Looking for top medical billing services in Louisiana you can count on? We work closely with all five Managed Care Organizations (MCOs), Aetna Better Health, AmeriHealth Caritas, Healthy Blue, Louisiana Healthcare Connections, and UnitedHealthcare Community Plan, and understand how to work with Healthy Louisiana Medicaid Managed Care.
Practices across New Orleans, Baton Rouge, Shreveport, and Lafayette trust our Louisiana medical billing services to handle their revenue cycle. Schedule your free billing audit and discover what your collections are missing.
To learn more about our services, please fill out the form below and we will be happy to get back to you.
Revenue Increase
30-35%
Collection Ratio
Billing Specialties
Empower your Louisiana practice with efficient RCM, reduced backlogs, and improved revenue performance.
The Medicaid billing process in Louisiana is complicated due to the transition of Louisiana Medicaid to Healthy Louisiana. This has resulted in five separate MCOs that each have their own provider manuals, prior authorization processes, and reimbursement rules. Additionally, the new LaHealth Connect provider portal adds another layer of complexity, as does the 180-day timely filing requirement.
Recently, we worked with a primary care clinic in Baton Rouge that had $240,000 in A/R (accounts receivable) that was over 90 days old. Their previous billing staff was submitting claims to the incorrect MCOs due to their lack of verification of Healthy Louisiana enrollee changes. As a result of patients changing plans throughout the year, this clinic was still billing the old MCOs.
In just over 45 days, we were able to assist them with cleaning up their A/R, automating their eligibility verification process, and reducing their claim denial rate from 18% to under 4%.
That is the difference between generic billing services and a team that actually understands Louisiana medical billing services requirements. Our practice management specialists have learned that specific modifiers, document requirements, and how to properly link procedures to diagnoses for Healthy Louisiana MCOs differ from what national billing companies would typically do.
Need specialized support? Our medical billing and practice management team handles appeals for Healthy Louisiana MCO denials, Medicaid Program Integrity Unit audits, and complex adjustment recoupments that Louisiana payers prefer to use.
Louisiana providers across specialties face documentation-intensive prior authorization and compliance requirements that leave little room for error. When submission standards are not met across Healthy Louisiana MCOs, denial rates climb, and A/R follows.
Medical billing services provide the needed information and support at the workflow level so that Louisiana medical practices can follow standard procedures for billing. Specifically, they can help create payer-specific documentation templates, develop appropriate protocols for prior authorizations (PAs), and help the practice understand what each of the Healthy Louisiana plans will require to ensure the lowest denial rates possible: from denial rates being in the high 20’s down to the low single digits.
Healthy Louisiana MCOs use many obscure reason codes, partial payment adjustments, and retroactive eligibility changes that would be challenging for any automated system to interpret; therefore, every exception to our system parsing 835 remittance advices will be reviewed manually by our practice management specialists. If something slips through our automated systems, we’ll help you identify that item.
We also handle the “Monday Morning Crunch” when that pile of weekend ERAs hits, and your in-house team would be pulling front-desk staff to do data entry. We process the volume so your team can focus on patient intake and care coordination.
The average client sees 40% reduction in A/R days within 60 days
Our medical billing and coding services in Louisiana are customized to meet the unique needs of healthcare providers across a wide range of specialties, ensuring efficient revenue cycle management for both small practices and large healthcare facilities.
Aetna Better Health, AmeriHealth Caritas, Healthy Blue, Louisiana Healthcare Connections, and UnitedHealthcare Community Plan—our medical billing services Louisiana team knows how each one processes claims and what triggers denials.
We grow with you. Whether you’re a solo practitioner in Lafayette or a multi-office group in New Orleans, our medical practice management services adapt to your practice’s size and needs.
We provide open and honest reporting. When you outsource medical billing services in Louisiana to us, you will always have access to real-time data, including metrics, claim status, and financial performance available through our secure dashboard.
We manage your whole revenue cycle from pre-authorization/eligibility to payment postings and chargebacks, and patient billing. We can do all of this for you as part of our Louisiana medical billing services.
Small and Independent Practices in Louisiana that rely on Full RCM Support Without the Overhead of In-House Billing Staff
Mental Health Clinics and Substance Use Treatment Centers Working Through Complex Prior Authorization Processes through Healthy Louisiana Midsize Companies.
Federally qualified health centers, treating patients in Louisiana’s underserved population and serving patients with complicated payer mixes and UDS reporting requirements.
Cardiology, orthopedics, neurology, and other specialty practices have higher-value insurance claims and complex prior authorization requirements.
There’s no need to migrate systems. Our Louisiana medical billing solutions integrate with your existing EHR and healthcare technology for a hassle-free experience.
Each week, we talk to Louisiana practice managers who are overwhelmed by Healthy Louisiana MCO denials, confusion surrounding the LaHealth Connect portal, and an increase in A/R. If this sounds familiar, let’s discuss it.
