Leak
No RBM prior auth on advanced imaging
The denial it triggers
Non-appealable MCO denial
How we stop it
We secure the authorization before the scan
Radiology billing · Louisiana
Radiology Billing Services in Louisiana
Radiology billing services in Louisiana run head-first into one of the country's tougher prior-authorization bottlenecks — six managed-care plans plus fee-for-service, a near-universal PA posture, and a professional read that still has to be split and coded perfectly on every study. 247MBS has billed radiology since 2005, pairing a dedicated account manager, a free reporting dashboard, HIPAA-compliant workflows, and SOC 2 Type II controls with real Healthy Louisiana and Novitas Solutions JH coverage expertise.
HIPAACompliant
SOC 2Type II
Serving Since2005
Specialty-FocusedRCM
We bill Radiology across Louisiana
Diagnostic Imaging
CT & MRI
Ultrasound
Interventional
Mammography
And More
Best Radiology Billing Services in Louisiana (LA)
Louisiana's imaging market clusters around New Orleans, Baton Rouge, and Shreveport, with academic and hospital-based groups anchoring the metros and freestanding centers, mobile units, and teleradiology filling the Acadiana and northern parishes in between. Storm-season disruptions, a large safety-net population, and heavy subspecialty demand make clean, fast reimbursement essential — and the state's payer setup is unusually authorization-heavy.
Medicaid here is delivered through Healthy Louisiana under the Louisiana Department of Health (LDH), administered on Gainwell's platform, and it runs through six managed-care organizations — AmeriHealth Caritas, Healthy Blue by Elevance, Aetna, Humana, UnitedHealthcare, and LA Healthcare Connections by Centene — alongside fee-for-service. What defines Louisiana operationally is the universal prior-authorization bottleneck: advanced imaging is gated across nearly every plan, and enrollment rebaselining after redeterminations keeps coverage shifting under providers. Medicare Part B falls under Novitas Solutions (Jurisdiction JH), whose Local Coverage Determinations govern medical necessity for the professional read, with provider appeals due within 30 days at the Division of Administrative Law. A radiology group that misses one authorization or the tight appeal clock loses the read outright.
Louisiana radiology billing at a glance
| Fact | Detail for Louisiana radiology |
|---|---|
| Medicaid program | Healthy Louisiana / LDH (Gainwell) |
| Delivery model | Managed care (6 MCOs) + fee-for-service |
| Major MCOs | AmeriHealth Caritas, Healthy Blue (Elevance), Aetna, Humana, UnitedHealthcare, LA Healthcare Connections (Centene) |
| Medicare Part B MAC | Novitas Solutions — Jurisdiction JH |
| Appeal window | 30 days (Division of Administrative Law) |
| Medicaid enrollment | ~1.36 million |
| Key billing challenge | Universal PA bottleneck; 6 MCOs; rebaseline enrollment churn |
How radiology claims get paid
Every Louisiana study pays on decisions our team settles before submission, and the codes below appear only in this table.
| Billing element | How it drives payment in Louisiana |
|---|---|
| Professional vs technical | Modifier 26 for the read, TC for the equipment; global only when one entity owns both |
| Global vs split | Hospital-based interpretation splits the claim; office ownership bills the global service |
| Prior authorization | MRI, CT, and PET cleared through the covering MCO's radiology-benefit manager first |
| Contrast and supervision | With, without, and with-and-without-contrast codes tied to the order and supervision level |
| LCD / medical necessity | Ordering diagnosis matched to the covering Novitas JH policy |
| Modifiers | RT/LT laterality, 59 to unbundle NCCI edits, 76/77 for legitimate repeat studies |
The workflow is backed by a 99% clean-claim rate, roughly 99% net collections, A/R under 25 days, up to 40% fewer denials, and 90% denial recovery, with claims submitted inside 24 hours — the margin that keeps a Louisiana professional read from stalling in a plan's authorization queue.
Where Louisiana radiology practices lose revenue
Leak
Wrong or missing 26/TC split
The denial it triggers
Overpayment recoupment in a hospital setting
How we stop it
We bill the exact component the site of service requires
Leak
Missed 30-day DAL appeal window
The denial it triggers
Permanent loss of an appealable denial
How we stop it
We calendar and file every appeal inside the LDH clock
Leak
LCD / medical-necessity mismatch
The denial it triggers
Novitas JH edit denies the read
How we stop it
We match the ordering diagnosis to the covering policy first
Leak
NCCI bundling or duplicate reads
The denial it triggers
Component or second read rejected
How we stop it
We apply 59, 76, and 77 correctly
Your revenue review ranks these leaks by dollars lost, so the biggest Louisiana revenue gap is closed first.
