Medical Billing Services in Dallas-Fort Worth

Medical billing services in Dallas and across the Metroplex

Fastora provides medical billing services in Dallas, Fort Worth and the surrounding North Texas suburbs for physician practices, therapy clinics and behavioral health groups. We are headquartered in Austin and work remotely inside your EHR/PM system, so practices across the Metroplex get the same process without a local office visit.

DFW billing has a feature many teams overlook: the metro is split across two Texas Medicaid managed care service areas, and multi-location groups often bill both. The sections below cover that split, the history behind behavioral health billing in the Dallas area, and the checks we run on every claim.

Two Medicaid service areas in one metro

HHSC divides Texas into managed care service areas, and each has its own set of STAR, STAR+PLUS and STAR Kids plans. DFW sits across two of them, so the plans a member can choose depend on the county where they live.

Frisco is a good example of why this matters: the city spans Collin and Denton counties, which fall in different service areas. A pediatric practice in Frisco can see two children from the same street who belong to different sets of MCOs, with different authorization lists and provider portals.

For that reason we confirm the member's program and MCO on the date of service, not from the last visit, and we keep a payer setup sheet for each plan your practice is contracted with in each service area. The Texas Medicaid billing guide explains TMHP and MCO claim routing in more detail.

Mental health billing in Dallas after NorthSTAR

For years the Dallas area ran Medicaid and indigent behavioral health through NorthSTAR, a carve-out program that began in 1999. The Texas Sunset Advisory Commission staff recommended moving away from it, and the program ended at the close of 2016. Medicaid behavioral health services in the region were then folded into the managed care plans, as in the rest of the state.

For mental health billing in Dallas today, that means behavioral health claims for Medicaid members go to the member's MCO, or to a behavioral health vendor the MCO uses, under that plan's authorization rules. Medicare has enrolled marriage and family therapists and mental health counselors since January 1, 2024, which matters for LMFTs and LPCs serving older adults.

We verify behavioral health benefits separately from medical benefits, since they are often administered by a different entity, and we track session limits and reauthorization dates. See how we bill for psychiatry, therapy and counseling practices.

Practices we support in DFW

Medical billing in DFW covers a wide spread of specialties and practice sizes. These are the billing details we focus on for common practice types.

For a practice in Plano, Frisco or McKinney, medical billing in Plano, TX follows the Dallas service area rules. Medical billing in Fort Worth, Arlington or Denton follows the Tarrant service area rules. Commercial and Medicare rules are the same across the metro, with Medicare Part A and B claims going to Novitas Solutions, the Jurisdiction H MAC for Texas.

How our team works with North Texas practices

We do not have an office or staff in Dallas or Fort Worth. Our team works remotely from Austin, through the user access your practice grants in your EHR/PM system. Each practice gets a dedicated account contact, transparent dashboards, monthly performance reporting and a monthly review call by video.

Our work follows three phases: a Virtual Assistant phase for scheduling, registration, insurance verification and co-pays collected upfront; a Scriber phase that records visit documentation in your EHR in real time; and a billing phase for claim submission, payment posting, denial management, AR follow-up and patient billing. You can use all three or only the billing phase. See the full list of our medical billing services.

Credentialing services in Dallas-Fort Worth for growing groups

Groups that expand across counties need enrollment updated for each new provider and location. Our credentialing services for Dallas and Fort Worth practices 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, then credentialing with each MCO in the service area where you practice. A new Fort Worth location may need contracts with Tarrant plans your Dallas office never needed. Read about provider credentialing and enrollment.

Questions to ask medical billing companies in Dallas

When you compare medical billing companies in Dallas, these questions show how well a team understands North Texas billing.

1. How do you handle patients from both the Dallas and Tarrant service areas?
2. Who checks whether a commercial plan is state-regulated or self-funded before following up on late payment?
3. How are new locations added to Medicare and payer enrollment?
4. What will you report each month, and who is our contact?
5. How is pricing set, and are there setup fees? Our pricing models are explained up front.

Compare coverage in Austin medical billing services if your group also sees patients in Central Texas.