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Texas has 630+ hospitals and one of the country's most fragmented payer environments see how 10 hospital billing and RCM companies compare in 2026, plus the questions to ask before you sign.

A practical shortlist for hospitals, hospitalist groups, and critical access facilities — plus the questions most “best of” lists skip.

Two physicians see the same inpatient on the same day which one gets modifier 25? A patient looks sicker today but the note doesn't support high MDM is it still 99233? This 2026 guide breaks down exactly how CPT 99231, 99232, and 99233 are selected by MDM or time, not clinical impression, and the billing mistakes that quietly cost hospital-based practices real revenue.