Louisiana
Medical Billing Services in Louisiana
Billing and credentialing support for practices in Louisiana, priced at 4-8% of collections, with no long-term contract. Healthy Louisiana, Medicare and employer plans billed for practices from New Orleans, Baton Rouge, Shreveport outward.
Key takeaways
- 01Healthy Louisiana runs through six plans: Aetna Better Health, AmeriHealth Caritas, Healthy Blue, Humana Healthy Horizons, Louisiana Healthcare Connections and UnitedHealthcare.
- 02Benefits such as behavioral health and dental can be handled differently by plan and member group, so benefits need checking per plan.
- 03After a declared disaster, CMS may relax some filing rules; check each waiver rather than assuming an extension.
What Practices in Louisiana Work With Medtransic
Louisiana Payer Billing
Claims to Healthy Louisiana, Medicare and the commercial plans your patients carry
Coders Matched to Your Specialty
Your coder is matched to your specialty, whether that is therapy, psychiatry or another field
Dedicated Account Manager
Someone who knows your practice, your payers and your open claims
No Long-Term Contract
The cost is 4-8% of collections, and there is no long-term contract
Why Providers in Louisiana Value in Our Service
Healthy Louisiana Billing. Billing for the six Healthy Louisiana Medicaid plans
HIPAA Compliant. We work HIPAA compliant, and you get a dedicated account manager rather than a ticket queue
See How Much Revenue Your Louisiana Practice Is Leaving on the Table
Get a free, no-obligation practice assessment. We'll analyze your claims, denials, and A/R to show you exactly where you're losing money.
Medical Billing Across Louisiana Statewide
Greater New Orleans & Southeast Louisiana
New Orleans' healthcare market was reshaped after Hurricane Katrina and is now built around Ochsner Health, LCMC Health (University Medical Center, Touro, Children's Hospital) and Tulane Medical Center.
Ochsner's integrated system shapes referral patterns across the region.
Cardiology / oncology / gastroenterology / infectious disease / behavioral health
Baton Rouge & Central Louisiana
Baton Rouge's healthcare market is served by Our Lady of the Lake Regional Medical Center (Franciscan Missionaries of Our Lady Health System), Baton Rouge General Medical Center and Lane Regional Medical Center. State government, LSU and petrochemical employers bring state employee plans, university coverage and industrial employer plans.
The petrochemical corridor between Baton Rouge and New Orleans brings workers' compensation claims from workplace injuries.
Primary care / orthopedics / occupational medicine / family medicine / pulmonology
Shreveport & Northwest Louisiana
Shreveport's healthcare market is anchored by Willis-Knighton Health System and CHRISTUS Shreveport-Bossier Health System. The region serves a mostly rural population that relies more on Medicaid than the southern metro areas do.
Patients from East Texas and southern Arkansas add other states' payers to billing for Shreveport-Bossier City practices.
Family medicine / cardiology / general surgery / behavioral health / rural health
Questions Practices Ask About Insurance Billing in Louisiana
Healthy Louisiana runs through six plans: Aetna Better Health, AmeriHealth Caritas, Healthy Blue, Humana Healthy Horizons, Louisiana Healthcare Connections and UnitedHealthcare. Each plan has its own authorization requirements, fee schedule and claims process, and some benefits, such as behavioral health and dental, can be handled differently depending on the plan and member group.
The main protection is federal. The No Surprises Act took effect in January 2022 and stops most balance bills for emergency services and for out-of-network care at in-network hospitals and surgery centers in Louisiana.
After a declared disaster, CMS and state agencies may relax some billing and filing rules for a period. Each waiver has its own scope and dates, so check it before relying on an extension.
Under 42 CFR 424.44, a Medicare claim must be filed within 12 months of the service date. Each commercial plan and Medicaid health plan sets its filing window in its own contract, so the deadline has to be read from that contract.
Louisiana's Medicaid Estate Recovery Program recovers Medicaid costs from the estates of deceased members age 55 and older. Recovery amounts are based on paid Medicaid claims, so long-term care providers need complete and accurate billing records.
What We Handle for Louisiana Medical Groups
From eligibility checks to final payment, we handle your billing so you can focus on patients.
Claims Management. Claim submission and follow-up until each claim is paid or closed
Denial Management. Denied claims worked and appealed
Patient Billing. Clear patient statements and payment plans
Credentialing. Payer enrollment at $150 per application, per provider, usually 60 to 90 days with each payer, in our experience
Want a Second Look at Your Billing?
Get a free, no-obligation review of your practice's billing.
- Where claims are being denied, and why
- Which unpaid claims can still be recovered
- What billing would cost at 4-8% of collections
Specialties We Support Across Louisiana
Behavioral health, mental health and therapy practices are our specialty, with other fields billed too.
- Occupational Therapy
- Substance Use Treatment
- Psychology
- Behavioral Health
- Speech Therapy
- Psychiatry
- Physical Therapy
- Mental Health
- ABA Therapy
- Primary Care
- Cardiology
- Endocrinology
- Home Health
Team Up With Louisiana Practices That Get Paid Faster
Let us handle your medical billing so you can focus on patient care