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Medical Coding Services
in Shreveport, LA
Qualigenix codes Shreveport encounters to the chart and to each payer's rules, from Healthy Louisiana plans to Novitas Medicare. What Medical Coding Services Does Qualigenix Provide in Shreveport?
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How Qualigenix Serves Shreveport Practices
Qualigenix medical coding services assign codes for independent practices across Shreveport and Caddo Parish, either on their own or alongside billing. Rules that hold across the state, such as Louisiana Medicaid code editing and state audit programs, are on our page for Louisiana medical coding rules. This page covers what a Shreveport coder deals with day to day: payment policies that differ by Healthy Louisiana plan, a plan list that changes on January 1, 2027, Novitas coverage policies for Medicare, and Texas patients whose claims follow Texas Medicaid rules. Coders work inside your EHR or encoder, with experience across 133 platforms, and each one is assigned to your specialties rather than pulled from a general pool.
What Medical Coding Services Does Qualigenix Provide in Shreveport?
Qualigenix assigns ICD-10-CM, CPT and HCPCS Level II codes for Shreveport practices after reading the full record. Coders apply modifiers only where the documentation supports them, query providers when a note falls short and run two levels of QA on every chart.
We code for every payer, including Healthy Louisiana plans, Novitas Medicare and commercial insurers. Pricing is a percentage of collections.
Medical Coding for Caddo Parish's Healthy Louisiana Plans
Qualigenix codes each Healthy Louisiana claim to the policies of the plan that will pay it. The five plans active through December 31, 2026 don't publish identical rules, and a code that passes one plan's edits can fail another's.
Plan Policies Differ
Each Healthy Louisiana plan files its own claims and payment policies with the Louisiana Department of Health. Those policies set modifier use, bundling and code-level limits. Qualigenix keeps a policy set for Aetna Better Health of Louisiana, AmeriHealth Caritas Louisiana, Healthy Blue, Humana Healthy Horizons in Louisiana and Louisiana Healthcare Connections, and codes each Shreveport chart to the plan on file for that date of service.
New Policies in January
Healthy Blue leaves Healthy Louisiana on December 31, 2026, and its members move to one of the four remaining plans. A patient's January visit may face a different plan's edits than the same patient's December visit. Our coders switch to the new plan's policies from the first 2027 date of service, and charts for December visits stay on Healthy Blue's rules even when they're coded in January.
Texas Medicaid Charts
Patients who live across the Texas line and carry Texas Medicaid are coded to Texas Medicaid's procedures manual, not Louisiana's, and those claims pass through TMHP, the Texas Medicaid claims administrator, with its own edits. Qualigenix keeps those charts in their own queue so a Louisiana edit never gets applied to a Texas claim.
Medicare and Commercial Payers for Shreveport Practices
Qualigenix codes Shreveport Medicare claims to the local coverage determinations published by Novitas Solutions, the Jurisdiction H contractor for Louisiana, Texas and Arkansas. Coders check each diagnosis against the LCD and any national coverage determination before a procedure code goes out, which keeps medical necessity denials down. CMS re-awarded Jurisdiction H to Novitas in June 2026, so the LCD library your coders follow stays the same. For Caddo Parish patients in dual-eligible plans from Humana, UnitedHealthcare, Peoples Health, Wellcare, Aetna or Healthy Blue, we code to the Medicare Advantage plan's policy and check the Medicaid side on its own. Blue Cross and Blue Shield of Louisiana, the state's largest insurer, gives providers a medical code editing tool through iLinkBlue, and our coders run expected Louisiana Blue edits before a claim is released.
PROVEN CODING PERFORMANCE
Results Shreveport Practices Can Expect
Qualigenix reports these as company-wide coding figures, not Shreveport-only numbers. Your reporting shows the same measures for your own charts, scored by coder and specialty.
98.9%
Coding accuracy
98.9%
Post-audit coding accuracy
98.6%
Compliance/audit pass rate
Reduced to 2%
Coding-related denials
300,000+
Charts audited per quarter
Under 1%
Compliance risk
2M+
Charts coded to date
PROVEN TRACK RECORDHIPAA-Compliant Revenue Cycle
275+ Clinics6-DAY ONBOARDING
How Onboarding Works
Qualigenix starts coding for a Shreveport practice in six steps, with a 6-day average onboarding.
01
Kickoff and Scope Setup
We sign the BAA and SLA, assign a named coding lead and set scope across your encounter types and code sets.
02
Coder Assignment and Intake
Certified coders are matched to your specialties, and charts arrive through secure intake from your EHR with a completeness check.
03
Playbook and Guidelines
We build a coding playbook for your specialties and payers, including each Healthy Louisiana plan's policies and Novitas LCDs.
04
Documentation Review and Queries
Coders review records, flag gaps and send compliant queries wherever a note falls short.
05
Coding and Two-Level QA
Codes are assigned and sequenced, medical necessity is checked, then each chart goes through peer review and sampling.
06
Daily Export Goes Live
Coded encounters export daily to your billing system, and every coding denial feeds back into coder training.
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WHY SHREVEPORT PRACTICES CHOOSE QUALIGENIX
Why Shreveport Practices Choose Qualigenix
Certified CPC and CCS coders, native operation across 133 EHRs, two levels of review per chart, and rapid six-day onboarding.
Certified CPC and CCS
Your charts are coded by CPC- and CCS-certified coders assigned to your specialty. The same coders keep working your account, so they learn your providers' documentation habits.
Coders in Your EHR
Coders work inside your existing EHR or encoder across 133 platforms. Nothing is exported to an outside system for coding, and your billing team sees codes where it already works.
Two QA Levels
Every chart gets a peer or auditor review and statistical sampling. Accuracy is scored by coder and specialty, so you see where a problem sits instead of a blended average.
Six-Day Average Onboarding
Most practices go live in 6 days. A coding backlog doesn't build during the switch, which matters with new Healthy Louisiana plan policies arriving January 1.
SHREVEPORT CODING FAQS
Frequently Asked Questions
Frequently asked questions regarding Healthy Louisiana plan coding policies, Novitas Medicare LCDs, Texas border Medicaid coding, and chart audits in Shreveport, LA.
Several national coding companies take Shreveport clients. Qualigenix codes for independent practices in Caddo Parish with certified coders, two levels of QA and policy sets for each Healthy Louisiana plan. Book a meeting to see how we'd handle your charts.
Yes. Qualigenix codes claims for every Healthy Louisiana plan and follows each plan's own payment policies. From January 1, 2027, we code former Healthy Blue members to their new plan's rules starting with the first 2027 date of service.
Coders check every diagnosis against the Novitas local coverage determination and any national coverage determination before a procedure code goes out. That match is what Medicare uses to judge medical necessity on Shreveport claims.
Yes. Qualigenix coders hold CPC or CCS certification and are assigned by specialty. Each chart also gets a peer or auditor review and statistical sampling, scored by coder.
Yes. Qualigenix runs prospective and retrospective coding audits, scored by coder and specialty, as part of medical coding. Our post-audit coding accuracy is 98.9% across clients. Ask about an audit when you book a meeting.
No. What counts is that coders know Healthy Louisiana plan policies, Novitas LCDs and your specialty. Qualigenix coders work inside your EHR, so charts never leave your system. Call 786-259-0231 to talk it through.
Qualigenix charges a percentage of collections. The percentage depends on your specialty, chart volume and encounter types. Request a callback for a quote based on your practice.