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Revenue Cycle Management for Texas Healthcare Providers
Smarter Revenue Cycle Management for Texas Providers
Revenue cycle management in Texas goes far beyond billing claims. From front-end eligibility checks and coding accuracy to payer-specific rules, denial prevention, and A/R recovery, each stage of the revenue cycle must align with Texas Medicaid (TMHP), Texas MCOs, and commercial payer requirements.
AmityCare Medical Solutions delivers Texas-focused revenue cycle management services designed to protect revenue from the first patient interaction to final payment posting. We work exclusively with Texas healthcare providers, allowing us to manage revenue cycles with a level of accuracy and local insight that national RCM companies cannot offer.
Whether you operate a provider group, micro-hospital, urgent care center, pain management clinic, or freestanding emergency room, our RCM team ensures your entire revenue cycle runs efficiently, compliantly, and transparently.
Why Texas-Focused RCM Matters
Texas has one of the most complex reimbursement environments in the country. Successful RCM requires deep familiarity with:
- Texas Medicaid (TMHP) billing and documentation standards
- Texas Medicaid Managed Care Organizations (MCOs) and payer-specific workflows
- Commercial payer policies unique to Texas
- FSER billing structures and out-of-network reimbursement challenges
- Texas denial trends, prior authorization rules, and medical necessity criteria
- Texas Department of Insurance (TDI) regulations and Prompt Pay requirements
Our Texas-only focus allows us to manage these complexities proactively—reducing revenue leakage and improving payment timelines.
Our End-to-End Revenue Cycle Management Services
1. Revenue Protection
- Eligibility and benefits verification for TMHP, Texas MCOs, and commercial plans
- Prior authorization identification and coordination
- Patient responsibility estimation for high-deductible plans
2. Coding & Charge Integrity
- Accurate CPT, ICD-10, and HCPCS coding aligned with Texas payer policies
- Documentation review to support medical necessity and compliance
- Coding risk reduction to prevent downstream denials
3. Claims & Reimbursement Management
- Clean claim submission to TMHP, Texas MCOs, and commercial payers
- Proactive claim tracking and payer follow-up
- Denial analysis, correction, and appeals
4. Accounts Receivable & Payment Posting
- Accurate payment posting and reconciliation
- Aging A/R monitoring and recovery strategies
- Out-of-network and underpayment follow-up
5. Reporting & Revenue Insights
- Financial reporting and performance analytics
- Denial trend analysis by Texas payer and specialty
- Actionable insights to improve cash flow and collection rates
Compliance, Security & Peace of Mind
Our revenue cycle management workflows are 100% HIPAA-compliant and supported by secure systems, encrypted data handling, and continuous staff training.
We also stay aligned with Texas-specific regulatory requirements, including TMHP policies, Texas MCO rules, TDI regulations, and federal billing standards—helping keep your organization audit-ready and protected.
How Our RCM Services Differ from Basic Billing
Medical billing focuses on submitting and following up on claims.
Revenue Cycle Management focuses on protecting revenue at every stage.
Our RCM services:
- Identify issues before claims are submitted
- Reduce preventable denials
- Shorten payment cycles
- Improve long-term financial performance
- Provide visibility into where revenue is gained or lost
Get a Free Revenue Cycle Review
Not sure where revenue may be leaking across your revenue cycle?
Request a free 7-point Texas billing audit to uncover issues, reduce denials, and improve reimbursement—with no cost and no obligation.