FINANCIAL ASSISTANCE POLICY
Transcript of FINANCIAL ASSISTANCE POLICY
Page 1 of 34 Financial Assistance Policy
FINANCIAL ASSISTANCE POLICY
MANUAL: PFS - PATIENT FINANCIAL SERVICES RESPONSIBLE EXECUTIVE: OLGMC, CFO
ORIGINAL DATE: 11/2015 LAST REVIEWED: 11/09/2020 DATE EFFECTIVE: 11/10/2020
I. PURPOSE:
Ochsner Lafayette General Medical Center (“Hospital”) will treat all patients with respect and fairness.
Hospital is committed to ensuring that a patient’s financial circumstances will not affect the care that he or
she receives at Hospital. Patients who meet the income guidelines set forth in this Financial Assistance
Policy (the “Policy”) may qualify for free or reduced-cost care (“Financial Assistance”). This Policy
standardizes the method by which Hospital will determine whether a patient qualifies for Financial
Assistance.
This Policy applies to all Emergency Treatment and Medically Necessary Care that Hospital provides as
well as the Emergency Treatment and Medically Necessary Care provided by those physicians and other
providers listed in Exhibit A at Hospital’s buildings located at 1214 Coolidge Street, Lafayette, Louisiana,
and 2810 Ambassador Caffery Parkway, Lafayette, Louisiana (each a “Hospital Facility”). Those
physicians and providers who may provide Emergency Treatment and Medically Necessary Care at the
Hospital Facility but who are not covered by this Policy are listed in Exhibit B.
Hospital will interpret and apply this Policy in accordance with applicable federal and state laws, including,
without limitation, the requirements of the Emergency Medical Treatment and Labor Act (“EMTALA”)
and Internal Revenue Code Section 501(r). To the extent that this Policy conflicts with any applicable
federal or state law, such federal or state law shall control.
II. SCOPE:
All hospital departments and company-affiliated facilities.
III. DEFINITION OF TERMS:
The following definitions shall apply to this Policy:
A. Amounts Generally Billed (“AGB”) – The amounts generally billed by Hospital for Emergency
Treatment and Medically Necessary Care to patients who have health insurance is referred to in
this Policy as AGB. AGB is calculated by using the billing and coding process that Hospital
would use if the patient were a Medicare fee-for-service beneficiary, and AGB equals the amount
reimbursed by Medicare plus the amount the patient would be responsible for paying if he or she
were a Medicare beneficiary in the form of co-payments, co-insurance and deductibles.
B. Application Period – The Application Period is the period during which Hospital will accept and
process an application for Financial Assistance under this Policy. The Application Period begins
on the date that care is provided to the individual in question, and it ends on the 240th day after
Hospital provides the individual with the first Post-Discharge billing statement for the Emergency
Treatment or Medically Necessary Care provided.
Page 2 of 34 Financial Assistance Policy
C. Elective Procedures – Procedures that do not qualify as Emergency Treatment or Medically
Necessary Care are referred to in this Policy as Elective Procedures. Examples of Elective
Procedures include services that are cosmetic or reproductive in nature. Financial Assistance is
not available under this Policy for Elective Procedures.
D. Eligible Patient – Any individual who qualifies for Financial Assistance under this Policy is an
Eligible Patient.
E. Emergency Medical Condition – The term Emergency Medical Condition will be defined as set
forth in EMTALA.
F. Emergency Treatment – Emergency Treatment means the care or treatment provided for an
Emergency Medical Condition.
G. Extraordinary Collection Action – Subject to the exceptions described below, an action taken
by Hospital against a patient or any Responsible Party that involves (i) legal or judicial process;
(ii) selling an individual’s debt to a third party; (iii) reporting adverse information about the
individual to a consumer credit agency or credit bureau; (iv) deferring or denying, or requiring a
payment before providing, Medically Necessary Care because of a patient’s nonpayment of one
or more bills for previously provided care under the Policy; and (v) such other actions as defined
by Internal Revenue Service with respect to Section 501(r) of the Internal Revenue Code.
H. An Extraordinary Collection Action does not include (A) Hospital’s sale of an individual’s debt
to a third party if, prior to the sale, Hospital has entered into a legally binding agreement with the
purchaser of the debt pursuant to which (i) the purchaser is prohibited from engaging in any
Extraordinary Collection Action to obtain payment; (ii) the purchaser is prohibited from charging
interest on the debt in excess of the rate allowable under Section 501(r) of the Internal Revenue
Code at the date the debt is sold; (ii) the debt is returnable to or recallable by Hospital upon a
determination by Hospital that the individual is eligible for Financial Assistance; and (iv) if the
individual is determined to be eligible for Financial Assistance and the debt is not returned to or
recalled by Hospital, the purchaser is required to adhere to procedures specified in the agreement
that ensure that the individual does not pay, and has no obligation to pay, the purchaser and
Hospital together more than he or she is personally responsible for paying as an individual eligible for Financial Assistance; (B) any lien that Hospital is entitled to assert under state law on
the proceeds of a judgment, settlement, or compromise owed to an individual (or his or her
representative) as a result of personal injuries for which Hospital provided care; or (C) the filing
of a claim in any bankruptcy proceeding.
I. Federal Poverty Guidelines (“FPG”) – Federal Poverty Guidelines or FPG means those
guidelines that the U.S. Department of Health and Human Services issues each year in the
Federal Register. The effective date of the annual update to FPG for purposes of this Policy will
be the first day of the month following the publication of FPG in the Federal Register.
Page 3 of 34 Financial Assistance Policy
J. Gross Charges –Hospital’s full, established price for Emergency Treatment, Medically
Necessary Care or Elective Procedures, as the case may be, that it uniformly charges all patients
before applying any contractual allowances, discounts or deductions.
K. Household Gross Income – All wages, salaries, compensation and other pay, including, without
limitation, Social Security benefits, pension payments, unemployment compensation, workers’
compensation payments, veterans benefits, rents, alimony, child support, survivors’ benefits and
income from estates or trusts, earned by or attributable to the members of the Immediate Family
on an annual basis. Household Gross Income will be rounded to the nearest dollar when applied
to the scale for determining whether an individual is an Eligible Patient.
L. Immediate Family – Immediate Family consists of the patient, his or her spouse and his or her
children (natural or adoptive) who are under the age of eighteen (18) and living at home or who
are claimed by the patient as a dependent for federal tax purposes. If the patient is under the age
of eighteen (18), the Immediate Family shall include the patient, his or her natural or adoptive
parents (regardless of whether they live in the home with the patient) and the parents’ children
(natural or adoptive) who are under the age of eighteen (18) and living in the home with the
patient or who are claimed by the parent(s) as dependents for federal tax purposes. In the event
of a divorce in the Immediate Family, appropriate documentation will be required to determine
which parent is the Responsible Party for a child who requires Emergency Treatment or
Medically Necessary Care. If no legal document is present, the parent accompanying the child at
the time of service will be presumed to be the Responsible Party until appropriate documentation
is provided. If a patient is at least eighteen (18) years old but is claimed by another as a
dependent for federal tax purposes, the Immediate Family shall include the individual claiming
the patient as a dependent, his or her spouse and all of his or her children (natural or adoptive)
who are under the age of eighteen (18) and living at home or who are claimed by the individual as
a dependent for federal tax purposes.
M. Medically Necessary Care – Medically Necessary Care means those health care services that
satisfy the definition of “medically necessary services” for purposes of the Louisiana Medicaid
program set forth at Title 50, Chapter 11, Section 1101 of the Louisiana Administrative Code.
