OB/GYN Medical Billing Services in Texas
AMS Solutions provides specialized OB/GYN medical billing for Texas practices — Dallas, Houston, Austin, San Antonio, and statewide. Our AAPC-certified billers handle the maternity global package (59400, 59510, 59610, 59618), the full ultrasound code set (76801-76817), and the Texas payer mix that other billing companies miss.
Texas-specific payer landscape
Texas OB/GYN billing crosses Texas Medicaid Managed Care (Amerigroup, Molina, Superior HealthPlan, Community Health Choice), Blue Cross Blue Shield of Texas, UnitedHealthcare, Aetna, Cigna, and Humana Medicare Advantage. Texas operates under the Novitas Solutions MAC for Part B with its own LCDs for ultrasound and maternity services.
Where Texas OB/GYN revenue leaks
- Texas Medicaid managed care patient transfers mid-pregnancy — antepartum-only splits (59425/59426)
- Multi-gestation ultrasound coding (76802, 76810) on twins/IVF pregnancies
- Same-day GYN procedure + E/M bundling without Modifier 25
- Texas-specific billing for the Healthy Texas Women program
- STAR+PLUS Medicaid claim submission complexity for high-risk OB
What AMS handles for Texas OB/GYN practices
- Pre-encounter eligibility verification with Texas Medicaid and commercial portals
- Global maternity package management with mid-pregnancy transfer protocols
- Ultrasound coding with appropriate modifier 59 application
- Healthy Texas Women program billing for participating providers
- Denial management and appeals
Texas compliance
Texas Medical Board rules require itemized billing on demand and 7-year record retention. Our HIPAA-compliant document management meets both, plus the Texas Medical Records Privacy Act (TMRPA). We operate under a signed BAA and serve OB/GYN practices in Texas as part of a nationwide service area.
Get an OB/GYN Billing Assessment for Your Texas Practice
Call (214) 571-6317 or book a 30-minute review with our team.
Yes — Amerigroup, Molina, Superior HealthPlan, Community Health Choice, and all major TX MCOs.
We split the global maternity package into antepartum (59425 4-6 visits, 59426 7+ visits), delivery (59409/59514), and postpartum (59430) — billed to the correct payer for each segment.
Yes. We bill HTW for participating providers with the correct service codes for family planning and women’s preventive services.
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.
Yes. We execute Business Associate Agreements with every practice and meet HIPAA + Texas Medical Records Privacy Act (TMRPA) requirements.
Related resources
See our full OB/GYN Medical Billing services, Texas medical billing services, or download the 2026 OB/GYN CPT Cheat Sheet.