Family Practice Medical Billing Services in Texas
AMS Solutions provides family practice medical billing for Texas primary care practices — Dallas, Houston, Austin, San Antonio, and statewide. Our AAPC-certified billers handle the full E/M code set (office and outpatient E/M visit codes, new and established patient), preventive care (G-codes and the preventive medicine E/M codes), chronic care management, and the Texas payer landscape including Texas Medicaid Managed Care.
Texas-specific payer landscape
Texas family practice billing crosses Texas Medicaid Managed Care (Amerigroup, Molina, Superior HealthPlan), Blue Cross Blue Shield of Texas, UnitedHealthcare, Aetna, Cigna, and Humana Medicare Advantage. Novitas Solutions is the MAC for TX Medicare Part B with its own LCDs for AWV and preventive services.
Where Texas family practice revenue leaks
- Texas Medicaid Managed Care PA requirements for high-cost services and specialty referrals
- E/M level under-coding (most family practices bill 99213 when 99214 documentation supports it)
- Annual Wellness Visit (G0438/G0439) confusion with preventive E/M
- Same-day procedure + E/M bundling without Modifier 25
- Texas Health Steps (THSteps) Medicaid program billing for pediatric well-child visits
What AMS handles for Texas family practice
- Eligibility verification with Texas Medicaid TMHP and commercial portals
- E/M coding at the correct level per documentation
- AWV + preventive care + chronic care management bundling
- Texas Health Steps billing for pediatric practices
- Denial management for Novitas Medicare LCDs and TX commercial appeals
Texas compliance
Texas Medical Board requires medical records to be retained 7 years for adults. Our secure document management meets Texas Medical Records Privacy Act (TMRPA). We operate under a signed BAA and serve family practices in Texas as part of a nationwide service area.
Get a Family Practice Billing Assessment for Your Texas Practice
Call 866-973-2221 or book a 30-minute review with our team.
Yes — Amerigroup, Molina, Superior HealthPlan, and all major TX MCOs for primary care services.
Yes. We bill THSteps comprehensive child health and dental check-ups for participating pediatric and family practices.
We review documentation against the 2021 MDM criteria and bill at the supported level. Most practices we audit gain $50-80K/year per provider by capturing 99214 visits that were being billed as 99213.
Yes. We bill monthly CCM time-based codes with correct time documentation and patient-consent requirements.
The six confirmed 2026 book figures, including clean claim rate, are published only on the 2026 medical billing benchmark report, with method. This page does not republish those figures. Request a free 90-day billing audit for practice-specific findings.
Related resources
See our full Family Practice Medical Billing services, Texas medical billing services, or download the 2026 Family Practice CPT Cheat Sheet.