Patients will now be eligible for reimbursement from LA Medicaid and all MCOs (Managed Medicaid) organizations
HIGH POINT, N.C., May 29, 2024 /PRNewswire-PRWeb/ -- Synergy Billing LLC, a boutique consulting and services firm that provides revenue cycle solutions and guidance for home infusion and pharmacy businesses, proudly announces that, following months of diligent advocacy and collaboration, the Louisiana Department of Health has officially added coverage for Elastomeric Infusion Devices (EIDs), specifically code A4305, to the Louisiana (LA) Medicaid Fee Schedule.
This coverage now means patients will be eligible for reimbursement from LA Medicaid and all MCOs (Managed Medicaid) organizations. Implementation could go into effect as early as August 2024.
Home infusion providers have long utilized elastomeric infusion devices, such as code A4305, for the precise and secure administration of intravenous medications. Unlike traditional methods that rely on manual dial-a-flow spiking or electronic pumps, these devices offer a simplified yet effective solution, reducing the risk of medication errors and adverse effects.
Synergy first requested the LA Department of Health incorporate elastomeric devices into the Medicaid fee schedule in October 2023. Meticulous attention to detail, coupled with a comprehensive presentation of supporting evidence, highlighted the necessity and effectiveness of this drug delivery system. Notably, Synergy substantiated the request by demonstrating coverage in other state Medicaid programs and emphasizing the importance of accurate and safe medication administration in the home setting.
Jennifer Arms, Managing Partner and Director of Operations at Synergy Billing LLC remarked, "This landmark decision by the Louisiana Department of Health reflects a significant stride towards improving patient outcomes and streamlining healthcare delivery. Synergy is committed to providing unparalleled value to our clients, and including elastomeric infusion devices in Louisiana Medicaid underscores our dedication to innovation and advocacy in the pharmacy billing provider space."
Ellie Cerimele, Synergy's Process Implementation Manager, led the effort on the company's behalf. She emphasized the Health Dept.'s decision's real-world impact on patients, stating, "Including elastomeric devices in Louisiana Medicaid represents a significant win for patient safety and accessibility to essential healthcare services. By facilitating the controlled self-administration of medications in the home environment, we empower patients and enhance their overall quality of life."
Medicaid populations often face challenges accessing the care they deserve, with historical limitations on reimbursement for essential medical devices like elastomeric infusion systems. The decision to cover elastomeric infusion devices supports Louisiana Medicaid's commitment to patient-centric care and highlights Synergy's role as an influential leader in shaping billing services industry standards.
Synergy Billing LLC. is committed to setting the industry standard for every single customer. Visit www.synergybillingcorp.com to learn more or call us at 412.909.4064.
About Synergy Billing LLC
Synergy Billing LLC is a boutique firm that provides revenue cycle and consulting solutions to home infusion and specialty pharmacy healthcare companies. Synergy specializes in assisting with home infusion reimbursement and removing administrative burdens, allowing clients to stay focused on their primary business. The company supports its clients through all phases of the revenue cycle, including benefits verification, pre- and continuing authorizations, billing, collections, and cash posting. Synergy Billing LLC was founded in 2018 and is headquartered in High Point, N.C. For more information, visit or connect with us on LinkedIn or Instagram.
Media Contact
Victoria Seremeta, Synergy Billing LLC, 1 5162861950, [email protected], www.synergybillingcorp.com
SOURCE Synergy Billing LLC
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