Austin headquarters
Medical Billing Services in Austin, Texas
Billing, coding, credentialing and AR follow-up for Central Texas practices, run from our Austin headquarters by certified billing professionals working inside your EHR.
A medical billing company in Austin, working inside your systems
Fastora is a medical billing company in Austin that handles claims, coding, payment posting, denials and AR follow-up for physician practices, therapy clinics, behavioral health groups and EMS agencies across Central Texas. We work inside the EHR/PM system you already use, under user access you grant, so there is no software to install and no hidden setup fee.
Because we are based here, the Central Texas details are familiar ground: which Medicaid service area your patients fall in, how direct-access physical therapy affects referrals, and what Texas balance billing rules mean for ground ambulance claims. Every claim is handled by certified medical billing and coding professionals.
Our Austin headquarters
Our headquarters address is 5900 Balcones Drive STE 38572, Austin, TX 78731. It is where contracts, payer correspondence and paper EOBs can be sent. Our team works remotely with practices, which is also how we serve Dallas-Fort Worth, Houston and the rest of the state.
Day to day, that means your dedicated account contact joins video calls for onboarding and the monthly review, answers questions by phone or email, and reports through dashboards you can open at any time. Enquiries get a reply within one business day, and client support is available 24/7.
For the statewide picture, including TMHP, Texas Prompt Pay and the gold-card law, see our overview of medical billing services across Texas.
Practices we support in Central Texas
Most of the practices we talk to in the Austin area fall into three groups, each with its own billing pressure points.
Behavioral health practices
Mental health billing in Austin often mixes commercial plans, Medicaid managed care and Medicare. Integral Care is the local mental health and IDD authority for Travis County, so group practices that contract with it, or that see the same patients, should keep its billing requirements separate from health plan claims. Since January 1, 2024, Medicare has also enrolled marriage and family therapists and mental health counselors, which opened Medicare billing to many LMFTs and LPCs.
We check psychotherapy time against the code billed, confirm telehealth place-of-service and modifier rules by payer, and track authorization limits on higher-frequency services. Read more about billing for behavioral health practices.
Therapy clinics
Physical therapy billing in Austin has a Texas-specific wrinkle. Under HB 29 (2019), a qualified physical therapist may treat a patient without a referral for up to 10 consecutive business days, or 15 for therapists with a doctorate and a residency or fellowship. After that, continuing care needs a referral, and many payers set their own referral or plan-of-care rules regardless of state law.
We flag direct-access visits at intake, track the business-day count, and make sure a referral or certified plan of care is in the chart before the claim goes out. Medicare timed-code rules and therapy modifiers are checked during our Advanced Pre-Submission Claim Review.
EMS agencies
Ground ambulance billing in Texas changed with SB 2476 (2023), which limits balance billing of members in state-regulated plans for ground ambulance services by many providers. Agencies need clean trip documentation, accurate origin and destination modifiers, and a clear process for patient statements. Our EMS billing services cover coding, claims, payer follow-up and patient billing.
Common Central Texas payer issues
The issues below come up repeatedly when we review medical billing for Austin practices during a free assessment. Each one has a simple check that prevents denials later.
| Issue | Why it happens | What we check |
|---|---|---|
| Wrong Medicaid plan on file | The Travis service area covers Bastrop, Burnet, Caldwell, Fayette, Hays, Lee, Travis and Williamson counties, and members can change plans | Program and MCO on the date of service, not the date of the last visit |
| Prompt pay follow-up on the wrong plans | Many employers in the region offer self-funded plans that TDI prompt pay rules do not cover | Plan funding type at eligibility, recorded on the account |
| Medicare claims rejected after a move or new location | Medicare enrollment must list each practice location | Location data in Novitas enrollment and on the claim |
| Therapy visits denied for missing referral | Direct access ends after the state day limit, and payer rules may be stricter | Business-day count and referral or plan of care on file |
| New providers seeing patients before enrollment | Fast-growing practices hire before panels are approved | Enrollment status by payer before scheduling |
Medicare Part A and B claims for Texas go to Novitas Solutions, the Jurisdiction H Medicare Administrative Contractor, so local coverage determinations from Novitas apply to services billed in Austin.