Medically Necessary Care does not include Elective Procedures.
N. Notification Period – The Notification Period refers to the period during which Hospital will
notify individuals about the availability of Financial Assistance under this Policy. The
Notification Period begins on the first date care is provided and ends on the 120th day after
Hospital provides the individual with the first Post-Discharge billing statement for such care.
O. Post-Discharge – Post-Discharge means the period of time after medical care (whether inpatient
or outpatient) has been provided and the individual has left Hospital.
P. Presumed Eligible Patient – A patient who does not have coverage through any Third Party
Payer, Medicare, Medicaid or similar Federal or state health insurance program and who Hospital
believes will qualify for Financial Assistance based on the use of external data sources that
Page 4 of 34 Financial Assistance Policy
provide information regarding the patient or Responsible Party’s ability to pay, including, without
limitation, credit history, bankruptcies, liens, judgments and estimates of Household Gross
Income.
Q. Reasonable Efforts – Reasonable Efforts are the actions that Hospital will take to determine
whether an individual is an Eligible Patient under this Policy. Hospital will (i) offer a paper copy
of the plain language summary of this Policy to patients as part of the intake or discharge process;
(ii) include a conspicuous written notice on billing statements that identifies the Policy and
informs patients about the availability of Financial Assistance, including, without limitation, the
website address where a patient may obtain copies of this Policy, an application form and a plain
language summary of the Policy as well as the phone number of Hospital department that can
provide information about the Policy and the application process; (iii) make reasonable efforts to
notify the patient about the Policy and how to obtain assistance with the application process in
oral communications regarding the bill that occur during the Notification Period; (iv) provide the
patient with at least one written notice that contains a plain language summary of this Policy and
describes the Extraordinary Collection Actions that Hospital may take if the patient does not
submit a complete application for Financial Assistance or pay the amount due by a deadline
specified in the notice that is no earlier than thirty (30) days after the date of the notice or the
expiration of the Notification Period (whichever is later); and (v) take such other actions as are
required by the Internal Revenue Service with respect to Section 501(r) of the Internal Revenue
Code.
R. Responsible Party – A Responsible Party as used in this Policy is the patient if the patient is at
least eighteen (18) years old and is not claimed by another person as a dependent for federal tax
purposes. If the patient is under the age of eighteen (18), the Responsible Party shall be the
patient’s parents (natural or adoptive) or legal guardians, unless someone else claims the patient
as a dependent for Federal tax purposes. If the patient is claimed as a dependent by another
person for Federal tax purposes, the Responsible Party shall be the person claiming the patient as
a dependent.
S. Third Party Payer – Any commercial insurance, health benefit plan, employer-sponsored
program, health maintenance organization or similar arrangement that is or may be legally liable
for payment of charges incurred for medical services is referred to in this Policy as a Third Party
Payer. Third Party Payers for purposes of this Policy do not include Medicare, Medicaid or
similar Federal or state health insurance programs.
IV. GENERAL INFORMATION
Hospital shall review this policy at least annually, and hospital shall make such adjustments to this policy
as necessary to comply with applicable federal and state law, including, without limitation, emtala and
section 501(r) of the internal revenue code.
Page 5 of 34 Financial Assistance Policy
V. PROCEDURE
A. APPLICATIONS FOR FINANCIAL ASSISTANCE
1. Louisiana Residency Required for Financial Assistance. Any person seeking Financial
Assistance under this Policy must be a Louisiana Resident.
2. Presumed Eligible Patients. Hospital may conduct an initial screening of individuals
interested in Financial Assistance to determine on an expedited basis whether such
individuals qualify for Financial Assistance. Such initial screenings (if any) shall adhere
to the following procedures:
a. Hospital shall solicit demographic information regarding the patient and/or
Responsible Party, including his or her name, address, and Social Security
Number.
b. Hospital shall utilize an outside vendor who will analyze the patient’s information
regarding personal assets and resources as it applies to the Louisiana Medicaid
program set forth at Title 50, Chapter 11, Section 1101 of the Louisiana
Administrative Code to determine whether an individual qualifies as a Presumed
Eligible Patient. If an individual qualifies as a Presumed Eligible Patient, Hospital
will notify the individual in writing regarding this determination, the level of
Financial Assistance for which such individual qualifies and how to submit a
general application for Financial Assistance if the Presumed Eligible Patient
believes that he or she may qualify for a greater level of Financial Assistance.
Except as otherwise approved by Hospital, each Presumed Eligible Patient will
have thirty (30) days from the date of such written notice in which to provide
Hospital with information necessary to verify his or her Household Gross Income.
Information that Hospital will accept for these purposes includes the patient or the
Responsible Party’s (i) most recent pay stub; (ii) most recently filed federal or state
tax return; (iii) evidence of food stamp eligibility; (iv) evidence of unemployment
benefits; (iv) a letter from the individual’s employer regarding his or her annual
income; or (v) an affidavit from the patient or Responsible Party attesting to the
fact that he or she has no income. Failure by a Presumed Eligible Patient to provide
such information will result in a suspension of Financial Assistance until such time
as the information is provided and may result in a reversal of any Financial
Assistance previously awarded.
c. If (i) Hospital determines that the individual does not qualify as a Presumed
Eligible Patient, (ii) the patient does not provide the information necessary for
Hospital to conduct an initial screening or (iii) a Presumed Eligible Patient fails
to provide the information necessary to verify his or her Household Gross Income,
Hospital shall notify the patient and/or Responsible Party that he or she may still
submit an application for Financial Assistance in accordance with the procedures
set forth in Section C.3 (General Application Process).
d. Hospital shall maintain copies in accordance with its recordkeeping policies of all
information used to determine whether an individual qualifies as a Presumed
Page 6 of 34 Financial Assistance Policy
Eligible Patient, including, without limitation, information provided by the patient
and/or Responsible Party or through external sources.
3. General Application Process.
a. An individual who believes that he or she may qualify for Financial Assistance or
has requested that Financial Assistance be provided must submit an application
on Hospital-provided form during the Application Period. Individuals must
submit a separate application for Financial Assistance with respect to each
illness, injury or other condition for which Hospital provides Emergency
Treatment or Medically Necessary Care. This Policy, a plain language summary
of this Policy and an application may be obtained for free by mail at Lafayette
General Medical Center, 1214 Coolidge Street, Lafayette, Louisiana 70503, and
Attention: PFS Department or by visiting http://lafayettegeneral.com/lgmc-fap.
b. It is the applicant’s responsibility to complete the application in full and to provide
the supporting documentation that the application requires. Such information
includes, without limitation, the patient’s or Responsible Party’s name, citizenship,
date of birth, number and age(s) of dependents, phone number, address, current
employer, and position. The applicant must also submit documentation as part of
the application process to verify his or her Household Gross Income, such as
income tax returns, pay stubs, W-2 forms, unemployment compensation forms or
letters from employers. If the applicant indicates that he or she has earned no
income, the applicant must complete a “Lafayette General Medical Center No
Income Form” and authorize Hospital to run a credit report to verify that the
applicant has no income. The applicant may be required to submit additional
documentation as part of his or her application, such as a copy of a letter verifying
that Medicaid has been denied. If the applicant has not yet applied for Medicaid,
he or she should be encouraged to do so.
c. If the applicant submits an incomplete application for Financial Assistance during
the Application Period, Hospital will suspend any Extraordinary Collection
Actions (if any) that it has commenced against the applicant, and Hospital will
provide the applicant with written notice regarding the information necessary to
complete the application, including, without limitation, the telephone number and
address of Hospital department that can provide information about this Policy and
assistance with the application process. The Hospital may also contact the
applicant by telephone to determine whether the applicant received the notice and
to discuss any questions the applicant might have regarding the missing
information. The applicant will have at least thirty (30) days from the date of
Hospital’s written notice to submit the missing information.
d. Completed applications must be returned within the Application Period to
Lafayette General Medical Center, 1214 Coolidge Street, Lafayette, Louisiana
70503, and Attention: PFS Department. Patients may also complete the
application in person with the aid of PFS Department personnel.
