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Texas · Behavioral Health

Behavioral Health Billing in Texas

Time-based session codes and place of service, with authorization attached to almost everything.

Remote medical billing — monthly close, cleanup, and books ready for your practice.

The most authorization-dense specialty in outpatient care, and the one where Medicaid managed care plans most often sit between you and payment. In Texas that plays out against a specific set of rules rather than a general one.

Claims for Texas providers are adjudicated by Novitas Solutions (JH), which is also who hears the first level of appeal — so an appeal argument that works here works in every state that contractor covers.

At a glance

Coding driver

Time-based session codes and place of service, with authorization attached to almost everything.

Medicare contractor

Novitas Solutions (JH)

Medicaid program

Texas Medicaid (STAR)

Auto injuries

Tort state — health plan sequencing applies

What changes in Texas

Medicaid in Texas runs as Texas Medicaid (STAR) and is delivered largely through commercial managed care plans, so most Medicaid claims are adjudicated by an insurer with its own filing window and its own authorization rules rather than by the state.

Where behavioral health claims fail

  • Authorization lapsed mid-course of treatment
  • Session limits exhausted without anyone tracking the count
  • Place-of-service mismatch on telehealth sessions

We work the claims. You practice medicine.

Coding, claim submission, denial management, and A/R follow-up — with nothing left for your front desk to chase.

View pricing

How It Works

1

Review

We look at your Texas behavioral health denials.

2

Scope

A written scope and price before any work starts.

3

Transition

Coding and submission move across without a gap.

4

Report

Denial causes segmented by payer and provider.

Behavioral Health Billing in Texas — Frequently Asked Questions

Do behavioral health billing rules differ in Texas?

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Texas Medicaid (STAR) is delivered through commercial managed care plans, each setting its own filing window and authorization rules.

Ready for books you can actually trust?

Book a free consultation and we will tell you what your revenue cycle needs and what it costs.

  • Done-for-you
  • Solo or group
  • Nationwide

Get Started

The fastest way is to call. If you prefer, you can book online below.

(409) 880-5990
or

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