Medical Billing Company in Austin, Texas

Outsourced Medical Billing for Austin and Texas Providers

DocMBS (Doctor Medical Billing Solutions) is a medical billing and revenue cycle management company based in Austin, Texas. We handle the billing work that slows practices down, from claim submission and coding to denials, A/R follow-up and provider credentialing, so your team can focus on patients. DocMBS is a subsidiary of H-Cube BMG Pvt Ltd.

Texas billing has its own rules, and we work with them every day.

Texas Medicaid and TMHP

The Texas Medicaid & Healthcare Partnership (TMHP) administers Texas Medicaid fee-for-service claims and provider enrollment. Texas Medicaid has a short filing window, generally 95 days from the date of service, so claims need to go out fast and clean. We track those deadlines for you.

STAR, STAR+PLUS and STAR Kids managed care

Most Texas Medicaid members are enrolled in managed care plans run by health plans under contract with the Texas Health and Human Services Commission (HHSC). Each plan has its own portal, authorization rules and claim requirements. We bill each plan the way it expects, and we follow up on every unpaid claim.

BCBS Texas and commercial payers

Blue Cross and Blue Shield of Texas uses different filing limits for its PPO, HMO, Medicare Advantage and Medicaid plans. We set up your claims by plan line, so nothing ages out. We also work with the other commercial and Medicare Advantage payers your patients use.

Texas credentialing and enrollment

New providers can’t bill until they are enrolled. We help with Texas Medicaid enrollment through TMHP’s Provider Enrollment and Management System (PEMS), Medicare enrollment through PECOS, CAQH profiles and commercial payer applications.

Our core specialties

We focus on specialties where billing rules are complex:

• Skilled nursing facilities: PDPM, MDS-based HIPPS codes, consolidated billing and UB-04 claims
• Behavioral health: substance use treatment and program billing
• Mental health: psychotherapy codes, telehealth and therapist billing
• FQHCs and RHCs: PPS encounters, telehealth and Medicaid wraparound
• Home health: PDGM, OASIS and Notice of Admission timing

Whether your practice is in Austin, Round Rock, San Antonio, Houston, Dallas or a rural Texas town, our billing team works remotely inside the EHR and practice management system you already use.

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==================== 1. HERO ====================

H1:
Medical Billing Company in Austin, Texas

Subheading:
DocMBS is a medical billing company in Austin that helps Texas providers get paid by Medicare, Texas Medicaid and commercial payers, with fewer denials and less paperwork.

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Book a Free Consultation

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HIPAA-compliant workflows
Business Associate Agreement with every client
Based in Austin, Texas
Serving providers across Texas and the US

==================== 3. PROBLEMS WE SOLVE ====================

Heading:
Problems we solve

Card 1 title: Missed Texas Medicaid deadlines
Card 1 text: Texas Medicaid’s short filing window leaves little room for rejected claims. We submit quickly and work rejections before the deadline passes.

Card 2 title: Managed care claims that go nowhere
Card 2 text: STAR and STAR+PLUS plans each have their own rules and portals. We track every plan’s requirements so claims don’t sit unpaid.

Card 3 title: BCBS Texas denials and filing limits
Card 3 text: Different BCBS Texas plans have different deadlines and rules. We bill by plan line and appeal underpayments with the right proof.

Card 4 title: Credentialing delays that stop revenue
Card 4 text: A provider who isn’t enrolled can’t be paid. We manage TMHP, Medicare and commercial enrollment so new providers can start billing sooner.

==================== 4. WHAT’S INCLUDED ====================

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Services we provide

1. Medical billing and claim submission: Clean, timely claims to Medicare, Texas Medicaid and commercial payers.
2. Medical coding: CPT, HCPCS and ICD-10 coding checked against payer rules.
3. Denial management: Root-cause fixes and appeals for denied and underpaid claims.
4. A/R recovery: Follow-up on aging claims before they pass filing and appeal limits.
5. Provider credentialing and enrollment: TMHP/PEMS, PECOS, CAQH and commercial payer enrollment.
6. Eligibility verification: Coverage and plan checks before the visit.
7. Prior authorization: Authorization requests and tracking for Medicaid managed care and commercial plans.
8. Revenue cycle management: End-to-end billing with regular reporting on your collections and denials.

==================== 5. HOW IT WORKS ====================

Step 1 — Free consultation: We talk through your specialty, payers and current billing problems.
Step 2 — Billing review and setup: We review your claims and A/R, then set up access to your systems and sign a BAA.
Step 3 — Billing begins: We submit claims, post payments and work denials and follow-ups.
Step 4 — Regular reporting: You get clear reports on collections, denials and A/R.

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Talk to our billing team

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Tell us about your practice and we’ll get back to you to set up a free billing review.

==================== 7. WHY DocMBS ====================

– Texas focus: we work with TMHP, STAR and STAR+PLUS plans, BCBS Texas and Texas credentialing.
– Specialty depth in SNF, behavioral health, mental health, FQHC and home health billing.
– Based in Austin, with billing support for practices across Texas.
– HIPAA-compliant processes and a signed BAA.
– Clear reporting, so you always know where your revenue stands.

==================== 8. RELATED SERVICES ====================

Medical Billing Services — https://docmbs.com/medical-billing-services/
Provider Credentialing — https://docmbs.com/provider-credentialing-services/
Denial Management — https://docmbs.com/denial-management-services/
Revenue Cycle Management — https://docmbs.com/revenue-cycle-management-services/

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Payer Guides

==================== 10. FAQs ====================

Q1. What does a medical billing company in Austin do?
A medical billing company in Austin, like DocMBS, handles your claims from start to finish: coding, claim submission, payment posting, denial follow-up and A/R. For Texas providers, that also means billing Texas Medicaid, STAR and STAR+PLUS managed care plans and BCBS Texas correctly, and keeping provider enrollment up to date.

Q2. Do you work with Texas Medicaid?
Yes. We bill Texas Medicaid fee-for-service claims through TMHP and claims to STAR, STAR+PLUS and STAR Kids managed care plans. We watch the short Medicaid filing window, generally 95 days from the date of service, and help with Texas Medicaid provider enrollment through TMHP’s PEMS system.

Q3. Do you only work with Austin practices?
No. We are based in Austin, but we work with providers across Texas, including Round Rock, San Antonio, Houston, Dallas and rural areas, and with practices in other states. Most of our billing work is done remotely through your existing systems, so your location doesn’t limit what we can do.

Q4. Which specialties do you bill for?
Our core specialties are skilled nursing facilities, behavioral health, mental health, FQHCs and home health. We also bill for other specialties, including ABA therapy, physical therapy, chiropractic and primary care. Tell us your specialty during the free consultation and we’ll explain how we’d handle it.

Q5. How much does medical billing cost?
Pricing depends on your specialty, claim volume and the services you need. We’ll give you a clear quote after a free review of your current billing, with no obligation to sign.

Q6. How do we get started?
Book a free consultation online or call +1 (888) 480-5339. We’ll talk through your payers and billing problems, review your claims and A/R, and then set up access and a BAA so billing can begin.

Ready to Fix Your Billing? Talk to an Austin Medical Billing Company

Get a free review of your claims, denials and A/R. We’ll show you where Texas payers are holding up your revenue.

Book a Free Consultation