Page 7 of 34 Financial Assistance Policy
e. Hospital’s Chief Financial Officer, or his or her designee, will determine initial
eligibility for Financial Assistance and then will approve Financial Assistance
determinations. The forms shall then be returned to the Patient Financial Services
Department, which shall notify the applicant in writing within one month regarding
the eligibility determination. The written notice shall identify the Financial
Assistance for which the patient qualifies pursuant to Section D.3 (Financial
Assistance Levels).
4. Eligibility Verification.
Individuals must submit a separate application for Financial Assistance in accordance with
Section C.3 (General Application Process) with respect to each illness, injury or other
condition for which Hospital provides Emergency Treatment or Medically Necessary Care.
Notwithstanding the foregoing, to the extent that such illness, injury or other condition
persists for more than one (1) year, Eligible Patients must verify their eligibility for
Financial Assistance under this Policy at least annually by providing Hospital with
sufficient information to conduct an initial screening as described in Section C.2 (Presumed
Eligible Patients) or by submitting an application for Financial Assistance in accordance
with Section C.3 (General Application Process).
5. Failure to Provide Complete Application May Result in Denial.
An applicant’s failure to provide all information requested by Hospital as part of this Policy
or the application may result in a denial of Financial Assistance. However, Hospital may
not deny any individual Financial Assistance under this Policy for the failure to provide
information that was not required to be submitted either by this Policy or the application.
B. FINANCIAL ASSISTANCE LEVELS
1. Patients with Medicare, Medicaid or Third-Party Payer Coverage May Qualify for Only
Limited Financial Assistance. For all payers (including Medicare, Medicaid or similar
Federal or state health insurance program recipients), the Financial Assistance available
under this Policy is limited to those charges for Emergency Treatment and Medically
Necessary Care for which the patient has financial responsibility, e.g. co-payments,
deductibles, self-administered drugs, etc.
2. Eligibility Based on Household Gross Income. Hospital will utilize the patient’s
Household Gross Income compared to FPG for the size of his or her Immediate Family to
determine whether an individual qualifies for Financial Assistance under this Policy.
a. Household Gross Income at or below 200% FPG. Applicants who have
Household Gross Income at or below 200% of FPG will receive Emergency
Treatment and Medically Necessary Care at no cost.
b. Extenuating Circumstances. Hospital recognizes that there may be instances in
which Household Gross Income exceeds the limits set forth in Sections D.2.a and
D.2.b, but the expenses of the patient’s Immediate Family also exceed its
Household Gross Income. Such extenuating circumstances include a recent death
of a spouse or other immediate family member, recent disability, recently
diagnosed long term illness, or a recent job loss. In such circumstances, the patient
Page 8 of 34 Financial Assistance Policy
may be incapable of accepting any additional financial burden. A Financial
Assistance discount may also be appropriate for these individuals. Additional
consideration for a charity discount will be given to patients who indicate on their
application that, even though they may not meet income guidelines, extenuating
financial hardship exists due to pre-existing financial obligations and who provide
evidence of such hardship. Any award of Financial Assistance resulting from such
extenuating circumstances shall be within the discretion of the Hospital.
Extenuating circumstances are rare and limited to verifiable situations.
3. Charges Limited for Eligible Patients. Following a determination that a patient qualifies
as an Eligible Patient under this Policy; Hospital shall not charge any Eligible Patient more
than the AGB for any Emergency Treatment or Medically Necessary Care.
C. EXTRAORDINARY COLLECTION ACTIONS
Those persons who are determined not to be Eligible Patients shall be processed in accordance with
Hospitals’ billing and collection policies. Interested individuals may obtain a free copy of
Hospital’s billing and collection policy from the Patient Accounts Department at 337-289-7287,
Monday – Friday (8:00 a.m. – 4:30 p.m.). Collection activity is conducted within the applicable
federal and state laws and regulations governing patient collections. In no event shall Hospital
engage in Extraordinary Collection Actions before Hospital has used Reasonable Efforts to
determine whether an individual is eligible for Financial Assistance under this Policy.
D. EMTALA OBLIGATIONS
Hospital will provide, without exception, Emergency Treatment to all patients seeking such care,
regardless of ability to pay or to qualify for Financial Assistance and in accordance with the
requirements of EMTALA. In recognition of its obligations under EMTALA, Hospital will not
undertake any action that would discourage an individual from seeking Emergency Treatment, such
as demanding that emergency department patients pay before receiving Emergency Treatment or
by permitting debt collection activities in the emergency department or any other area of Hospital
that could interfere with the provision, without discrimination, of Emergency Treatment.
VI. ATTACHMENTS/REFERENCES
EXHIBIT A
EXHIBIT B
Page 9 of 34 Financial Assistance Policy
EXHIBIT A
The Financial Assistance Policy covers the Emergency Treatment and Medically Necessary Care performed at
Hospital’s facility by the following physicians and other providers:
Name Specialty
Akoghlanian, Garabet, MD Infectious Diseases
Alexander, Michael S., MD Internal Medicine
Allam, Mohamad A., MD Cardiovascular Surgery
Allemond, Maggie J., FNP Advanced Dep Practitioner
Ancelet, Jean C., MD General-Family Practice
Appley, Alan J., MD Neurosurgery
Arceneaux, Jordan M., FNP Advanced Dep Practitioner
Ashley, Stacey A., NNP Advanced Dep Practitioner
Ayo, Markell A., ANP Advanced Dep Practitioner
Barlow, Jessica S., NNP Advanced Dep Practitioner