Radiology Billing Services in Louisiana for Every Practice
Imaging operations across the state bill in very different shapes, and a single billing company template will not fit them all. A New Orleans hospital-based group that only interprets bills the professional component with modifier 26; a Baton Rouge freestanding center that owns its scanners bills the global service; a teleradiology group covering rural Acadiana and northern parishes has to hold licensure and enrollment across every plan its hospitals contract with. We match each practice to the right billing model — professional-only, technical-only, or global — and to the six-MCO-plus-FFS routing that dictates which plan's authorization and rules govern the claim. In a universal-PA state, that mapping is the whole game.
Revenue review
Put a dollar figure on what your radiology claims are leaving behind.
A certified radiology billing specialist reviews your coding, unit counts, authorizations and aged A/R against the payers you actually bill in Louisiana — and puts a number on what your current process is leaving on the table.
- Professional and technical components billed to the right entity per site
- Advanced-imaging authorization confirmed before the study is read
- Contrast, laterality and comparison-study modifiers checked per payer
HIPAA & SOC 2
Back to you within one business day
No long-term lock-in
Request a Revenue Review
Tell us about your practice.
A radiology specialist will reach out within one business day.
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Why Louisiana groups outsource radiology billing to 247MBS
Radiology groups across Louisiana outsource radiology billing because six MCOs, a universal-PA posture, and the 26/TC split together overwhelm a general billing services company that treats every market the same. As a medical billing services company built around imaging, we carry the professional-component workflows and Louisiana payer logic before your first claim, and we run the full revenue cycle:
— the covering Healthy Louisiana plan or FFS coverage and its authorization status confirmed pre-scan
— worked against the LCD and the authorization record inside the 30-day DAL window, not blindly resubmitted
— radiologists paneled across all six Louisiana Medicaid MCOs and commercial carriers
— aged Medicaid and commercial imaging balances pursued to resolution
It all lives inside our radiology revenue cycle practice — one team, one dashboard, a 98% retention rate. Groups weighing a full statewide move can also review our Louisiana medical billing overview. The reason practices outsource here is simple: a professional imaging-billing team beats the universal-PA bottleneck far more reliably than in-house staff stretched across six plans.
Who we serve in Louisiana
We bill hospital-based radiology groups reading for the New Orleans and Baton Rouge systems, freestanding imaging and diagnostic centers, subspecialty and interventional radiology practices, mobile MRI and CT operators, and teleradiology groups covering New Orleans, Baton Rouge, Shreveport, Lafayette, and Lake Charles across the state. Interpret only, own the equipment, or both — we bill the professional and technical pieces to match.
Medical Billing for Radiology in Louisiana
Medical billing for radiology in Louisiana turns interpreted studies into paid claims despite one of the country's heaviest prior-authorization environments, and 247MBS owns that fight end to end. We confirm which of the six Healthy Louisiana managed-care plans — or fee-for-service — covers each patient, secure the radiology-benefit-manager approval before the scan, and code the professional and technical components to match hospital-based versus freestanding ownership. Every read is aligned to the governing Novitas JH coverage policy, and appeals are filed inside the 30-day Division of Administrative Law window. For New Orleans, Baton Rouge, and Shreveport groups, that discipline holds a 99% clean-claim rate and A/R under 25 days. Request a revenue review to see the difference.
Choosing a Radiology Billing Services Provider in Louisiana
Let's get your Louisiana radiology claims paid faster
Start with a revenue review: we'll review your 26/TC splits, your MCO authorizations, your Novitas JH LCD matches, and your aging A/R, then show you what professional radiology billing can recover.
Radiology billing in every Louisiana city we serve
Each city page covers the local payer mix, the practices we bill for there, and the denials we prevent.
These are the Louisiana markets we cover in depth. We bill radiology practices right across the state — tell us where you are and we will walk you through billing in your area.
FAQ
We treat advanced imaging as auth-required by default: before the scan we confirm the covering Healthy Louisiana plan and secure the radiology-benefit-manager authorization for MRI, CT, and PET, because those denials are typically non-appealable after the fact.
We file the appeal against the LCD and the authorization record inside the 30-day Division of Administrative Law window. Missing that clock forfeits an otherwise winnable denial, so every appeal is calendared the day the denial posts.
Yes. We confirm licensure and payer enrollment for every read and code the professional component to the covering Novitas JH policy, so remote and subspecialty interpretations pay cleanly.
26 / TC split·place of service·prior authorization·laterality
Ready to get more Louisiana claims paid on the first pass?
Whether you are a solo practice or a multi-site group, we bill Radiology across Louisiana under one dedicated account manager and a live dashboard — and treat every counted unit, authorization and appeal as recoverable revenue until it is safely paid.
Prefer email? sales@247medicalbillingservices.com