Waco, Central Texas MRSA Central Medicaid Service Area

Medical Billing Services in Waco, TX: Billing for the Heart of Texas

Revenue Medics provides medical billing, coding and credentialing for Waco practices serving McLennan County and the Heart of Texas region.

138K Waco Residents (2020 Census)
95 days Texas Medicaid Filing Limit
30 days Texas Prompt-Pay Deadline (Clean E-Claims)
Get a Free Waco Billing Audit Local Billing Challenges
HIPAA Compliant No Long-Term Contracts Certified Coders
Waco Healthcare Market

What Makes Medical Billing in Waco Different

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

The Waco Payer and Patient Mix

Waco is the healthcare center for a large rural area between Dallas and Austin. Baylor Scott & White-Hillcrest, Ascension Providence and Waco Family Medicine anchor local care, and many patients travel in from surrounding counties on Medicare or Texas Medicaid (MRSA Central).

Baylor University brings thousands of students on student health plans or out-of-state coverage, which makes eligibility checks at every visit important. We help Waco practices manage this mix of rural, student and commercial patients without extra front-desk strain.

Waco also has a family medicine residency program at Waco Family Medicine, which trains many of the physicians who later open practices in Central Texas. We support new practices as they launch with credentialing and billing setup.

Major Health Systems in the Waco Area

  • Baylor Scott & White Medical Center-Hillcrest
  • Ascension Providence
  • Waco Family Medicine
  • Baylor University health programs
Talk to a Billing Specialist
Dallas Houston San Antonio Austin Waco

McLennan County — Central Texas

Local Capabilities

How We Handle Waco Billing

Built around the payers and patients Waco practices actually see

Texas Medicaid: MRSA Central Service Area

McLennan County is part of the HHSC MRSA Central service area. We bill statewide MCOs such as Superior HealthPlan and other plans contracted by HHSC for the area, and we verify each patient's plan before every visit.

Rural Referral & Telehealth Billing

Patients travel long distances to see Waco providers. We bill telehealth follow-ups correctly and handle the Medicare and Medicaid-heavy payer mix common in rural referral areas.

Pediatric & Maternity Billing

We bill global obstetric packages, newborn visits and well-child care, including vaccine administration for Texas Vaccines for Children (TVFC) doses, where only the administration fee is billed.

Our Services

Waco Medical Billing Services

Use one service or the full revenue cycle

Medical Billing

Claim submission, payment posting, denial follow-up and patient statements for Waco 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 Waco: family medicine, pediatrics, orthopedics and behavioral health.

Medical Coding Services

Denial Management

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

Denial Management
Common Problems

Billing Challenges We Fix for Waco Practices

The revenue leaks we see most often in McLennan County

Timely filing on long-gap patients

Rural patients often have long gaps between visits and changing coverage. We verify eligibility every time and monitor filing deadlines, including the 95-day Texas Medicaid limit.

Newborn coverage denials

Newborn claims are often denied because the baby has not yet been added to a parent's plan or to Medicaid. We track coverage and resubmit as soon as it is active.

Denials that are never appealed

Many practices write off denied claims that could be recovered. We work every denial, fix the root cause and appeal when the claim should be paid.

Coverage Area

Serving Practices Across Waco and Nearby Communities

McLennan County and the surrounding Central Texas area

Downtown Waco Baylor area Woodway Hewitt Robinson Bellmead Lacy Lakeview China Spring McGregor

Nearby Texas cities we serve

Temple Medical Billing Killeen Medical Billing Dallas Medical Billing Austin Medical Billing College Station Medical Billing All Texas Locations
FAQ

Waco Medical Billing Questions

Answers to common questions from Waco healthcare providers

McLennan County is part of the HHSC MRSA Central (Medicaid Rural Service Area) service area. Patients are covered by statewide MCOs contracted for that area, and we confirm each patient's plan before every visit.
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. We apply the correct place-of-service codes and modifiers for each payer, including Medicare and Texas Medicaid, so telehealth visits are paid like in-person care where allowed.
Yes. For TVFC-supplied vaccines, the vaccine itself is free, so only the administration code is billed. We set up your claims so TVFC and privately purchased vaccines are billed correctly.
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 Waco 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 MRSA Central 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 Waco Billing Audit

A billing specialist will contact you

Please don't include patient names or health information.

100% confidential. Protected by HIPAA-compliant processes.

Thank You!

A billing specialist will contact you to schedule your free audit.