Baumgartner, Molly H., NNP Advanced Dep Practitioner
Bertrand, Allison D., FNP Advanced Dep Practitioner
Bhanushali, Reshma A., MD Internal Medicine
Blanchard, Deanna K., MD General-Family Practice
Blanchet, Paulette M., MD Oncology
Block, Jennifer M., PA Advanced Dep Practitioner
Bodker, Theresa F., CNS Advanced Dep Practitioner
Boothe, Traci L., FNP Advanced Dep Practitioner
Boutte, Kathryn A., FNP Advanced Dep Practitioner
Broussard, Jessica B., FNP Advanced Dep Practitioner
Buzhardt, Paul C., MD Orthopedic Surgery
Caldwell, Bobbi M., NNP Advanced Dep Practitioner
Chastant, Bradley J., II, M.D. Internal Medicine
Cole, Constance L., MD Oncology
Constantinou, Georgios, M.D. Oncology
Copponex, Keri D., MD Pain Management
Cunningham, Rachel B., CFNP Advanced Dep Practitioner
Daigle, Megan E., MD Radiology
Daigle, Sarah H., NNP Advanced Dep Practitioner
Devalcourt, Todd A., PA-C Advanced Dep Practitioner
Donohue, Rebecca B., CNP Advanced Dep Practitioner
Drew, Otis R., MD Orthopedic Surgery
Page 10 of 34 Financial Assistance Policy
Drexler, Samona S., FNP Advanced Dep Practitioner
DuBose, Adria C., FNP Advanced Dep Practitioner
DuBose, Tracie L., FNP Advanced Dep Practitioner
Dupre, Megan A., FNP Advanced Dep Practitioner
Durham, Debra A., MD Internal Medicine
Estopinal, Angelle W., NNP Advanced Dep Practitioner
Etier, Brian E., Jr., MD Orthopedic Surgery
Fernandez, Marc J., MD General-Family Practice
Fontenot, Bennett B., MD Plastic Surgery
Foreman, Adam N., M.D. Neurology
Fortie, Brittany D., FNP Advanced Dep Practitioner
Foster, W. Stanley, MD Orthopedic Surgery
Grisby, Shaunda K., MD General Surgery
Hanks, Marie B., NNP Advanced Dep Practitioner
Hargrave, Kevin R., MD Neurology
Hendrick, John C., PA-C Advanced Dep Practitioner
Johnson, Deborah M., M.D. Oncology
Jolivette, Milton J., Jr., M.D. Internal Medicine
Kellner, Virginia E., M.D. Neurology
Kennedy, Adam M., M.D. Orthopedic Surgery
LaGrange, Cynthia K., NNP Advanced Dep Practitioner
Langheinz, Kirk P., M.D. Radiology
Langlinais, Adam P., PA Advanced Dep Practitioner
Leleux, Stephanie D., NNP Advanced Dep Practitioner
Lirtzman, Mitchell D., M.D. Cardiovascular Surgery
Lupo, Joseph P., M.D. Plastic Surgery
Malad, Salman, M.D. Oncology
Malesky, Anna J., M.D. Family Medicine
Manafi, Jason J., PA Advanced Dep Practitioner
Martin, Kathryn F., FNP Advanced Dep Practitioner
Mathers, Mareesa P., FNP Advanced Dep Practitioner
Mayeux-Hebert, M. A., MD Orthopedic Surgery
McCarron, Kenneth E., M.D. Internal Medicine
McLain, Elizabeth W., M.D. General-Family Practice
McMorris, Latonya S., AGACNP Advanced Dep Practitioner
Miller, Lisa P., ANP Advanced Dep Practitioner
Moussaoui, Asma, MD Neurology
Page 11 of 34 Financial Assistance Policy
Orgeron, Joseph E., MD General-Family Practice
Park, Sea Mi, MD Neurology - Vascular/Neurointerventional
Patterson, Damon E., MD Neurology - Vascular/Neurointerventional
Pelafigue, Abigail T., FNP Advanced Dep Practitioner
Perez, Juan J., MD Internal Medicine
Perrin-Bellelo, Tyler M., MD Internal Medicine
Pillette, Cassandra M., M.D. General-Family Practice
Prouet, Philippe E., II, MD Oncology
Rami, Cheramie W., FNP Advanced Dep Practitioner
Rees, Stephen G., Sr., M.D. Physical Medicine/Rehab.
Robichaux, Judy, PNP Advanced Dep Practitioner
Rogers, Decolia R., AGACNP Advanced Dep Practitioner
Romero, Brena E., AGACNP Advanced Dep Practitioner
Saccaro, Steven J., MD Oncology
Sager, Kristen W., MD Oncology
Schmitz, Marcus P., M.D. Neurosurgery
Schutte, John P., MD Orthopedic Surgery
Sheffield, Sommer S., PA Advanced Dep Practitioner
Skrasek, Jimmy W., M.D. Obstetrics/Gynecology
Smith, Karen R., MD Internal Medicine
Snow, Angela D., MD Internal Medicine
Stonicher, Katie M., FNP Advanced Dep Practitioner
Taylor, Michelle M., MD General-Family Practice
Tedesco, Victor E., IV, M.D. Cardiovascular Surgery
Terro, Jeremy L., AGACNP Advanced Dep Practitioner
Thomas, Courtney L., NNP Advanced Dep Practitioner
Thomas, Molly B., MD Oncology
Voitier, Thomas L., II, M.D. Internal Medicine
Walton, Blaine T., M.D. Orthopedic Surgery
Wattigny, Amber R., AGACNP Advanced Dep Practitioner
Weber, Kira V., AGACNP Advanced Dep Practitioner
West, Kellie D., FNP Advanced Dep Practitioner
White, Jacqueline, FNP Advanced Dep Practitioner
Yerger, Scott, M.D. Orthopedic Surgery
Page 12 of 34 Financial Assistance Policy
EXHIBIT B
The Financial Assistance Policy does NOT cover the Emergency Treatment and Medically Necessary Care
performed at Hospital’s facility by the following physicians and other providers:
Name Specialty
Coolidge Emergency Physicians
Ambassador Emergency Group
Abraham, Shema, MD Internal Medicine
Abshire, Stephen G., M.D. Gastroenterology
Accousti, William K., M.D. Pediatric Orthopedic Surgery
Acosta, Joseph A., MD Neurology
Adams, Angela R., M.D. Emergency Medicine
Adams, Brian C., M.D. Emergency Medicine
Adams, Kentry S., CRNA Advanced Dep Practitioner
Africk, Diane K., M.D. Pediatric Neurology
Agarwal, Nayan, MD Cardiology
Ahluwalia, Jatinder P., MD Gastroenterology
Ahuja, Brian J., MD Neurology
Akamiro, Ezinne I., M.D. Internal Medicine
Alam, Irfan, MD Gastroenterology
Alano, Maria A., MD Pediatrics
Albritton, Courtney B., FNP Advanced Dep Practitioner
Alemany, Fernando, MD Internal Medicine
Alexander, Lisa B., FNP Advanced Dep Practitioner
Ali, Rehan Z., M.D. Cardiology
Ali, Shaawn B., DO General-Family Practice
Alldredge, John W., MD Otorhinolaryngology
Alleyn, Amanda L., MD Obstetrics/Gynecology
Allie, David E., MD Cardiovascular Surgery
Ally, MP, Glenn A., PhD Psychology
Altamirano, John-Mario W., FNP Advanced Dep Practitioner
Altmann, Lisa D., MD Pathology
Amin, Amit N., M.D. Cardiology
Amusa, Iradat A., M.D. Internal Medicine
Anderson, Billy R., CRNA Advanced Dep Practitioner
Anderson, Dominique B., FNP Advanced Dep Practitioner
Page 13 of 34 Financial Assistance Policy
Anderson, John F., MD Radiation Oncology
Anderson, Meighan G., MD General-Family Practice
Anderson, William L., FNP Advanced Dep Practitioner
Andries, Martha R., ANP Advanced Dep Practitioner
Antill, Troy W., MD Internal Medicine
Arceneaux, Stephanie P., ANP Advanced Dep Practitioner
Arceri, Caroline E., PMHNP Advanced Dep Practitioner
Arterburn, James N., MD Gastroenterology
Ashkar, MD, MPH, ScD, Ziad M.,
M.D.
