Pharmacy Billing Services in Texas, TX

Pharmacy is an integral part of healthcare, and, just like other disciplines of healthcare, it also poses certain billing challenges that may often be difficult to manage internally. Moreover, because certain drugs are excluded from insurance coverage and only a few injections and adjuvant therapies allowed, it may require experts to judge the efficacy either including or excluding the drugs during billing.

To complicate matters further, pharmacy related reimbursements require multiple levels of data handling and follow-ups as in most cases. Although it is a separate set of medical service and provided from a separate facility, claims are prepared and submitted together by hospitals or nursing homes either because they come later in the care chain or because it forms a small part of the care services hospitals provide. This joint-claim preparation and submission leads to greater potential for inaccurate Data handling and denied claims.

MBC, a medical billing company based in Texas, brings 20+ years of experience and best practices to the table. We make your revenue cycle management more cost-effective, efficient and profitable. Outsource your billing process and not the control of your processes. Physicians always search for what is the average charge for medical billing services in Texas market but we offer customized billing services plans that can be affordable to small to large scale physicians group.

Benefits of medical billing services

Error-free billing process

Our staff is experienced and well trained and have extensive knowledge of complex claim submission processes. MedicalBillersandCoders staff undergoes rigorous process training and complete the required quality and domain-driven knowledge assessment.

Accelerates Cash Flow

MBC’s outsourcing billing services allow clients to maintain a consistent cash flow and fast collection. Physicians can achieve greater economies of scale by letting us do the medical billing quickly.

Improves Patient Satisfaction

Physicians can afford to exclusively focus on patient care. MBC’s main focus lies in maximizing the client’s revenue. Outsourced medical billing services make sure that each code gets correct reimbursement quickly, errors are identified swiftly, and denials are followed up rapidly.

Billing Compliance

We are HIPAA compliant medical billing company. We ensure that compliance is deeply integrated into all operations.

Specialized Medical Billing Services in Texas

With over 25 years of expertise in Texas healthcare revenue management, our specialized medical billing services support practices across the Lone Star State. We offer comprehensive solutions that maintain practice control while optimizing revenue cycles.

Our HIPAA-compliant team ensures clean claims submission within state-mandated timelines - 30 days for electronic claims and 45 days for paper submissions. Through precise coding audits, strategic denial management, and efficient payment processing, we help practices streamline their financial operations while maintaining compliance with state regulations and industry standards.

Texas Medical Billing Specialists Drive Practice Success

Our Texas medical billing specialists combine deep industry knowledge with state-specific expertise to enhance practice performance. Through comprehensive services including charge entry, electronic claims submission, payment posting, and customized financial reporting, we help practices improve collections by 20%.

Our certified team provides strategic code auditing, payer fee schedule analysis, and dedicated denial management, enabling healthcare providers to focus on patient care while maintaining optimal revenue flow. With 25+ years of experience in the field, we ensure sustainable growth for Texas medical practices while meeting federal cost-reduction initiatives.

And, even though pharmacy claims are distinct from hospital claims, they are still subject to the same HIPAA rules which may be difficult to cope with during times of resubmission for being non-compliant with privacy or security norms.

These inherent challenges require a series of admin and data related activities, starting from verification, through claim preparation to submission, to be handled with accuracy.