Credentialing services in Austin for new and growing practices
Central Texas practices add providers and locations often, and each addition needs enrollment before claims will pay. Our credentialing services in Austin follow a tracked nine-stage process: consultation, document collection, state licensing, NPI and CAQH setup, payer applications, panel submissions, follow-ups, final approval and ready to bill.
For Texas Medicaid, enrollment through TMHP comes first, and MCO credentialing follows. We report status by payer so you know which schedules can open. See credentialing and payer enrollment for details.
Medical billing in Round Rock, Georgetown, Cedar Park and San Marcos
We support practices across the metro, not only inside Austin city limits. Medical billing in Round Rock or Georgetown follows the same Medicaid rules as Austin, because Williamson County sits in the Travis service area, and so does Hays County, home to San Marcos. Cedar Park practices see patients from both Williamson and Travis counties.
Onboarding is the same everywhere: a free assessment, a signed Business Associate Agreement before we access PHI, user access to your EHR/PM system, and a kickoff call with your account contact.
Comparing medical billing companies in Austin, TX
When you compare medical billing companies in Austin, TX, ask for specifics rather than general promises.
- Who will be your contact, and will that person stay the same each month?
- How do they confirm a Medicaid member's MCO on the date of service?
- Do they track direct-access day limits for physical therapy patients?
- Will they work in your existing EHR/PM, and will you keep full access to your data?
- What reports arrive each month, and how is pricing set? Our pricing page explains the models we use.
Practices elsewhere in Texas can compare Dallas medical billing services and Houston medical billing services.
FAQ
Austin medical billing FAQ
Still have a question? Talk to our team about your billing workflow.
Can we meet in person?
Onboarding, monthly reviews and day-to-day questions are handled by video call, phone and email. Your dedicated account contact runs the onboarding call, the monthly performance review and any ad hoc calls you need.
Do you work with practices in Round Rock and Georgetown?
Yes. We work with practices across Central Texas, including Round Rock, Georgetown, Cedar Park, Pflugerville and San Marcos. Williamson and Hays counties are in the same Texas Medicaid service area as Travis County, so Medicaid plan checks follow the same rules. All work is done remotely inside your EHR/PM system.
What medical billing services in Austin, TX do you offer?
We cover the full revenue cycle: eligibility and benefits verification, prior authorization, coding review, charge entry, claim scrubbing, submission, payment posting, denial management, AR follow-up, patient billing and credentialing. You can outsource the full cycle or a single function such as old AR cleanup or credentialing.
Do you handle mental health billing for solo therapists?
Yes. We bill for psychiatrists, psychologists, LPCs, LCSWs and LMFTs, including solo practices. That includes CAQH upkeep, Medicare enrollment for counselors and family therapists, time-based psychotherapy coding checks, telehealth rules by payer and follow-up on denied or underpaid sessions.
How do we get started?
Request a free billing assessment. We review a sample of your claims, denials and AR, then explain what we found and quote a price based on your specialty, volume and the services you need. Pricing may be a percentage of collections, a flat fee per claim or a hybrid. There is no obligation.
Is our data safe if your team works remotely?
Our workflows are aligned with HIPAA and HITECH, with encryption, secure server environments, strict access controls and regular internal audits. We sign a Business Associate Agreement before accessing PHI, and we only use the user access your practice grants, which you can review or revoke.
Book a video consult with our Austin team
Start with a free billing assessment. We review your claims, denials and AR, then walk you through the findings on a video call before you commit to anything.
A medical billing company in Austin, Texas
Fastora works as a medical billing company in Austin for practices across specialties — from solo providers to multi-physician groups. As a medical billing company austin practices can actually reach, we assign a named account contact, work inside your EHR, and report monthly against numbers you can check yourself. Texas payer rules — prompt-pay timelines, Medicaid managed care plans, and the prior authorization landscape — are handled as daily routine, not discovered on your claims. Related: Dallas medical billing services, Houston medical billing services, Texas medical billing services, see how pricing is built.