Nephrology
Atwi, Jibran E., MD Pediatrics
Ausef, Amir H., MD Internal Medicine
Autin, Robert L., M.D. General Surgery
Aviner, Zvi, M.D. Ophthalmology
Awotwi, Joseph D., M.D. Emergency Med (Pediatric)
Ayalloore, Siby G., MD Cardiology
Azar, Paul J., Jr., MD Ophthalmology
Bacon, Lauren N., AGACNP Advanced Dep Practitioner
Bacque, Frank R., MD Urology
Bailey, Brian, MD Pediatrics
Bandaru, Kiranmai, MD Pediatrics
Bandaru, Ravali, MD Pediatrics
Baquet, B. Todd, M.D. Endocrinology
Bares, George J., MD Pediatrics
Barnett, Claire C., PA Advanced Dep Practitioner
Baronne, Lon M., DPM Podiatry
Barre, Gregg M., MD Pathology
Barrilleaux, P. Scott, MD Maternal-Fetal Medicine
Barrios, Dave J., III, MD General Surgery
Barry, Rachel A., MD Otorhinolaryngology
Barry, Robin J., M.D. Otorhinolaryngology
Baumbouree, Derek B., MD Pediatrics
Bearb, Ashley L., FNP Advanced Dep Practitioner
Beck, Christopher J., M.D. Radiology
Beck, John L., M.D. Radiology
Belgodere, Jorge R., MD Internal Medicine
Berard, Michael, PhD Psychology
Page 14 of 34 Financial Assistance Policy
Bertuccini, Thomas V., M.D. Neurosurgery
Beslin, Maria T., MD Pediatrics
Bhanushali, Reshma A., MD Internal Medicine
Bienvenu, James C., MD Gastroenterology
Bienvenu, Melanie M., M.D. Gastroenterology
Black-Turner, Jeneen A., FNP Advanced Dep Practitioner
Blalock, Anthony P., MD Nephrology
Blanchette, Quinten M., CRNA Advanced Dep Practitioner
Blem, Robert I., MD Ophthalmology
Bond, Thomas K., MD General-Family Practice
Boos, Michael W., Jr., MD Gynecology
Bordelon, Jacob S., PA Advanced Dep Practitioner
Bordelon, Rebekah J., PA Advanced Dep Practitioner
Borissov, Mihail V., MD Internal Medicine
Boudreaux, Matthew B., MD Colon and Rectal Surgery
Bourgeois, Richard J., M.D. Ophthalmology
Bourque, Daniel R., M.D. Obstetrics/Gynecology
Bourque, Jason D., M.D. Urology
Bourque, Thad A., M.D. Urology
Bowers, Seth J., PMHNP Advanced Dep Practitioner
Boyer, Jeremy J., CRNA Advanced Dep Practitioner
Bozner, Peter, MD Pathology
Brabham, Roy F., Jr., M.D. Hyperbaric Medicine
Bramlet, Charles E., Jr., MD Psychiatry
Breaux, Carl J., DDS General Dentistry
Breaux, Edward F., M.D. Urology
Breaux, Jacob L., M.D. Gastroenterology
Breaux, Jason A., MD Surgical Oncology
Breaux, Jason P., CRNA Advanced Dep Practitioner
Breaux, Rachel A., MD Emergency Medicine
Brierre, Joseph E., M.D. Oncology
Broussard, Alan P., M.D. General-Family Practice
Broussard, Andre P., M.D. Urology
Broussard, Brad A., M.D. Pulmonary Medicine
Broussard, Cammie M., FNP Advanced Dep Practitioner
Broussard, Catherine B., MD Pediatrics
Broussard, Joan T., ACNP Advanced Dep Practitioner
Page 15 of 34 Financial Assistance Policy
Broussard, Julie G., MD Anesthesiology
Broussard, Richard K., MD Gastroenterology
Brown, Jeff S., MD General-Family Practice
Brown, W. Dwayne, MD Pulmonary Medicine
Brubaker, Kayla R., CRNA Advanced Dep Practitioner
Bruno, Arelis F., M.D. Obstetrics/Gynecology
Bruno, Carlos A., MD Pediatrics
Bryan, Mary M., FNP Advanced Dep Practitioner
Bryant, Deborah O., PA-C Advanced Dep Practitioner
Bryce, Thomas J., MD Radiology
Bui, Allen T., M.D. Peripheral Vascular Surgery
Burgin, David R., M.D. Anesthesiology
Burlison, Russell D., MD Obstetrics/Gynecology
Burns, Susan O., ACNP Advanced Dep Practitioner
Burugu, Shivakanth, M.D. Nephrology
Butcher, Lauren B., FNP Advanced Dep Practitioner
Caillet, Frank C., M.D. Obstetrics/Gynecology
Cain, Michael S., MD Oncology
Callerame, Kevin J., MD Neurology
Camilo, Osvaldo A., MD Neurology
Cannizzaro, Louis A., MD Neurology
Cannon, Aundria H., WHNP Advanced Dep Practitioner
Cardinale, Francis J., M.D. Obstetrics/Gynecology
Cardinale, Mario L., M.D. Obstetrics/Gynecology
Carlin, Drew P., CRNA Advanced Dep Practitioner
Carney, Joel, MD Pathology
Carpenter, Shaun R., MD Hyperbaric Medicine
Carriere, Casey B., CRNA Advanced Dep Practitioner
Carroll, Daniel J., M.D. General Surgery
Carter, Jacqueline, M.D. Neurology
Castro, Julio E., MD Internal Medicine
Cestia, Wayne B., M.D. General-Family Practice
Chachere, Danny M., II, MD Neurology
Chachere, Katherine J., CRNA Advanced Dep Practitioner
Champagne, Bradley P., MD Colon and Rectal Surgery
Champagne, Kenneth J., MD Colon and Rectal Surgery
Chandler, Clay S., M.D. Oral Surgery
Page 16 of 34 Financial Assistance Policy
Chapman, John C., MD Dermatology
Chappuis, Cameron C., CRNA Advanced Dep Practitioner
Charlie, Emily R., DO Internal Medicine
Chassaignac, Jeannette M., M.D. Urology
Chastant, Bradley J., M.D. Otorhinolaryngology
Chastant, Ryan P., M.D. Otorhinolaryngology
Chauffe, Ann D., DO Rheumatology
Chauffe, Ryan J., DO Cardiology
Cheeran, Bose D., MD Cardiology
Chehebar, Daniel M., DO Neurology
Chemtob, Josef, MD Internal Medicine
Chen, Jonathan H., MD Neurology
Chen, Yu-Cheng J., MD Cardiology
Chennamsetty, Sai S., MD Internal Medicine
Chokhawala, Himanshu H., MD Neurology
Chrestman, Reuben L., III, MD Radiology
Christrup, Kenneth W., M.D. Obstetrics/Gynecology
Chu, Kimberly, FNP Advanced Dep Practitioner
Ciccotto, Giuseppe, M.D. Neurology
Clark, Kimberly R., FNP Advanced Dep Practitioner
Clark, Roderick V., M.D. Nephrology
Clark, Stuart G., V, MD Pediatrics
Cobb, Kelly L., MD Internal Medicine
Coco, Marshall Q., ANP Advanced Dep Practitioner
Coleman, Stephen C., DO Obstetrics/Gynecology
Collins, Andrew D., MD Allergy
Colomb, Keith A., MD, MD General Surgery
Conde, Juliet R., MD Internal Medicine
Consoer, Monique F., ANP Advanced Dep Practitioner
Conway, Susan C., MD Gynecology
Corbello, Elizabeth A., PA-C Advanced Dep Practitioner
Cordova, Jaime M., M.D. Internal Medicine
Coreil, E. Kemp, MD Internal Medicine
Coreil, Virginia B., MD Pediatrics
Cormier, Robert N., CRNA Advanced Dep Practitioner
Cormier, Samantha M., CRNA Advanced Dep Practitioner
Cortez, Matthew, MD Neonatology
Page 17 of 34 Financial Assistance Policy
Cothern, William R., MD Emergency Medicine
Courville, Kevin A., MD Cardiology
Crackower, Sydney H. B., MD General-Family Practice
Crittendon, Ivory, III, M.D. Pediatric Cardiology
