The Texas Medical Billing Company That Already Knows Your Payer Mix
Texas Medicaid runs through STAR managed care, not fee-for-service. Medicare claims answer to Novitas Solutions under Jurisdiction H. Texas is one of only twelve states with no Certificate of Need law, so practices expand faster than almost anywhere else in the country. CureBytes builds every Texas engagement around these realities from day one
Direct experience with Novitas Solutions (Part A/B, Jurisdiction H) and CGS Administrators (DME, Jurisdiction C)
Billing team fluent in Texas Medicaid STAR/STAR+PLUS, Medicare Jurisdiction H, and Texas's major commercial payer
Texas Prompt Payment of Claims Act compliance built into every claim
Texas Billing Moves
Built for Practices Juggling Deadlines That Don't Share a Calendar
A provider participating in Medicare, three commercial plans, and a state Medicaid program is really on four or five separate timelines, none of which start or end on the same date. NCQA does not treat 36 months as an approximate window either; it is a fixed cycle from the last committee approval date, and a lapsed credential is treated as a compliance violation rather than a paperwork delay. The practices that get caught out are rarely careless. They are usually relying on a spreadsheet or a single staff member's calendar reminder, and both of those fail quietly the moment that person moves on or gets pulled onto something more urgent. We replace that informal tracking with a system that follows the provider, not the person managing the file
Built for Practices Juggling Deadlines That Don't Share a Calendar
36-month commercial payer re-credentialing tracked per provider, per payer
CAQH 120-day re-attestation completed every cycle without exception
Medicare revalidation tracked on its own three- to five-year clock
License, DEA, and malpractice renewal monitoring
Monthly exclusion and sanction screening against OIG, SAM.gov, and state databases
Your front desk in Houston, Dallas, San Antonio, or Austin shouldn't have to guess which rulebook applies. Ours already knows
BENCH MARK
Texas Revenue Cycle Performance You Can Check
Against the Benchmark
Aggregate results across CureBytes' Texas practice clients, benchmarked to HFMA MAP Key
standards. Individual results vary by payer mix and specialty.
95–97%
Net Collection Rate We Target
2–4%
Cost to Collect, In Line With HFMA Benchmarks
Under 28 Days
Avg. Days in Accounts Receivable
98%
First-Pass Clean Claim Rate
100%
Denials Worked & Tracked to Resolution
Under 5%
Denial Rate,an 8–12% Industry Average
Texas Medicare Administrative Contractor
Texas's Medicare Administrative Contractor: Jurisdiction H
Every Texas practice billing Medicare Part A or Part B answers to Novitas Solutions under Jurisdiction H,
a jurisdiction shared with six other states. DME claims split off entirely to CGS Administrators under Jurisdiction C,
a separate multi-state jurisdiction with its own coding edits.
Claims filed against Jurisdiction H's current LCDs and Local Coverage Articles
Redeterminations and first-level appeals tracked on Novitas's Jurisdiction H timelines
Provider enrollment and revalidation filed through the correct Jurisdiction H channel
DME claims correctly split to CGS Administrators under Jurisdiction C
Texas Payer By Payer
The Texas Payer Landscape, Payer by Payer
Texas's payer mix is large and fragmented. We track each of the following by name,
not by a single generic commercial-payer rulebook.
Texas Claims
Texas Rules That Show Up in Your Claims, Not Just Your Compliance Binder
Prompt Pay — Texas Insurance Code Ch. 1301
Texas HMOs and PPOs must pay clean electronic claims within 30 days and paper claims within 45 days. Late payment triggers a tiered penalty on top of the claim itself, steeper the longer it’s overdue, and providers get 270 days to appeal an underpayment. We track every commercial claim against these deadlines and flag anything approaching the line.
Certificate of Need — None
Texas is one of only twelve states with no Certificate of Need law, so opening a facility, adding equipment, or launching a service line doesn’t need state approval first. That speed cuts both ways: a rushed credentialing or enrollment gap starts generating denials just as fast.
Physician Licensing — Texas Medical Board
Physicians are licensed and disciplined by the Texas Medical Board. We verify license and DEA status alongside payer enrollment so a credentialing gap doesn’t surface later as a claim denial
Telehealth — No Guaranteed Parity
Texas Medicaid doesn’t guarantee telehealth pays the same as an in-person visit; HHSC sets each rate on its own, and live video is generally preferred over audio-only. Originating-site rules are flexible enough to include a patient’s home. We code each telehealth claim to its actual reimbursement rate instead of assuming parity.
