Louisiana Health Connections Cpt Codes

Listing Websites about Louisiana Health Connections Cpt Codes

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Louisiana Healthcare Connections Provider Portal & Resources

(3 days ago) WebLouisiana Healthcare Connections is sharing with providers a publication for LEAs and Respective Billing Agencies about changes to NCCI MUE edits. Louisiana Healthcare Connections offers free online accounts for providers. Create yours and access the secure tools you need today.

https://www.louisianahealthconnect.com/providers.html

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PROVIDER MANUAL - Louisiana Department of Health

(6 days ago) WebLouisiana Department of Health and Hospitals 1-xxx-xxx-xxxx 1-XXX-XXX-XXXX Medical Claims Reimbursement Rate Dispute Medical Necessity Appeal Louisiana Healthcare Connections Attn: Claims PO Box 4040 Farmington, MO 63640-3826 Louisiana Healthcare Connections Attn: Claim Disputes PO Box 3000 Farmington, MO 63640 …

https://ldh.la.gov/assets/docs/Making_Medicaid_Better/Publications/CCN_Provider_Handbooks/LA_Healthcare_Connections_100711.pdf

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Payment Policy: Outpatient Consultations - Louisiana …

(1 days ago) WebThe purpose of this policy is to outline how Louisiana Healthcare Connections evaluates CPT consultation codes 99241-99245 and HCPS codes G0425-G0427 for reimbursement, particularly identifying those that should have been billed at the appropriate level of office visit, established

https://ldh.la.gov/assets/medicaid/MCPP/11.20.23/1481_LHCC_LA.PP.039_Outpatient_Consultation_7.23.pdf

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Louisiana Healthcare Connections Physical Medicine Prior …

(9 days ago) Web2 — Louisiana Healthcare Connections - Physical Medicine QRG • CPT codes billed for Physical, Occupational, and Speech Therapy services for initial evaluations do not require an authorization for participating providers. However, all other billed codes, even if performed on the same date as the initial evaluation date will require

https://www1.radmd.com/sites/default/files/2023-10/2192732_LA3PCADGDEE_FINAL%20LHCC%20PM%20QRG%2010202023.pdf

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Subject: - Department of Health State of Louisiana

(Just Now) WebReference Number: LA.CP.MP.511c Coding Implications Date of Last Revision: 11/212/23 Revision Log Louisiana Health Care Connections for assistance Plan of Care used when CPT codes 99500-99602 can be used) Services. Private Duty Nursing (PDN)Extended Home Health Services

https://ldh.la.gov/assets/medicaid/MCPP/4.10.23/1843_LHCC_LA.CP.MP.511c_Extended_Home_Health_Services_LDH_Corrections_03172023.pdf

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Reimbursement Policy Statement Louisiana Medicaid - Aetna …

(6 days ago) WebAetna Better Health of Louisiana reimbursement policies are intended to provide a general reference for claims filing, coding and documentation guidelines. • Use the appropriate CPT code where age is restricted by Louisiana Medicaid covered services. For example: o 81220: CFTR (cystic fibrosis transmembrane)/infants younger than 12 …

https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/louisiana/pdf/Reimbursement%20policy%20statement_LA.pdf

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Medicaid Department of Health State of Louisiana

(2 days ago) Web130 Semi-Private - Three and Four Beds (Units required for all codes) 131 Medical/Surgical/Gyn - 3 and 4 Beds. 132 OB - 3 and 4 Beds. 133 Pediatric - 3 and 4 Beds. * 134 Psychiatric - 3 and 4 Beds. * 135 Hospice - 3 and 4 Beds. * 136 Detoxification - 3 and 4 Beds. 137 Oncology - 3 and 4 Beds. 139 Other - 3 and 4 Beds.

https://www.lamedicaid.com/provweb1/billing_information/revenuecodes.htm

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Louisiana Healthcare Connections Physical Medicine Program