Cudihy, Damon T., MD Obstetrics/Gynecology
Culotta, Frank J., Jr., M.D. Ophthalmology
Curry, Karen G., M.D. Internal Medicine
Dabadie, Virginia G., CRNA Advanced Dep Practitioner
Daigle, Ronald J., M.D. Dermatology
Daigle, Wayne P., MD Obstetrics/Gynecology
Dailey, Alexis, CRNA Advanced Dep Practitioner
Dairo, Dokun, M.D. Internal Medicine
Daly, David D., Jr., MD Cardiology
Darbonne, Sabrina L., WHNP Advanced Dep Practitioner
Darouse, Sarah B., FNP Advanced Dep Practitioner
Dartez, Denny J., MD Radiology
Dauterive, Matthew E., M.D. Pulmonary Medicine
David, Lisa B., MD Otorhinolaryngology
Davis, D’Andra J., M.D. Anesthesiology
Dawes, David S., M.D. Psychiatry
Dawson, Mark H., M.D. General-Family Practice
Del Toro, Federico, M.D. Internal Medicine
Del Toro, Kamill R., MD Pediatric Cardiology
DeLand, M. Maitland, MD Radiation Oncology
Dennis, Katie A., MD Internal Medicine
Deranger, Carl S., CRNA Advanced Dep Practitioner
Deshotels, Jacqueline J., FNP Advanced Dep Practitioner
DesOrmeaux, Matthew K., CRNA Advanced Dep Practitioner
Detraz, Deirdre I., ANP Advanced Dep Practitioner
Dibbs, Paul K., MD Maternal-Fetal Medicine
Dickens, Nicole L., MD Psychiatry
Dill, Anne L., FPMHNP Advanced Dep Practitioner
Dobbs, James C., MD Cardiology
Doga, Benjamin N., MD General-Family Practice
Doize, Ross M., MD Internal Medicine
Domingue, Cal A., PA-C Advanced Dep Practitioner
Domingue, Daniel J., DDS General Dentistry
Page 18 of 34 Financial Assistance Policy
Domingue, James N., MD Neurology
Donepudi, Sandhya C., M.D. Cardiology
Doucet, Karla M., MD Anesthesiology
Doucet, Maria M., M.D. Otorhinolaryngology
Dowden, Bradley R., MD Internal Medicine
Doyle, Todd D., M.D. Emergency Medicine
Drennan, Robert H., M.D. Cardiology
Ducote, Lester L., Jr., MD Cardiology
Dugal, John C., Sr., M.D. General-Family Practice
Dugas, Amanda K., FNP Advanced Dep Practitioner
Dugas, Denise C., FNP Advanced Dep Practitioner
Duhon, Daniel J., M.D. Pathology
Duhon, Erin H., PA Advanced Dep Practitioner
Duhon, Kristin L., PA Advanced Dep Practitioner
Duhon, Nathaniel R., MD Anesthesiology
Duhon, Neal J., MD General-Family Practice
Dunaway, Lige F., DDS General Dentistry
Dunn, Lauren E., MD Neurology
Duplechain, Gregory, MD Otorhinolaryngology
Duplechain, J. Kevin, M.D. Otorhinolaryngology
Duplechin, Rochelle Y., MD Emergency Medicine
Durel, Jason J., M.D. Otorhinolaryngology
Durel, Rachel A., DDS General Dentistry
Duval, Michael J., M.D. Orthopedic Surgery
Eason, Morgan A., PA-C Advanced Dep Practitioner
Edavettal, John M., M.D. Cardiology
Ehsan, Kian, M.D. Cardiology
Eikel, Henry D., MD Pediatrics
Eiser, John W., DO Radiology
Eldredge, Brytton B., M.D. Otorhinolaryngology
Elias, Darryl J., Jr., MD Obstetrics/Gynecology
Elias, Eric P., MD Obstetrics/Gynecology
Ellis, Mark F., DPM Podiatry
ElSayed, Nadia M., ANP Advanced Dep Practitioner
Eschete, Dennis J., Jr., M.D. General Surgery
Estapa, Amanda H., ACNP Advanced Dep Practitioner
Fail, Peter S., M.D. Cardiology
Page 19 of 34 Financial Assistance Policy
Farooki, Aamer Z., MD Radiology
Faugot, Allison C., M.D. Pediatrics
Faul, Robert K., M.D. Anesthesiology
Faul, Timothy D., MD Anesthesiology
Felberg, Robert A., MD Neurology
Fernandez, Ralph J., Jr, MD Gynecology
Feucht, Richard B., II, MD General-Family Practice
Figueroa, Glenn R., MD Internal Medicine
Fitton, Natalie Y., MD Radiology
Fogleman, Lance P., MD Emergency Medicine
Fontenot, Angela H., FNP Advanced Dep Practitioner
Fontenot, Benjamin P., CRNA Advanced Dep Practitioner
Fontenot, Christopher P., M.D. Urology
Fontenot, Eric P., M.D. Internal Medicine
Fontenot, Justin W., MD Endocrinology
Fontenot, Kerwin J., MD Anesthesiology
Fontenot, Mary A., CRNA Advanced Dep Practitioner
Fontenot, Matthew S., MD Internal Medicine
Fontenot, Tamera L., FNP Advanced Dep Practitioner
Foreman, David J., M.D. Otorhinolaryngology
Foreman, Julie L., M.D. Ophthalmology
Foreman, Michael D., M.D. Obstetrics/Gynecology
Forest, Thomas J., M.D. Pediatric Urology
Foster, Breigh L., M.D. Obstetrics/Gynecology
Foster, Suzanne P., MD Pediatrics
Fournet, Byron K., Jr., ANP Advanced Dep Practitioner
Frederick, Louise D., CNS Advanced Dep Practitioner
Fremaux, Richard L., M.D. Radiology
Fruge, Bernard C., Jr., M.D. Allergy
Frye, Jacqueline H., FNP Advanced Dep Practitioner
Fuller, George H., Jr., M.D. Obstetrics/Gynecology
Funderburk, Candace M., CRNA Advanced Dep Practitioner
Fuselier, John L., M.D. Obstetrics/Gynecology
Gachassin, Philip, MD General Surgery
Gad, Sarwat M., M.D. Psychiatry
Gadi, Venkata Satish, MD Cardiology
Gadivemula, Jaya R., MD Internal Medicine
Page 20 of 34 Financial Assistance Policy
Gaffga, Christopher M., MD Otorhinolaryngology
Gagnard, Yeney, PA Advanced Dep Practitioner
Gannon, Joe M., M.D. Ophthalmology
Garbutt, Mark G., MD Internal Medicine
Garcelon, James S., M.D. General Surgery
Garcia, Anna E., FNP Advanced Dep Practitioner
Garrett, Deiadra J., MD Pediatric General Surgery
Gary, Blake J., CRNA Advanced Dep Practitioner
Gates, Trevor A., FNP Advanced Dep Practitioner
Gauthreaux, Scott T., M.D. Ophthalmology
Ghanami, Racheed J., M.D. Peripheral Vascular Surgery
Giddings, Adam P., M.D. Emergency Medicine
Gidman, G. Gregory, MD Orthopedic Surgery
Gillespie, Joseph T., MD Pain Management
Giuffreda, Leonard J., III, MD Emergency Medicine
Godeaux, Kenneth B., MD Emergency Medicine
Going, Libby L., M.D. General-Family Practice
Golla, Karen L., FNP Advanced Dep Practitioner
Gombos, Zoltan, M.D. Pathology
Gonzales, Douglas M., Jr., MD Pediatrics
Gonzales, Joseph A., MD Pediatric Orthopedic Surgery
Goodyear, Lindsey R., FNP Advanced Dep Practitioner
Granger, Harold J., MD Orthopedic Surgery
Grant, S. Reyna, MD Pediatrics
Graul, Edward E., Jr., M.D. Ophthalmology
Greco, Leslie K., DO Hyperbaric Medicine
Green, Carolyn F., M.D. Emergency Med (Pediatric)
Griffin, Michael T., PA-C Advanced Dep Practitioner
Grizzaffi, Jeffery R., DPM Podiatry
Guedon, Duncan F., M.D. Obstetrics/Gynecology
Guedry, Christopher J., MD Psychiatry
