Texas Service Areas

Medical billing services across Texas

Medical billing and revenue-cycle support for healthcare practices in Houston, Austin, Dallas and San Antonio, with remote service available nationwide. We work with existing practice systems and workflows rather than requiring a local on-site billing team.

Billing support for practices in major Texas markets

The operational needs of a practice are driven more by specialty, payer mix, claim volume and internal staffing than by ZIP code. Our Texas coverage pages make it easier for local practices to find relevant billing support without implying that every service requires an on-site team.

Houston

Medical billing and RCM support for physician groups, clinics and specialty practices in the Houston area.

  • Claims, payment posting and A/R follow-up
  • Medical coding and denial workflows
  • Credentialing and prior authorization support
Explore Houston medical billing services →

Austin

Remote billing support for Austin and Central Texas practices that need additional RCM capacity without expanding an internal billing department.

  • End-to-end or function-specific billing support
  • Denial and aging A/R follow-up
  • Specialty-aware workflow support
Discuss an Austin practice →

Dallas–Fort Worth

Revenue-cycle support for Dallas-area and DFW healthcare practices, including multi-provider and multi-location workflows.

  • Claims processing and payment workflows
  • Denial analysis and payer follow-up
  • Reporting and RCM visibility
Discuss a Dallas-area practice →

San Antonio

Medical billing and RCM support for San Antonio healthcare providers, with remote collaboration across front-office, billing and management teams.

  • Medical billing and coding support
  • Prior authorization and credentialing workflows
  • A/R, denials and payment follow-up
Discuss a San Antonio practice →

Build Texas billing workflows around current program and payer rules

The Texas Medicaid Provider Procedures Manual is updated regularly and separates general program rules from specialty-specific handbooks. A practical billing workflow should verify the member’s payer product first, then apply the current enrollment, eligibility, authorization, claims and appeal requirements that match that product.

1 · Enrollment

Provider enrollment & maintenance

Confirm the provider, group and service location are enrolled correctly before billing. Texas Medicaid enrollment and maintenance are handled through TMHP PEMS.

TMHP Provider Enrollment & PEMS ↗
2 · Eligibility

Verify the exact payer product

Coverage should be checked at the plan/product level. Medicaid fee-for-service and managed-care products can follow different operational pathways.

Current TMPPM eligibility guidance ↗
3 · Authorization

Check service, provider and site of care

Authorization rules can vary by payer and product. Verify the requested service, rendering provider, facility or office location and the authorization validity period.

Prior authorization support →
4 · Claims

Use current filing and claim requirements

Validate payer IDs, enrollment, coding, authorization, claim format and filing deadlines before submission. TMHP publishes current claims-filing guidance and quick references.

TMHP quick reference guides ↗
5 · Specialty

Use the correct specialty handbook

Texas Medicaid publishes provider handbooks for specialty and service categories. The relevant handbook should be checked when a specialty rule could affect coverage or claims.

Explore specialty billing questions →
6 · Updates

Monitor rule changes instead of memorizing old rules

Billing teams should use the current manual and release notes rather than relying on an old screenshot, checklist or remembered deadline.

View 2026 TMPPM release notes ↗

Before billing, verify the variables that actually change the claim

  • Member eligibility and exact payer product
  • Provider, group and service-location enrollment
  • Prior authorization or notification requirements
  • Current code, modifier and specialty guidance
  • Timely-filing and appeal deadlines
  • Payer response, denial reason and documented next action

Texas practices do not all bill the same way

Cardiology, primary care, behavioral health, orthopedics, dermatology, urgent care, physical therapy, radiology and surgery each bring different coding, authorization and denial risks. Our specialty pages explain how those workflows differ.

Explore Specialty Billing →

Measure the workflow before you change it

Use free calculators for denial rate, clean claim rate, Days in A/R, net collection rate and billing cost, then investigate the payer or workflow behind the number.

Open Free Billing Tools →

Texas billing questions by specialty

Texas practices should combine specialty-specific billing controls with current TMHP, Medicare and payer requirements. These answers highlight the intersection.

What should a Texas Dermatology practice know about billing?

Texas dermatology practices should verify current Texas Medicaid/TMHP requirements when Medicaid is involved, plus the rules of each commercial or Medicare Advantage plan. Network, authorization and specialty-drug requirements can differ by product even within the same payer.

See dermatology billing questions →
What should a Texas Cardiology practice know about billing?

For Texas patients, cardiology practices should verify current TMHP requirements when billing Texas Medicaid and check each commercial or Medicare Advantage plan for imaging, procedure and site-of-care authorization rules.

See cardiology billing questions →
What should a Texas Orthopedics practice know about billing?

Texas orthopedic practices should verify current TMHP and plan-specific rules for imaging, surgery, DME and therapy, especially when managed-care products impose different authorization workflows.