I highly recommend MedCare MSO if you are looking for help with your billing and gain some freedom to see more patients or manage your business.
Practice Owner, TXEC
MedCare MSO has been an excellent organization to work with, I highly recommend them for their quality of service and commitment to excellence.
Back Office Manager, STST
We are definitely impressed by the Team’s performance. I worked with a lot of different folks from all over the world on different business transactions, and Mark is truly a top notch talent!
Director of Corporate Development, SC & SF
MedCare MSO’s exceptional communication and expertise elevated our RCM experience and my bank accounts!
Owner, R.D.
MedCare MSO did a great job with our billing and helping clean up old AR. Regular updates and good communication were very appreciated.
Co-Owner, PCP
Chief Operating Officer, MAKO MEDICAL LABORATORIES
Chief Executive Officer, CARE NOW CLINIC
Chief Operations Officer, ION DIAGNOSTICS
Co-Founder, AW Care
Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.
Practice Owner, F&A Clinic
We have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage.
President/CEO, RLT
I am impressed with MedCare MSO’s promptness to respond to any inquiries, with the time they dedicate to reviewing each one of the cases.
Practice Owner/FBH
Ready to maximize your revenue while reducing administrative work? Let’s team up! Our medical billing expert will reach out within 12 hours.
Please provide the following information, so our team can connect with you within 12 hours.
Or call us as 800-640-6409
TXEC
I have worked with MedCare MSO for the past eight months, and it has been a great experience. Moses, Mark, Travis, Sebastian, and Tammy have been a pleasure to work with, as well as the rest of the team, including the credentialing folks.
I highly recommend this group and MedCare MSO if you are looking for help with your billing. They will meet with you once a week to review the issues that need to be fixed to improve your payment and capture rate.
If you are looking for help with your billing and gain some freedom to see more patients or manage your business, this is the team you need to work with.
Dr. Jose Correa
Practice Owner
TXEC
STST
MedCare MSO has been an excellent organization to work with. Mark has consistently demonstrated outstanding attention to detail, thorough documentation, and strong professionalism in maintaining accurate records of his findings.
His reliability and dedication have contributed greatly to a positive experience.
I highly recommend MedCare MSO for their quality of service and commitment to excellence. I can’t say enough good things about Mark and his company.
Thank you
Shaunna Mock
Back Office Manager
STST
SC & SF
Hi Ali, I hope this message finds you well. I wanted to give you some feedback on the team.
We are definitely impressed by the Team’s performance. Definitely what we were looking for from switching partners.
In particular Mark Zaiden has been very helpful. In my 5+ years of experience as a M&A Professional, I worked with a lot of different folks from all over the world on different business transactions, and Mark is truly a top notch talent!
Austin has done a great job of leading the communications process and keeping the train going in the right direction. Tammy and some other folks have been key players as well. We really are happy with everyone on the team.
I wanted to pass this feedback along to you as we are really pleased with working with MedCare MSO so far.
Have a great weekend!
Max Owens
Director of Corporate Development
SC & SF
R.D.
MedCare MSO’s exceptional communication and expertise elevated our RCM experience and my bank accounts!
Most helpful is the open/responsive communication of their team with my office and each other, along with the specialty levels of expertise amongst my team for each aspect of RCM.
Kelly Ballou
Owner
R.D.
F&A Clinic
Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.
I would like to take time to recognize two members of MedCare MSO specifically. Moses for his exceptional support and dedication. He is always responsive, and knowledgeable, and goes above and beyond to ensure smooth operations. His professionalism and commitment make a huge difference in our day-to-day workflow. George also for his quick feedback and recognition of what is needed most. He is extremely efficient and always available for clarification and to share his knowledge and expertise.
I highly recommend MedCare MSO to any healthcare provider looking for a reliable and efficient billing partner.
RLT
Hello,
I am writing this email to express our appreciation of the MedCare MSO’s team and all they have done for our business at RLT. In the past year, we have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage. We went from having over $100k in uncollected/billed claims to now reaching near $100k in collection some months.
We are also happy to express our thankfulness that MedCare MSO is now helping us acquire new contracts with different insurance companies. This will in effect benefit everyone involved, allowing us to expand our services and provide more resources for our staff/business partners.
Please note special appreciation for the following:
David Lucas
Mario Ortega
Ambrose William
FBH
I have been a customer of MedCare MSO for one year. They have provided billing and credentialing services for my private behavioral health practice, and I am impressed with their promptness to respond to any inquiries, with the time they dedicate to reviewing each one of the cases, and with their willingness to educate me and my staff about the ever-changing rules of medical billing and the best use of coding. This is a company I Trust with my billing needs.
Dr. Neufeld
Practice Owner
FBH