Guidry, Dexter P., II, CRNA Advanced Dep Practitioner
Guidry, Fallon S., WHNP Advanced Dep Practitioner
Guidry, G. Gary, MD Pulmonary Medicine
Guidry, Joelle E., CRNA Advanced Dep Practitioner
Guillet, Julie D., PA Advanced Dep Practitioner
Guillory, Rachael L., MD Radiology
Page 21 of 34 Financial Assistance Policy
Guillory, Stephanie S., ANP Advanced Dep Practitioner
Guillot, Jamie A., FNP Advanced Dep Practitioner
Guillot, Luke G., M.D. Emergency Medicine
Guillot, Trish H., CRNA Advanced Dep Practitioner
Gupta, Akshey K., M.D. Nephrology
Gupta, Maneesh K., M.D. Gastroenterology
Gupta-Desai, Anu P., M.D. Ophthalmology
Gutierrez, Albert M., MD Pediatric Cardiology
Haddad, Heather L., M.D. Radiology
Hall, Frederick D., III, M.D. Ophthalmology
Hamilton, Scott A., MD Emergency Med (Pediatric)
Hanna, Magdy M., MD Cardiology
Hardee, Angela L., FNP Advanced Dep Practitioner
Harding, Kimberly P., PA Advanced Dep Practitioner
Harlin, Daniel C., MD Radiology
Harmon, Ernest K., DDS General Dentistry
Harper, Nicole P., MD Obstetrics/Gynecology
Harrington, Deedra H., ACNP Advanced Dep Practitioner
Harrington, Melisa G., MD Nephrology
Harwood, Andrew R., M.D. Radiation Oncology
Hawes, Truman P., Jr., MD Obstetrics/Gynecology
Hayes, Amanda J., ANP Advanced Dep Practitioner
Hayes, Chris S., MD General-Family Practice
Hayes, Eric A., MD Obstetrics/Gynecology
Heard, Michel E., Jr., MD Anesthesiology
Hebert, Britni F., M.D. Internal Medicine
Hebert, Christopher K., MD Orthopedic Surgery
Hebert, Melissa D., MD Pediatrics
Hebert, Stuart C., M.D. Radiology
Hebert-Hunter, Madelyn A., FNP Advanced Dep Practitioner
Hemsell, Erin B., MD Obstetrics/Gynecology
Henderson, Darrell L., M.D. Plastic Surgery
Hendry, John A., DDS Pedodontics
Herfel, Barbara M., M.D. Pathology
Herpich, Byron K., MD Internal Medicine
Herrington, A’Dair W., M.D. Obstetrics/Gynecology
Herrington, Christopher P., M.D. Gastroenterology
Page 22 of 34 Financial Assistance Policy
Herrington, J. Patrick, MD Gastroenterology
Higginbotham, John, MD Nephrology
Hill, Jill C., FNP Advanced Dep Practitioner
Hill, Lewis W., Jr, M.D. Obstetrics/Gynecology
Hines, Richard A., Jr., MD General-Family Practice
Hlavacek, James D., III, MD Orthopedic Surgery
Hoang, Vivian, MD Neurology
Hodges, Daniel L., MD Physical Medicine/Rehab.
Hodges, Precious J., ACNP Advanced Dep Practitioner
Holmes, Antonina B., DDS General Dentistry
Honeybrook, Adam L., M.D. Otorhinolaryngology
Hoover, Stanley T., M.D. General-Family Practice
Horaist, Michael F., MD Colon and Rectal Surgery
Horton, James R., M.D. Radiology
Howell, Richard J., II, CRNA Advanced Dep Practitioner
Humble, Stephanie L., MD Emergency Medicine
Hummel, Stefanie M., PA Advanced Dep Practitioner
Hunt, Rebecca Z., ANP Advanced Dep Practitioner
Hunter, Anita L., FNP Advanced Dep Practitioner
Huval, Farrah R., MD Pediatrics
Hymel, Suzanne M., NNP Advanced Dep Practitioner
Ibrahim, Mian A., MD Radiology
Ingraldi, Agostino, MD Cardiology
Istre, Joshua M., CRNA Advanced Dep Practitioner
Iwuchukwu, Ifeanyi O., MD Neurology
Jabbar, Ahmad Y., MD Cardiology
Jackson, Crystal B., MD Anesthesiology
Jackson, Paul M., M.D. Radiology
Jaikishen, Jay P., MD Internal Medicine
Jalili, Firooz, M.D. Pediatric Gastroenterology
Jameel, Shahed M., M.D. Internal Medicine
James, Lauren B., FNP Advanced Dep Practitioner
Janani, Crystal S., MD Neurology
Janga, Karunasri, MD Pediatrics
Janumpally, Krishna C., MD Pediatrics
Jarrell, William S., CRNA Advanced Dep Practitioner
Jeansonne, Crystal W., FNP Advanced Dep Practitioner
Page 23 of 34 Financial Assistance Policy
Jenkins, Patsy M., FNP Advanced Dep Practitioner
Jenkins, Ronald A., M.D. Internal Medicine
Jhaveri, Preeti, MD Obstetrics/Gynecology
Johnson, Jeffrey L., CRNA Advanced Dep Practitioner
Johnson, Michael B., M.D. Emergency Medicine
Johnson, Shanna R., FNP Advanced Dep Practitioner
Jones, Nathan D., CRNA Advanced Dep Practitioner
Joseph, Bina E., MD Allergy
Joseph, Jamie P., MD Radiology
Joseph, Jeffrey J., MD Otorhinolaryngology
Joseph, Jonathan M., MD Ophthalmology
Juneau, Patrick A., III, M.D. Neurosurgery
Karim, Wael A., MD Neurology
Karpan, Daniel J., CRNA Advanced Dep Practitioner
Karr, Jacob R., MD Gastroenterology
Kasindula, Ramakrishna, M.D. Pediatrics
Kassarjian, Ara, M.D. Radiology
Kaufman, Henry J., IV, MD Surgical Oncology
Keaty, William A., DDS Pedodontics
Keeler, Timothy D., MD Obstetrics/Gynecology
Kelley, Brian W., M.D. Oral Surgery
Kenney, Kayla H., FNP Advanced Dep Practitioner
Keys, Timothy C., M.D. Pulmonary Medicine
Kgoadi, Collins T., PA Advanced Dep Practitioner
Khan, Asma, M.D. Emergency Medicine
Khan, Mohammad H., M.D. Radiology
Khorsandi, Jahanyar, MD General-Family Practice
King, Garth T., MD Internal Medicine
King, Mika M., MD Obstetrics/Gynecology
Kitakule, Moses M., M.D. Pulmonary Medicine
Kleinmahon, Jake A., MD Pediatric Cardiology
Korab, Mazen S., MD Pediatrics
Kordisch, Foster C., III, M.D. Emergency Medicine
Kowalski, Joseph M., M.D. Cardiology
Krawczyk, Julian J., M.D. Radiation Oncology
Laborde, Kenneth J., M.D. General Surgery
Lacour, Aleisha S., CRNA Advanced Dep Practitioner
Page 24 of 34 Financial Assistance Policy
Lacour, Allen J., MD Radiology
LaCour, Keith J., M.D. Radiology
Lafleur, Colby P., CRNA Advanced Dep Practitioner
LaFleur, Naomie R., FNP Advanced Dep Practitioner
LaGraize, Christopher E., MD Peripheral Vascular Surgery
LaGraize, Tami T., MD Geriatrics
Lagrange, Brandon J., CRNA Advanced Dep Practitioner
LaHaye, Leon C., M.D. Ophthalmology
Lalonde, Chrissy V., MD Pathology
Lamarche, Maximo B., M.D. Nephrology
Landes, Joshua S., MD General Surgery
Landreneau, N. Paul, Jr., MD General-Family Practice
Landry, Christopher C., M.D. Internal Medicine
Landry, Cynthia K., ANP Advanced Dep Practitioner
Landry, Jacob E., M.D. General Surgery
Landry, Matt J., ANP Advanced Dep Practitioner
Landry, Nathan K., MD General-Family Practice
Laperouse, Patrick A., MD Gastroenterology
Lara, Diego A., MD Pediatric Cardiology
Lasseigne, Kevin J., Jr., MD Physical Medicine/Rehab.
