Houston Medical Billing Company Quotes

The Texas Medical Center is one of the largest medical complexes in the world, and it sets the tone for billing in Houston. MD Anderson, Memorial Hermann, Houston Methodist, Texas Children's, Baylor College of Medicine and Harris Health are all there, and the practices around them tend to be specialty groups that live on referrals. Houston billing is really two jobs: the Medical Center job, and everything else.

Specialists, referrals and the paperwork between

A cardiologist or oncologist near the Medical Center gets patients on referral from primary care offices all over the metro. Each referral may come with an authorization from a different plan, and some of those authorizations cover three visits while the treatment plan needs eight. Billing that only starts after the visit is too late. Ask when eligibility and authorization get checked. Before the appointment is the right answer, and you want a name for who does it.

Ask, too, how they handle the patient who has already been seen at two of the big hospitals and shows up with records and balances in both. Duplicate demographics and mismatched insurance on file are small errors that become denials.

Out-of-network claims are common among Houston surgeons and anesthesia groups who take referrals from all over the region and beyond. Ask how the company tracks appeals and negotiations on those, since they can run for months.

Industrial Houston means workers comp

Pasadena and Deer Park sit beside the Ship Channel and its refineries and chemical plants. Clinics near those plants, especially occupational medicine and orthopedics, see a lot of workers compensation claims. Texas handles them separately from ordinary health insurance, and a company without that experience will drop claims into the wrong queue. If you have a clinic on the industrial east side, this is the first question to ask.

Workers comp also pays on its own schedule, with its own paperwork and its own adjuster calls. If your biller treats it like ordinary health insurance, the claim sits. A company that works these claims will tell you without prompting that the follow-up calls are most of the job.

Houston has a large population of construction trades and port workers, and injuries on those jobs end up in clinics in Pasadena and Baytown and along the Gulf Freeway. The claims are time sensitive. A company that waits to batch them at month end is giving the adjuster a reason to deny.

Sugar Land, Missouri City and Pearland

The southwest suburbs are where a lot of Houston doctors live and where many open second offices. Sugar Land and Pearland tend to have more commercial insurance and a growing Medicare population, while Missouri City is a mix. Expect more patients with high-deductible plans out there, which makes patient statements and collections a bigger share of the work than the claims themselves.

Many energy and engineering employers in the metro run self-funded health plans, so the card may say one insurer while another entity decides the claim. A biller who checks the funding source before submitting saves weeks of back and forth. A biller who does not will spend those weeks appealing to the wrong party.

Fort Bend and Brazoria counties have grown quickly, and new offices there often open before their payer enrollments clear. Ask what happens to visits that occur while credentialing is pending, and whether anyone keeps a running list so nothing is lost.

Hurricane season and flooding

Houston practices have learned that a storm can close an office for days or weeks. Billing that lives in a back office closet is exposed. Ask where the company keeps your data and what its plan is if your office floods. Harvey taught this city to ask, and there is no reason to find out the hard way.

If your front desk is offline for a week, charges still need to be entered and claims still need to go out. A company that can pick up your charge entry from home, with a clear handoff, is worth more in September than any discount in March.

Medicaid, children's coverage and the safety net

Harris Health runs the county system, and many neighborhood clinics around it serve Medicaid patients, children on CHIP and people without insurance. Medicaid in Texas runs largely through managed care plans, each with its own prior authorization and appeal process. Federally qualified health centers and charity clinics have their own reporting duties. If you are in this world, ask if the company has billed a federally qualified health center or sliding-scale clinic before. The rules differ from a standard commercial practice.

Questions to ask on the first call

Does the company already know your EHR? If you leave, who owns the data and what format does it arrive in? How is a denial worked, and does someone pick up a phone? Where does the staff sit, and how are they trained on privacy? Can they show you how many claims pay on first submission, plus an aging report?

Houston is large enough that a company can be excellent for a Medical Center specialist and mediocre for a Pasadena occupational clinic. The best way to find out is to describe a case like yours and listen for what they say happens next.

Medical Billing Cost Costs in Houston

The cost of a medical billing company in Houston is most affected by the volume of bills a practice needs to process and collect.

Below are estimated costs for medical billing company costs in Houston:

Note: Prices subject to change. These costs are based on an average of Alluvit's Houston medical billing company research.

