The Texas RCM Authority
Master Revenue in
Texas.
Houston.
Dallas.
Austin.
San Antonio.
Operating a practice in the Lone Star State means navigating BCBSTX complexities, massive corporate healthcare networks in Houston and DFW, and strict Novitas (JH) guidelines. We engineer 98% clean claim rates to ensure your cash flow never stalls.
Takes less than 60 seconds
98%
Clean Claims
9+
Years in AL
$2B
Revenue Managed
- HBS TX-GATEWAY
Novitas (JH)
LCD Scrubber Rules
Synced
BCBS of Texas
Policy & Modifiers
Active
Texas Medicaid (TMHP)
Provider Portal Sync
Scanning
Core Capabilities
The HBS Advantage in TX.
Beyond standard billing, we offer a comprehensive revenue cycle management ecosystem tailored specifically for Texas’s mix of massive corporate healthcare hubs and extensive rural clinic networks.
AI-Driven Scrubbing
Our proprietary rules engine preemptively identifies coding errors and Novitas (JH) LCD mismatches before claims ever reach the payer, ensuring our 98% clean claim rate.
Dedicated TX Teams
You don’t get a generalized call center. You are assigned a dedicated pod of RCM specialists who strictly handle Texas accounts and understand the nuances of BCBSTX commercial plans and TMHP Medicaid guidelines.
Transparent Analytics
Stop guessing about your financial health. We provide real-time, granular dashboards showing exact A/R aging, denial reasons, and daily cash flow projections.
Seamless Transition
How We Partner With You.
We designed our onboarding to be frictionless. We integrate with your existing systems without disrupting your daily patient care.
1
Deep-Dive Audit
We analyze your historical data to identify leaks in your revenue cycle.
2
EHR Integration
Secure, remote tunnels into your Epic, Cerner, Athena, or cloud EHR system.
3
A/R Rescue
Our specialists immediately attack your aging buckets (>90 days).
Maximized Profit
Clean claims go out daily. Revenue goes up. You focus on patients.
Operational Footprint
Statewide Integration.
We securely tunnel into your existing EHR remotely, providing world-class RCM support across the state. We understand the specific payer nuances in every major Texas region.
Houston Metro
Primary Challenge: Massive concentration of academic medical centers (Texas Medical Center), highly competitive landscape, and complex multi-specialty network billing.
HBS Solution: Advanced clearinghouse rules engines tailored for complex commercial pre-authorizations, BCBSTX rules, and swift denial appeals.
Top EHRs:
Epic | Cerner
Dallas-Fort Worth (DFW)
Primary Challenge: Intense competition across massive corporate networks and rapid scaling needs for huge multi-specialty practices.
HBS Solution: Rapid front-end eligibility verification and highly scalable A/R rescue teams to handle surging patient volumes without hiring extra in-house staff.
Top EHRs:
NextGen
|
Athena
Austin
Primary Challenge: High-deductible tech demographics, concierge medicine hybrids, and strict out-of-network limits.
HBS Solution: Advanced patient responsibility estimation tools and rigorous No Surprises Act compliance tracking to protect revenue.
Top EHRs:
ModMed | eCW
San Antonio
Primary Challenge: Heavy military (JBSA) presence leading to high TRICARE volume, alongside a high density of Texas Medicaid (TMHP) patients.
HBS Solution: Direct TRICARE South/TMHP portal integration, managing complex authorizations, and aggressively appealing military/state-specific coding denials.
Top EHRs:
AdvancedMD | Kareo
El Paso / West Texas
Primary Challenge: Cross-border NM/MEX complexities, transient populations, and serving as a rural clinic network hub.
HBS Solution: Meticulous out-of-network processing, cross-state billing mastery, and rapid eligibility verification for border demographics.
Top EHRs:
Allscripts | Epic
Rural Texas / Panhandle
Primary Challenge: Rural Health Clinic (RHC) billing complexities, heavy reliance on Telehealth, and FQHC guidelines under TMHP.
HBS Solution: Deep expertise in PPS rate reconciliation, mastery of Telehealth modifiers (95, GT), and specialized RHC/FQHC modifier management.
Top EHRs:
Elation
|
DrChrono
Proven Results
Texas Success Stories.
Real data from practices across the Lone Star State that transformed their revenue cycles by partnering with HBS.
Multi-Specialty Clinic
Houston, TX
Struggled with massive A/R aging > 90 days due to complex commercial plan pre-authorizations and Novitas (JH) audits.
A/R > 90 Days
-76%
Monthly Cash Flow
+$142K
Orthopedic Center
Dallas, TX
Plagued by high denial rates (24%) due to complex pre-authorizations and surgical coding errors tied to multi-network rules.
Denial Rate
3.2%
Clean Claim Rate
98.6%
Secure Your TX Revenue Audit
Stop leaving money on the table. Our Texas specialists will analyze your revenue cycle and uncover hidden billing opportunities.