Billing, marketing, staffing and software for Texas practices
RCM Finder supports medical practices in Texas remotely, with end to end revenue cycle management, healthcare digital marketing, virtual medical assistance and a practice management system. Below are the Medicare and Medicaid details that apply in Texas, with sources.
Our services in Texas
End to End RCM
Coding, billing, denials and payments, managed from patient visit to payment.
See the serviceGROWTHHealthcare Digital Marketing
Local search, ads and inquiry handling that help bring new patients to your practice.
See the serviceTEAMVirtual Medical Assistance
Remote assistants for scheduling, intake, prior authorization and follow-up.
See the serviceSOFTWAREPractice Management System
One system for scheduling, patient records and billing workflow.
See the serviceTexas billing details
Each row shows its source and when we checked it. If a source changes, we update the row.
| Topic | What applies in Texas | Source | Checked |
|---|---|---|---|
| Medicare contractor | Novitas Solutions (A/B MAC JH) | CMS, A/B MAC Jurisdiction JH | Oct 20, 2026 |
| Medicaid agency | Health and Human Services Commission | Official provider page | Oct 20, 2026 |
| Provider enrollment and billing | Enrollment, manuals and billing guidance for Texas Medicaid providers | Open the provider page | Oct 20, 2026 |
| Medicaid fee schedule | Published fee schedules for Texas Medicaid | Open the fee schedule page | Oct 20, 2026 |
| Commercial prompt payment | Texas requires commercial insurers and HMOs to pay a clean claim within 30 days of receipt if filed electronically and within 45 days if filed on paper, with statutory late-payment penalties for missed deadlines. Tex. Ins. Code 1301.103 (PPO/insurers) and 843.338 (HMOs); penalties under 1301.137 and 843.342 | tdi.texas.gov | Oct 20, 2026 |
| Medicaid timely filing | Texas Medicaid fee-for-service claims must reach TMHP within 95 days of the date of service (discharge or last date of service for hospital inpatient claims), with exceptions such as retroactive eligibility and Medicare-covered services. | tmhp.com | Oct 20, 2026 |
| Medicaid telehealth | The Texas Medicaid Provider Procedures Manual Telecommunication Services Handbook covers fee-for-service telemedicine and telehealth, including delivery methods, provider and site requirements, documentation, prior authorization, billing, and home telemonitoring. | tmhp.com | Oct 20, 2026 |
Major cities in Texas
We support practices in these cities and everywhere else in Texas, remotely.
Remote by design
No office visit needed
We support practices in every state remotely, so you do not need a local office to work with us.
Rules checked for your state
Each state page lists the Medicare contractor and Medicaid details for that state, with sources and the date we last checked.
One service or all four
Begin where the gap is biggest, whether that is payments, new patients, front-desk capacity or your software.
Texas practice questions
Who processes Medicare claims in Texas?
Novitas Solutions is the Medicare Administrative Contractor (MAC) that processes Part A and Part B claims in Texas (A/B MAC JH), according to CMS.
Which agency runs Medicaid in Texas?
Health and Human Services Commission runs Medicaid in Texas. The official state pages linked in the table above cover provider enrollment and billing.
How quickly must insurers pay a clean claim in Texas?
Texas requires commercial insurers and HMOs to pay a clean claim within 30 days of receipt if filed electronically and within 45 days if filed on paper, with statutory late-payment penalties for missed deadlines.
How long do I have to file a Medicaid claim in Texas?
Texas Medicaid fee-for-service claims must reach TMHP within 95 days of the date of service (discharge or last date of service for hospital inpatient claims), with exceptions such as retroactive eligibility and Medicare-covered services.
Do you work with practices outside the largest cities in Texas?
Yes. We work remotely, so a practice in a small town is supported the same way as a practice in Houston.
Which service should a practice in Texas start with?
Start where the problem is biggest: End to End RCM if payments are slow or denials are high, Healthcare Digital Marketing if your schedule has gaps, Virtual Medical Assistance if your front desk is stretched, or a Practice Management System if your tools are scattered. Tell us about your practice and we will suggest a first step.
What should I send first?
A short description of your practice, your specialty, your main payers and the biggest problem you want fixed. Our form asks for the basics.
Ask about your Texas practice
We will reply with the details that apply to Texas and a suggested first step.