See orthopedics billing questions →
What should a Texas Mental Health / Behavioral Health practice know about billing?

Texas behavioral health practices should check current Texas Medicaid/TMHP requirements and the rules of managed-care organizations, because network, authorization and provider-type requirements can differ.

See mental health / behavioral health billing questions →
What should a Texas Primary Care / Family Medicine practice know about billing?

Texas primary-care practices should verify current TMHP rules for Medicaid services, preventive benefits and referrals plus the requirements of each managed-care plan.

See primary care / family medicine billing questions →
What should a Texas Urgent Care practice know about billing?

Texas urgent care centers should verify current TMHP and managed-care requirements for Medicaid patients and confirm each commercial plan’s urgent-care benefit, network and referral rules.

See urgent care billing questions →
What should a Texas Pediatrics practice know about billing?

Texas pediatric practices should verify current Texas Medicaid and Texas Vaccines for Children requirements when those programs apply, along with the rules of the child’s managed-care plan.

See pediatrics billing questions →
What should a Texas OB/GYN practice know about billing?

Texas OB/GYN practices should verify current TMHP and managed-care requirements for Medicaid maternity services and payer-specific authorization or referral policies.

See ob/gyn billing questions →
What should a Texas Physical Therapy practice know about billing?

Texas PT practices should verify TMHP and managed-care therapy requirements when billing Medicaid as well as each commercial plan’s authorization and visit-management rules.

See physical therapy billing questions →
What should a Texas Radiology / Imaging practice know about billing?

Texas radiology practices should check TMHP and managed-care requirements for Medicaid imaging plus plan-specific utilization management for commercial and Medicare Advantage products.

See radiology / imaging billing questions →
What should a Texas Gastroenterology practice know about billing?

Texas GI practices should verify current TMHP and managed-care requirements for Medicaid procedures and payer-specific authorization rules for endoscopy, imaging and specialty drugs.

See gastroenterology billing questions →
What should a Texas Urology practice know about billing?

Texas urology practices should verify TMHP and managed-care requirements for Medicaid services and payer-specific authorization policies for imaging, procedures and medications.

See urology billing questions →
What should a Texas Pain Management practice know about billing?

Texas pain practices should verify current TMHP and managed-care rules for Medicaid and the specific medical-necessity/authorization policies of commercial and Medicare Advantage plans.

See pain management billing questions →
What should a Texas Wound Care practice know about billing?

Texas wound-care practices should verify current TMHP and managed-care coverage for advanced wound services and payer-specific policies for products, authorization and documentation.

See wound care billing questions →
What should a Texas Surgery / ASC practice know about billing?

Texas surgical practices and ASCs should verify current TMHP/managed-care requirements when Medicaid is involved and each commercial/Medicare Advantage plan’s authorization, network and site-of-care rules.

See surgery / asc billing questions →
What should a Texas Dental / Oral-Maxillofacial practice know about billing?

Texas dental practices should verify current plan and Medicaid dental requirements for covered populations and avoid assuming that medical and dental benefit rules are interchangeable.

See dental / oral-maxillofacial billing questions →
What should a Texas Oncology / Hematology practice know about billing?

Texas oncology practices should verify current TMHP and managed-care requirements for specialty drugs, infusion and oncology services when Medicaid is involved.

See oncology / hematology billing questions →
What should a Texas Rheumatology practice know about billing?

Texas rheumatology practices should verify current TMHP and managed-care requirements for biologics and infusion services when Medicaid is involved.

See rheumatology billing questions →
What should a Texas Sleep Medicine practice know about billing?

Texas sleep practices should verify current TMHP and managed-care coverage rules for testing and PAP/DME services when Medicaid is involved.

See sleep medicine billing questions →
What should a Texas Ophthalmology / Optometry practice know about billing?

Texas eye-care practices should verify current TMHP, managed-care and vision-plan requirements for Medicaid and commercial patients.

See ophthalmology / optometry billing questions →

Common questions from practices evaluating remote billing support

Do you only work with practices in Houston?

No. Ultra Medical Solutions supports practices in Houston, elsewhere in Texas and remotely across the United States. The service model depends on the practice workflow and systems rather than requiring on-site billing staff.

Can a Texas practice outsource only part of the revenue cycle?

Yes. A practice can discuss a focused function such as claims, denials, A/R, coding, credentialing or prior authorization, or a broader end-to-end billing workflow.

Do you support specialty practices?

Yes. The site includes dedicated billing pages for multiple specialties because coding, documentation, authorization and denial patterns vary by specialty.

How should we evaluate whether outside billing support is needed?

Start with your current denials, A/R aging, claim delays, staffing capacity and reporting visibility. A free billing audit can help organize the issues before you choose a service scope.

Review your current billing workflow

Tell us your specialty, location and the part of the revenue cycle creating the most work. We can discuss whether focused support or a broader billing model fits better.