Austin, Central Texas Travis Medicaid Service Area

Medical Billing Services in Austin, TX: Billing That Keeps Up With Austin's Growth

Revenue Medics provides medical billing, coding and revenue cycle management for Austin practices, from specialty groups near the Medical District to new clinics opening across Travis and Williamson counties.

962K Austin Residents (2020 Census)
95 days Texas Medicaid Filing Limit
30 days Texas Prompt-Pay Deadline (Clean E-Claims)
HIPAA Compliant No Long-Term Contracts Certified Coders

What Makes Medical Billing in Austin Different

Travis County practices face a specific mix of payers, patients and health systems. Here is what we plan around.

The Austin Payer and Patient Mix

Austin's tech-driven economy means a patient base heavy with employer-sponsored and self-funded commercial plans, many with high deductibles. Collecting patient responsibility up front and checking benefits accurately matters as much here as clean claim submission.

New practices open in Austin constantly, and every one of them runs into the same bottleneck: getting credentialed with BCBS of Texas, Aetna, UnitedHealthcare, Cigna and the Travis service-area Medicaid plans before seeing patients. We run credentialing and billing together so revenue starts on day one.

Austin has a large behavioral health and wellness market, where out-of-network billing, telehealth and superbills are common. We help practices set these up correctly and stay within Texas and federal surprise-billing rules.

Major Health Systems in the Austin Area

  • Dell Seton Medical Center at The University of Texas
  • St. David's HealthCare
  • Ascension Seton
  • Baylor Scott & White Health
  • Dell Medical School at UT Austin
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Travis County — Central Texas

How We Handle Austin Billing

Built around the payers and patients Austin practices actually see

Texas Medicaid: Travis Service Area

Travis County is part of the HHSC Travis service area. We bill locally based plans such as Dell Children's Health Plan alongside statewide MCOs like Superior HealthPlan, Wellpoint (formerly Amerigroup), Molina and UnitedHealthcare Community Plan, and we verify each patient's plan before every visit.

Specialty & Referral Coding

Specialists who receive complex referrals need precise CPT, ICD-10 and modifier coding. Our certified coders focus on specialty work and prior-authorization tracking to prevent costly denials.

Fast Credentialing for New Practices

Growing communities mean new clinics and new providers. We handle credentialing with BCBS of Texas, Aetna, Cigna, UnitedHealthcare and Medicaid plans alongside billing, so you are in-network sooner.

Austin Medical Billing Services

Use one service or the full revenue cycle

Medical Billing

Claim submission, payment posting, denial follow-up and patient statements for Austin practices, covering Medicare, Texas Medicaid, commercial plans and more.

Medical Billing Services

Medical Coding

Certified coders for ICD-10, CPT and HCPCS, with experience in the specialties most common in Austin: behavioral health, dermatology, orthopedics and primary care.

Medical Coding Services

Denial Management

We work every denied and underpaid claim, fix the root cause and file appeals, so Austin practices stop writing off money they have earned.

Denial Management

Billing Challenges We Fix for Austin Practices

The revenue leaks we see most often in Travis County

Prior authorization denials

Specialty procedures and imaging often need prior authorization. We track authorization requirements by payer and procedure so work is approved before it is done.

High-deductible patient balances

Many Austin patients are on high-deductible commercial plans. We check benefits before visits and help your front desk collect patient responsibility up front instead of chasing it later.

Out-of-state coverage denials

Students and newcomers often carry insurance from other states. We confirm network status and billing rules before the visit so these claims are not denied as out-of-network.

Serving Practices Across Austin and Nearby Communities

Travis County and the surrounding Central Texas area

Downtown Austin Central Austin Medical District Mueller East Austin South Congress Westlake Cedar Park Pflugerville Lakeway Kyle Bee Cave

Nearby Texas cities we serve

Austin Medical Billing Questions

Answers to common questions from Austin healthcare providers

Yes. We bill psychotherapy, psychiatric and telehealth services for Austin behavioral health practices, including in-network, out-of-network and Medicaid claims, and we track authorization and session limits.
Travis County is part of the Texas HHSC Travis Medicaid service area. Patients there are covered by locally based plans such as Dell Children's Health Plan alongside statewide MCOs like Superior HealthPlan, Wellpoint (formerly Amerigroup), Molina and UnitedHealthcare Community Plan. MCO lineups change with HHSC procurements, so we confirm your current plan contracts during onboarding.
No. Our billing team works remotely from our headquarters in Norcross, Georgia, and connects securely to your practice management system or EHR. We know Texas payers, Texas Medicaid and the Central Texas market, and you get a dedicated account manager.
Yes. Many of our clients are independent specialty groups. We help them code accurately, enforce their payer contracts and appeal underpaid claims so they stay competitive.
Yes. We manage credentialing and contracting with commercial payers and Texas Medicaid plans, and we start billing as soon as each payer approves your providers.
Onboarding time depends on your practice management system and payer enrollments, and you get a dated plan before we start. We start with a free review of your recent claims and denials, then set up payer connections, fee schedules and reporting before we take over billing.

Get a Free Billing Audit for Your Austin Practice

We review your recent claims, denials and payer mix and show you where revenue is being lost. No cost and no obligation.

  • Denial analysis by payer, including Travis service-area Medicaid plans
  • Coding review for your specialty
  • Check of underpaid claims against your contracts
  • A clear plan with pricing and no hidden fees
HIPAA Compliant 100% Confidential (409) 777-4877

Request Your Free Austin Billing Audit

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100% confidential. Protected by HIPAA-compliant processes.

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