Starting or growing a medical practice in Texas comes with its fair share of logistical challenges, but few are more critical than completing the physician credentialing process. Whether you’re opening a new clinic in Austin or adding a new specialist to your Fort Worth group, the credentialing process for physicians is what ensures compliance, payer reimbursement, and uninterrupted patient care.
Yet, many practices stumble at this stage, not because they’re disorganized, but because the process is packed with technicalities, deadlines, and payer-specific requirements. In Texas, with its blend of national insurers, Medicaid managed care organizations (MCOs), and independent hospital systems, credentialing can feel like assembling a 1,000-piece puzzle, without the box lid.
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Topics:
Business Growth,
Credentialing,
Practice Management,
Financial,
Practice Start-Up,
Medical Billing
Trust is a big part of every patient-provider relationship. People want to know their doctors are making choices based on care – not financial ties. That’s what the Stark Law aims to support. It helps create a space where decisions are made in the patient’s best interest.
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Topics:
Compliance,
Liability,
Financial
Compliance is a critical concern in the healthcare industry, where complex regulations protect patients and ensure medical decisions are based on need — not green.
Among the most impactful are the federal Anti-Kickback Statute (AKS), federal Stark Law, and Texas’ Patient Solicitation Act. These laws shape how healthcare providers, hospitals, and organizations operate, especially for referrals and compensation arrangements.
In Texas, providers must understand federal regulations and state-specific laws like the Texas Anti-Kickback Statute. These regulations impose additional layers of oversight — and consequences — that providers may ignore at their own risk.
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Topics:
Business Growth,
Compliance,
Liability,
Practice Management,
Financial
In healthcare, accurate health insurance verification isn’t just a task — it’s the key to smoother billing, happier patients, and fewer headaches.
Failing to verify health insurance accurately can have significant consequences. Incorrect information can lead to delayed or denied claims, impacting revenue. Patient billing issues create frustration and can damage your reputation. Also, you risk compliance violations that could result in penalties.
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Topics:
Operations,
Enrollment,
Practice Management,
Financial,
Medical Billing
Busy medical practices have to balance a high level of patient care with completing necessary administrative tasks to keep the doors open.
Medical billing can take up a lot of valuable time. It can also be difficult to find and train people to handle this crucial task. Plus, if claims are processed slowly or incorrectly, they can negatively impact your practice's revenue.
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Topics:
Business Growth,
Operations,
Financial,
Medical Billing
Bookkeeping for medical practices can be a complicated process. Technology may be the resource you need to ensure a potentially complex process does not result in missed opportunities or lost revenue.
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Topics:
Practice Management,
Financial,
Medical Billing,
Technology
Research shows that today’s average medical practice overhead is actually between 60% and 70%.
Overhead is calculated as costs as a percentage of revenue. Basically, this means any and all revenues that don’t go into your pocket.
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Topics:
Operations,
Practice Management,
Financial
You don't have to look far to see the use cases of AI in healthcare – diagnostics, robotic surgery, and much more. But what about the time-sucking tasks that get in the way of those important patient touchpoints?
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Topics:
Marketing,
Business Growth,
Social Media,
Patient Volumes,
Financial,
Coding,
IT,
Medical Billing,
Physician-Patient Relationship,
Technology
In previous blog posts, we’ve spent some time talking about the steps that go into starting your own medical practice.
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Topics:
Operations,
Practice Management,
Financial,
Medical Billing
In today’s society, potential patients look to online resources for everything. Studies show that 80% of potential new patients search for health-related topics online before they reach out to any professional. This is why online marketing is key to growing your medical practice.
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Topics:
Marketing,
Business Growth,
Compliance,
Financial