(9 days ago) WebThe CPT codes for Physical, Occupational, and Speech Therapy initial evaluations do not require an authorization for participating providers. Home Health or other providers that are utilizing codes outside of the standard billing CPT codes for evaluations will be required to obtain a prior authorization before rendering services.

https://www1.radmd.com/sites/default/files/2023-10/2192800_LA3PPROPRSE_FINAL%20LHCC%20PM%20PPT%2010202023.pdf

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Community Plan Reimbursement Policies of Louisiana

(2 days ago) WebThis reimbursement policy is intended to ensure that you are reimbursed based on the code that correctly describes the procedure performed. This and other UnitedHealthcare Community Plan reimbursement policies may use CPT, CMS or other coding methodologies from time to time. References to CPT or other sources are for …

https://www.uhcprovider.com/en/health-plans-by-state/louisiana-health-plans/la-comm-plan-home/la-cp-policies/reimbursement-community-state-policies-louisiana.html

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Reimbursement and Coding Summary - Version 8 12.12

(2 days ago) Webqualified health care professional 30 min. or more HA $9.86 HB $15.00 M odifers- HA (Child/adolescent program) HB (Adult program) Reimbursement and Coding Summary CPT Code Modifier r l. t Description Rate Per 99367 HA/HB HA $9.86 HB $15.00 Medical team conference with interdisciplinary team of health care professionals, patient and/or family not

https://ldh.la.gov/assets/docs/BehavioralHealth/LBHP/Document_Library/LBHPProcedureCodeManualVersion8_12122014combined.pdf

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Reimbursement Policies Healthy Blue Louisiana

(3 days ago) WebServices should be billed with CPT® codes, HCPCS codes and/or revenue codes. The billed code(s) should be fully supported in the medical record and/or office notes. Healthy Blue is the trade name of Community Care Health Plan of Louisiana, Inc. an independent licensee of the Blue Cross and Blue Shield Association. Availity, LLC is an

https://provider.healthybluela.com/louisiana-provider/claims/reimbursement-policies

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Telehealth/ Virtual Health Policy, Professional for Louisiana

(7 days ago) WebProfessional reported with CPT codes 98966-98968 or 99441-99443. They are non-reimbursable codes according to the CMS Physician Fee Schedule (PFS) and are considered an integral part of other services provided. Telehealth/ Virtual Health Policy, Professional (Louisiana Only) - UnitedHealthcare Community Plan of Louisiana

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medicaid-comm-plan-reimbursement/la/LA-Telehealth-and-Telemedicine-Policy.pdf

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Louisiana Healthcare Connections Medical Specialty Solutions …

(Just Now) WebCodes Claim Resolution/Utilization Review Matrix for all the CPT-4 codes that NIA authorizes on behalf of Louisiana Healthcare Connections. (Note: Physical Medicine does not have a CPT Code Matrix) NIA manages Medical Specialty Solutions Services through Louisiana Healthcare Connections contractual relationships with providers.

https://www1.radmd.com/sites/default/files/2023-10/Louisiana%20Healthcare%20Connections%20Med%20Spec%20QRG.pdf

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Prior Authorization Lookup - AmeriHealth Caritas Louisiana

(7 days ago) WebAll results are subject to change in accordance with plan policies and procedures and the Provider Manual (PDF). If you have questions about this tool or a service or to request a prior authorization, call 1-888-913-0350. Directions. Enter a CPT/HCPCS code in the space below. Click “Submit”.

https://www.amerihealthcaritasla.com/provider/resources/prior-authorization-lookup.aspx

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Important update regarding behavioral health CPT/HCPCS …

(2 days ago) WebHealthy Blue is the trade name of Community Care Health Plan of Louisiana, Inc., an independent licensee of the Blue Cross and Blue Shield Association. BLAPEC-1000-18 September 2018 Important update regarding behavioral health CPT/HCPCS codes Effective for dates of service on and after January 1, 2019, Healthy Blue is updating the

https://provider.healthybluela.com/dam/publicdocuments/LALA_CAID_PU_BehavioralHealth-CPT-HCPCS-Codes_Sept_2018_55.pdf?v=202101122213

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