wrong, and trace patterns back to the source.

AR Cleanup

If your aging report has balances past 90 and 120 days, we work them by payer and value, recover what is still collectible, and tell you plainly what is not.

Patient Statements and Posting

Accurate payment posting and readable patient statements matter in a market with high patient balances. We post ERAs and payments, reconcile deposits, and send statements patients can actually understand.

FAQs

Medical billing in Houston: common questions

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