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Built for practices that can’t afford revenue leaks
Medical Billing & Revenue Cycle Management Services in Texas
From medical billing and coding to benefits verification, prior authorization, credentialing, A/R follow-up, virtual assistants, bookkeeping, payroll, and staff extension services – MediCommerce gives healthcare practices the RCM and administrative support they need to operate with less friction.
MediCommerce
Built in Texas, for Healthcare Practices
Every company has a story behind its numbers, and so do we.
MediCommerce began in November 2015, when two friends who had spent years building careers inside large organizations decided it was time to build something of their own. Bala Subramanium and Prashad Sethu, co-founders of MediCommerce, both came from family-owned small businesses. Working for large MNCs early in their careers gave them valuable experience, but it also left them with an unshakable pull toward entrepreneurship and a desire to continue their family legacy of ownership. On November 2015, that pull became a company, registered in the state of Texas.
The first 18 months were not easy. There were no shortcuts and no guarantees, only persistence. In 2017, that persistence paid off with the company’s first signed client, and the momentum has not stopped since.
The name MediCommerce reflects exactly what the company does. Medical groups have commerce too, in the form of revenue that needs to be captured, protected, and collected fairly. That is the business MediCommerce is in.
Rooted in the Community it serves, Texas
Beyond the office, MediCommerce’s leadership stays active in the communities it serves. Bala Subramanium has volunteered with the Frisco ISD PTA, including serving as VP of Programs; the Frisco ISD Achieve Mentoring Program; Big Brothers Big Sisters of Tarrant County; ACHE North Texas; the City of Frisco; and several hospice care organizations. That same spirit of service and accountability carries directly into how MediCommerce treats every client relationship.
Our Mission, Vision & Values
Mission: Unparalleled excellence in all aspects of revenue cycle performance.
Two Paths, One Purpose
Bala Subramanium
Co-Founder and CEO
Bala Subramanium, Co-Founder and CEO, began his career in information technology as a software and web developer before moving into large-scale IT implementation management across telecom and healthcare insurance. Over more than 25 years in IT services, the last 10 plus have been focused specifically on revenue cycle management.
Prashad Sethu
Co-Founder and COO
Prashad Sethu, Co-Founder and COO, started in customer care and moved into managing large hospital revenue cycle operations, building over 25 years of hands-on RCM expertise.
Their combined backgrounds, one rooted in technology and systems and the other in operations and collections, became the foundation MediCommerce still runs on today.
Why Texas Is Our Home Base
MediCommerce’s roots are in Texas, and so is a deep, practical understanding of what it takes to manage medical billing and revenue cycle operations here. That means staying current on Texas insurance requirements and rules and the credentialing and medical coding nuances that trip up practices working with generic, out-of-state billing vendors. That means an active relationship with organizations like TORCH and THA, connecting MediCommerce directly with the hospitals and practices it serves across the state.
Today, MediCommerce serves clients concentrated in the DFW and Houston metros, with active growth into San Antonio and Austin. Beyond Texas, the client base extends into New York, Alabama, California, and Florida, but Texas remains home base, and the primary market MediCommerce is committed to growing within.
From Four People to a Growing Team
MediCommerce started with just four people, Bala, Prashad, and two employees. Since both founders had spent over a decade working in Chennai, India and with Prashad based there, opening a delivery center in Chennai was a natural next step. Chennai offers a deep, well-established pool of RCM talent, was one of the earliest Indian cities to embrace IT growth, and remains home to a large concentration of MNCs and IT/ITES operations.
Today, MediCommerce’s team carries a median staff experience of over 8 years and a combined team experience exceeding 10,000 man-months. The company serves more than 50 clients across the US, is fully HIPAA compliant, and employs CPC-certified coders. MediCommerce also holds preferred vendor status with a major US-based home health care agency, a distinction earned through consistent, reliable performance.
Results That Tell the Story
Our Delivery Model
MediCommerce offers two ways to engage, depending on what a practice needs most.
Service Delivery Model, focused on optimizing actual service usage:
- Specialized, skilled billing staff matched to the practice’s needs
- Cost optimization
- The practice retains ownership of its technical and process infrastructure
Value-Driven Model,
focused on enhancing financial outcomes:
- End-to-end revenue cycle management ownership
- A direct focus on increasing practice collections
- Cost optimization through offshore leverage
- Texas Specific Insurance Knowledge
Why Partnerships with MediCommerce ?
The Collaborative RCM Model
Engagement:
Not a lift-and-shift arrangement, but a results-oriented partnership built on shared accountability, full ownership of process and account management, and continuous improvement backed by clear service level agreements.
Process :
A 100% HIPAA-compliant facility, customized analytical dashboards built for each client, and a predictive, proactive approach designed to catch issues before they affect revenue.
People:
Staff with relevant educational backgrounds matched to their job functions, along with short-term onsite deployment of key resources for hands-on training when it is needed most.
FAQ
How is MediCommerce different from other billing companies serving Texas practices?
MediCommerce was founded in Texas and built around a deep understanding of Texas government and private insurance rules that out-of-state billing vendors often miss. We also maintain active relationships with organizations like TORCH and THA, keeping us connected to the healthcare organization we serve across the state. Combined with over 25 years of RCM experience and 25 plus years of IT services experience between our founders, that local knowledge translates into fewer denials, faster payments, and a partner who understands the environment you operate in.
Do you only work with practices in Texas?
Texas is our home base and our primary focus, with concentrated experience serving practices in the DFW and Houston metros and active growth into San Antonio and Austin. That said, we also serve clients in other states such as New York, Alabama, California and Florida, so our expertise extends beyond state lines while our roots and specialization remain firmly in Texas.
How does MediCommerce ensure HIPAA compliance and data security?
Our facility is 100% HIPAA compliant, and our coding staff holds CPC certification. We have also earned preferred vendor status with a major US based home health care franchise, a distinction that reflects the reliability and compliance standards we hold ourselves to on every account.
What does the onboarding process look like when we switch billing partners?
We approach every new engagement as a result oriented partnership, not a lift and shift handoff. That means shared accountability from day one, full ownership of process and account management on our end, and clear service level agreements so you know exactly what to expect and when. Our team also onsite support when needed for hands-on training during transition.
How quickly can we expect to see results after partnering with MediCommerce?
While every practice’s situation is different, our clients typically see a first pass claim rate above 90%, average AR days under 40, and cost savings of 20 to 25% compared to prior billing operations. We also work to keep outstanding AR in the 120 plus day aging bucket under 5%, so revenue doesn’t sit uncollected for long.
Do you offer both full revenue cycle management and staffing support, or do we have to choose one?
Both. Our Service Delivery Model provides specialized, skilled billing staff while you retain ownership of your technical and process infrastructure. Our Value Driven Model takes on end to end revenue cycle management, with a direct focus on increasing your collections. We’ll help you determine which approach fits your practice best.
Let's Talk
MediCommerce was built by two people who bet on themselves and never looked back. That same commitment now goes into every practice this company serves. If your practice is losing revenue to underpayments, aging AR, compliance gaps, or billing processes that are hurting patient relationships instead of helping them, it might be time for a conversation.
Schedule a consultation with MediCommerce today.
A routine review turned up an underpayment trend that had gone unnoticed for some time. By identifying and correcting the pattern, MediCommerce recovered $1.4 million in revenue the practice didn't know it was owed.