Louisiana Health Connections Cpt Codes

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Quick Reference Guide - Louisiana Healthcare Connections

(8 days ago) WEBLouisiana Healthcare Connections strives to provide quality healthcare to our (NCQA) to objectively measure, report, and compare quality across health plans. NCQA develops HEDIS® measures through a committee represented by purchasers, consumers, health …

https://www.louisianahealthconnect.com/content/dam/centene/louisiana-health-connect/pdfs/medicaid-provider/HEDIS%202020_QRG%20Final%20TY%20(002).pdf

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Clinical & Payment Policies

(9 days ago) WEBClinical policies are one set of guidelines used to assist in administering health plan benefits, either by prior authorization or payment rules. Louisiana Healthcare …

https://www.louisianahealthconnect.com/providers/resources/clinical-payment-policies.html

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Prior Authorization Louisiana Healthcare Connections

(3 days ago) WEBSome services require prior authorization (PA) from Louisiana Healthcare Connections in order for reimbursement to be issued to the provider. The easiest way to see if a service …

https://www.louisianahealthconnect.com/providers/resources/prior-authorization.html

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Pre-Authorization Check - Louisiana Healthcare Connections

(7 days ago) WEBPre-Auth Check. Use our tool to see if a pre-authorization is needed. It's quick and easy. If an authorization is needed, you can access our login to submit online. Medicaid Pre …

https://www.louisianahealthconnect.com/providers/preauth-check.html

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Louisiana Healthcare Connections - Louisiana Medicaid

(9 days ago) WEBCervical cancer happens most often in women over 30 years old, but all women are at risk. That is why all women between the ages of 21 and 64 need cervical cancer screenings. Louisiana Healthcare Connections …

https://www.louisianahealthconnect.com/

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Louisiana Healthcare Connections Provider Portal

(3 days ago) WEBIf you are a contracted Louisiana Healthcare Connections provider, you can register now. We look forward to working with you to improve the health of the …

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

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PROFESSIONAL SERVICES

(9 days ago) WEBmust use the applicable ICD-10 diagnosis code that reflects the policy 2015. State of Louisiana . Bureau of Health Services Financing. LOUISIANA MEDICAID PROGRAM …

https://www.lamedicaid.com/provweb1/Providermanuals/manuals/PS/PS.pdf

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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 …

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

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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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 …

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

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Provider and Billing Manual

(1 days ago) WEBAmbetter from Louisiana Healthcare Connections Ambetter from Louisiana Healthcare Connections 8585 Archives Ave, Suite 310, Baton Rouge, LA 70809 Phone: 1-833-635 …

https://ambetter.louisianahealthconnect.com/content/dam/centene/louisiana-health-connect/ambetter/pdf/LA-AmbetterProviderManual.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. • …

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

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Preventive Medicine and Screening Policy for Louisiana

(6 days ago) WEBWhen a Screening code is billed with a Preventive Medicine code on the same date of service by the Same Specialty Physician or Other Health Care Professional, only the …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medicaid-comm-plan-reimbursement/la/LA-Preventive-Medicine-and-Screening-Policy-Professional.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 …

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

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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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 …

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 Department of Health Informational Bulletin 20-5

(8 days ago) WEBLouisiana Department of Health Healthy Louisiana Page 2 of 20 Revisions are underlined. Deleted text indicated by strikethrough. Effective for dates of service on …

https://ldh.la.gov/assets/docs/BayouHealth/Informational_Bulletins/2020/IB20-5_revised_4.24.20.pdf

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LOUISIANA HEALTHCARE CONNECTIONS

(3 days ago) WEBLouisiana Healthcare Connections is the largest Louisiana Medicaid plan, with more than 800,000 members across our state trusting us to care for their health. We connect our …

https://www-es.louisianahealthconnect.com/content/dam/centene/louisiana-health-connect/pdfs/medicaid-provider/Provider%20Manual%20Q3%202017.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 …

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

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Louisiana Department of Health Informational Bulletin 20-6 …

(2 days ago) WEBLouisiana Department of Health Healthy Louisiana Page 1 of 7 Louisiana Department of Health Informational Bulletin 20-6 March 25, 2020 Due to the COVID-19 emergency …

https://ldh.la.gov/assets/docs/BayouHealth/Informational_Bulletins/2020/IB20-6.pdf

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Humana Healthy Horizons, in Louisiana - Louisiana …

(8 days ago) WEBTopic: Louisiana Medicaid: Outpatient hospital clinic services What is changing? 514, 515, 517 or 519 must be reported with one of the appropriate accompanying CPT …

https://ldh.la.gov/assets/medicaid/MCPP/4.29.24/1826_HUM_Notification_7062.pdf

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