Medical Billing Companies in Houston, TX

• Adeco LLC

  
  
  

  8515 Fondren Rd # 210
  Houston, 77074-7070

  (713) 487-7466

• Allison Co

  
  
  

  3201 Kirby Dr # 500
  Houston, 77098-3258

  (713) 850-7575

• Assured Quality Care Svc LLC

  
  
  

  440 Benmar Dr # 1010
  Houston, 77060-3166

  (281) 272-1464

• Cambria Health Care Inc

  
  
  

  10777 Westheimer Rd # 1100
  Houston, 77042-3462

  (469) 323-6119

• Comforthome Health

  
  
  

  8700 Commerce Park Dr # 122
  Houston, 77036-7423

  (713) 988-2434

• Consultorio Medico Hispano

  
  
  

  6692 Southwest Fwy # B
  Houston, 77074-2210

  (713) 714-8604

• Disability Solutions

  
  
  

  2423 North Fwy
  Houston, 77009-5412

  (713) 802-2964

• Epic Medical Solutions

  
  
  

  10305 Round Up Ln # 100
  Houston, 77064-5560

  (713) 956-5288

• Genesis Medical Mgmt Solutions

  
  
  

  9801 Westheimer Rd # 800
  Houston, 77042-3979

  (713) 993-0605

• Genex Services LLC

  
  
  

  12337 Jones Rd # 100
  Houston, 77070-4844

  (210) 736-6535

• Gerid Medical Consultants

  
  
  

  19255 Park Row # 106
  Houston, 77084-7310

  (713) 965-6444

• GKL Health Svc

  
  
  

  11706 Wink Rd
  Houston, 77024-6419

  (713) 365-9312

• GKL Health Svc

  
  
  

  303 Cinnamon Oak Ln
  Houston, 77079-7333

  (713) 365-9348

• Gynecology Consultants LLC

  
  
  

  837 Cypress Creek Pkwy # 105
  Houston, 77090-3422

  (281) 586-3888

• Houston Medical Consultants PA

  
  
  

  1140 Westmont Dr # 340
  Houston, 77015-4363

  (832) 350-3929

• Houston Medical Records Inc

  
  
  

  2211 Norfolk St # 950
  Houston, 77098-4030

  (713) 850-1190

• Iron Mountain

  
  
  

  15333 Hempstead Rd
  Houston, 77040-3011

  (713) 856-8990

• Iron Mountain

  
  
  

  340 N Sh Pkwy E # 230
  Houston, 77060-3312

  (832) 672-4196

• Iron Mountain

  
  
  

  3502 Bissonnet St
  Houston, 77005-2118

  (713) 295-5000

• Iron Mountain

  
  
  

  3643 Willowbend Blvd # 630
  Houston, 77054-1109

  (713) 661-1448

• Iron Mountain

  
  
  

  5757 Royalton St
  Houston, 77081-2916

  (713) 660-9775

• Iron Mountain

  
  
  

  6203 Bingle Rd
  Houston, 77092-1307

  (800) 899-4766

• Iron Mountain

  
  
  

  6913 Guhn Rd # 200
  Houston, 77040

  (713) 466-1790

• Iron Mountain

  
  
  

  9601 W Tidwell Rd
  Houston, 77041-7729

  (713) 690-8513

• Leidos Inc

  
  
  

  9801 Westheimer Rd # 900
  Houston, 77042-3973

  (713) 334-5080

• Mazzetti Gba

  
  
  

  12727 Featherwood Dr # 285
  Houston, 77034-4910

  (281) 810-4842

• NTH Technologies

  
  
  

  12 Greenway Plz # 1100
  Houston, 77046-1201

  (713) 290-9393

• Nucerity International Inc

  
  
  

  8558 Katy Fwy # 116
  Houston, 77024-1809

  (713) 961-9080

• Reese Group Inc

  
  
  

  7322 Southwest Fwy # 1508
  Houston, 77074-2074

  (713) 660-6800

• Republic Services

  
  
  

  2123 W Governors Cir # 100
  Houston, 77092-8747

  (713) 957-0094

• Texas Lactation Consultants

  
  
  

  108 E 26th St
  Houston, 77008-2124

  (713) 884-6204

• Zenith Integrated Inc

  
  
  

  PO Box 441082
  Houston, 77244-1082

  (281) 558-6900

Looking for a different city? Here are some nearby.

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