Workers' Comp — The Non-Subscriber System
Texas is the only state where most private employers can legally skip workers’ comp altogether. Non-subscriber injury claims run through the employer’s own benefit plan, not the state fee schedule, and get billed and appealed differently from a standard workers’ comp claim. Employers who do subscribe are billed under Texas’s own Medicare-based conversion factor, currently 217% of Medicare for professional services and 272% for facility-based surgery.
An Honest Comparison of What Behavioral Health Billing
Actually Costs
A transparent, side-by-side look at outsourced versus in-house behavioral
health billing.
An Honest Comparison of Leaving Old AR With Your
Current Biller vs. a Dedicated Recovery Team
A transparent, side-by-side look at what a connected revenue cycle is worth
against managing each stage separately
Revenue Cycle Management Built for the Way Your
Practice Actually Operates
Practices Currently Splitting RCM Across Multiple Vendors
We consolidate eligibility, coding, and AR under one accountable team so nothing falls into the gap between vendors.
Practices Scaling Beyond What In-House Staff Can Manage
We absorb the growing claim volume a busy practice generates without the lag time of hiring and training more billing staff.
Multi-Location and Multi-Specialty Health Systems
We apply consistent processes and reporting across every location and specialty instead of letting standards drift site by site.
Practices Wanting One Point of Accountability for Revenue
We give you a single team and a single report to look at, instead of reconciling numbers from three different vendors every month.
Pricing
Transparent Pricing. No Contracts. No Guesswork.
Full-cycle revenue cycle management is priced as a percentage of collections, so there is no upfront cost and no incentive misalignment between what we charge and what you actually get paid. If your combined net collection rate falls below 95% in any quarter under our management, we run a full revenue cycle audit at no additional charge, because a number below the professional benchmark is our responsibility to fix, not yours to absorb.
Back-End
How Our Team Turns a Fragmented Revenue Cycle Into One System
Every practice that comes to us with a revenue problem is usually surprised by how many separate people and systems were involved in creating it. We start every new client relationship with a full revenue cycle audit across all three stages, front-end, mid-cycle, and back-end, so the fix addresses the actual break in the chain instead of the symptom that happened to surface first.
50 States Strong
Ready to Find Out How Much Revenue Your Practice Is Actually Leaving Behind?
Working with our medical billing company helps you succeed in improving revenue cycle and boosting financial outcomes. Begin with a complimentary billing audit.
Complimentary 90-day claims revision
Identification of your top revenue leaks
Specialty and EHR-specific billing assessment
Clear findings delivered with no strings attached
No contracts, no setup fees, no upfront costs
Pay only a percentage of what CureBytes collects for you
Dedicated billing specialist assigned to your practice from day one
Dr. Michael Anderson
Office Manager
“CureBytes has made a noticeable difference in how we manage our medical billing. Their team is responsive, detail-oriented, and keeps our claims moving efficiently. We spend less time worrying about billing issues and more time focusing on our patients
Hannah Schmitt
Practitioner
“Before working with CureBytes, our staff was spending far too much time dealing with claim follow-ups and billing questions. Their team streamlined the entire process and has been excellent at keeping us informed. The service has been professional from day one.
Sarah Mitchell
Lead Operations
“CureBytes has been a great partner for our practice. From claims submission to follow-ups and payment posting, their team handles the process with great attention to detail. Their communication is consistent, and we always know what is happening with our accounts.
Dr. James Carter
Accounts Manager
“What impressed us most about CureBytes is their responsiveness. Whenever we have a billing concern, their team is quick to investigate and provide a clear update. They have helped us make our billing workflow much more organized and efficient.
Linda Roberts
It Head
“Lorem ipsum dolor sit amet, consectetur adipiscing elit. Cursus nibh mauris, nec turpis orci lectus maecenas. Suspendisse sed magna eget nibh in turpis. Consequat duis diam lacus arcu. Faucibus venenatis felis id augue sit cursus pellentesque enim
Dr. Emily Thompson
Vice Administrator
“Dr. Emily Thompson
Frequently Asked Questions
Everything You Need to Know Before You Decide
What are Revenue Cycle Management Services?
Revenue Cycle Management Services include every administrative and financial process required to help healthcare providers receive accurate and timely reimbursement, from insurance verification and medical coding to claims submission, payment posting, denial management, and accounts receivable recovery.
Why should I outsource Revenue Cycle Management?
We were writing off denials we didn’t even understand. CureBytes rebuilt our claims process and the money started showing up again
Will CureBytes work with our existing EHR?
We were writing off denials we didn’t even understand. CureBytes rebuilt our claims process and the money started showing up again
Do you work with practices of all sizes?
We were writing off denials we didn’t even understand. CureBytes rebuilt our claims process and the money started showing up again
How long does implementation take?
We were writing off denials we didn’t even understand. CureBytes rebuilt our claims process and the money started showing up again