Lastrapes, Deborah D., MD Pathology
Lauchner, Corey G., FNP Advanced Dep Practitioner
Laurente, Sarah U., MD Pediatrics
Lavergne, Kyle G., FNP Advanced Dep Practitioner
Lavergne, Nicole M., FNP Advanced Dep Practitioner
Lawrence, Christopher D., MD Emergency Medicine
Lazaro, Ladislas, IV, M.D. Rheumatology
Le Gros, Jimmy, III, CFNP Advanced Dep Practitioner
Le, Chuong M., MD Neurology
LeBean, Bryan A., Sr., M.D. Internal Medicine
LeBlanc, Julie H., CRNA Advanced Dep Practitioner
LeBlanc, Ken S., DDS General Dentistry
LeBlanc, Kirk S., MD Ophthalmology
Leblanc, Robert D., Jr., MD Orthopedic Surgery
LeBlanc, Selleck T., CRNA Advanced Dep Practitioner
LeBlanc, Yvette L., CRNA Advanced Dep Practitioner
Lebron-Berges, Alfonso J., M.D. Nephrology
Page 25 of 34 Financial Assistance Policy
LeCorgne, Lyle L., PhD Psychology
Lee, Bobby J., MD Emergency Medicine
Lee, Laurie T., ANP Advanced Dep Practitioner
Lege, Justin T., FNP Advanced Dep Practitioner
Leger, Jason C., FNP Advanced Dep Practitioner
Lejeune, Geneva M., M.D. Pediatrics
Leleux, Jon D., M.D. Cardiology
Lenahan, Christy L., FNP Advanced Dep Practitioner
Lenox, Staci G., PhD Psychology
Leonards, Nicholas J., MD Emergency Medicine
Leoni, Rick R., II, MD Ophthalmology
Leoni, Toni B., MD Pediatrics
Levy, Richard A., CRNA Advanced Dep Practitioner
Lewis, Deron J., CRNA Advanced Dep Practitioner
Liles, Rein T., FNP Advanced Dep Practitioner
Lim, Susana Q., M.D. Pediatrics
Lindemann, Wayne T., M.D. Physical Medicine/Rehab.
Lindle, Katherine A., M.D. Pediatric Cardiology
Lindsay, John K., M.D. Cardiology
Lipstate, James M., MD Rheumatology
Little, Katherine H., PMHNP Advanced Dep Practitioner
Littlefield, Amber P., CNP Advanced Dep Practitioner
Liu, Michael K., MD Nephrology
Lodha, Ankur, M.D. Cardiology
Logue, Amanda C., MD Internal Medicine
Lopez, Kacey B., PA-C Advanced Dep Practitioner
Louis, Charles H., MD Internal Medicine
Louviere, Kate M., FPMHNP Advanced Dep Practitioner
Lowe, Sara, PA Advanced Dep Practitioner
Lucas, Victor W., Jr, MD Pediatric Cardiology
Luent-Sonnier, Nicole M., CRNA Advanced Dep Practitioner
Lugo, Fabian, M.D. Neurology
Luke, Deedee C., M.D. General-Family Practice
Luke, John B., III, M.D. Peripheral Vascular Surgery
Luke, Lauren F., MD General-Family Practice
Lyons, Edward P., MD Internal Medicine
Magay, Yelena A., FNP Advanced Dep Practitioner
Page 26 of 34 Financial Assistance Policy
Malek, Fadi Y., M.D. Pulmonary Medicine
Malin, Jennifer K., MD Rheumatology
Mallett, Debra T., CRNA Advanced Dep Practitioner
Mallett, John S., CRNA Advanced Dep Practitioner
Mampilly, George A., M.D. Pain Management
Maness, Mandy R., MD General Surgery
Mannina-Williams, Morgan A., PA Advanced Dep Practitioner
Manthena, Himani Reddy, MD Internal Medicine
Manuel, Chad B., MD General-Family Practice
Manuel, Francine A., M.D. General-Family Practice
Manuel, Mary M., PA-C Advanced Dep Practitioner
Manuel, Powlin V., MD Allergy
Maraist, David V., Jr., DPM Podiatry
Marcantel, Kara B., MD Radiology
Martin, Troy M., MD General-Family Practice
Massey, Eric M., MD Anesthesiology
Massey, Greta H., MD Emergency Medicine
Matt, Christopher J., M.D. Internal Medicine
Mawri, Sagger H., M.D. Cardiology
May, Wade B., MD Cardiology
Mayers, Scott D., MD Psychiatry
McCormic, Laurie K., MD Anesthesiology
McFarlain, Andrew R., CRNA Advanced Dep Practitioner
McGrade, Harold C., MD Neurology
McManus, David W., MD Emergency Medicine
McManus, Fallon S., MD General-Family Practice
Meaux, Rachelle, MD Obstetrics/Gynecology
Meaux, Tiffany L., PMHNP Advanced Dep Practitioner
Meche, Jedediah D., FNP Advanced Dep Practitioner
Medlin, Nicole M., NNP Advanced Dep Practitioner
Melancon, Charles D., PA-C Advanced Dep Practitioner
Melancon, Elizabeth M., MD Pediatrics
Melvin, Ross R., DO Cardiology
Menard, Darrin D., MD General-Family Practice
Menuet, Lisa M., MD Psychiatry
Menuet, Robert L., II, MD Cardiology
Mickey, John J., M.D. Cardiology
Page 27 of 34 Financial Assistance Policy
Miedecke, Susan H., FNP Advanced Dep Practitioner
Mier, Melanie M., MD Internal Medicine
Miller, S. Troy, DDS Pedodontics
Mire, Geoffrey A., MD General-Family Practice
Mire, L. Glen, MD General-Family Practice
Mire, Tori M., PMHNP Advanced Dep Practitioner
Mitchell, Jamila A., DDS General Dentistry
Mitchell, Paula A., FNP Advanced Dep Practitioner
Mixon, Keely N., PA-C Advanced Dep Practitioner
Mogabgab, Owen N., M.D. Cardiology
Molbert, Brandy L., FNP Advanced Dep Practitioner
Monteilh, Monique M., M.D. Obstetrics/Gynecology
Montet, Marcus A., FNP Advanced Dep Practitioner
Montgomery, Denbo H., MD Otorhinolaryngology
Montgomery, Thomas J., MD Orthopedic Surgery
Moody, Kelsey K., DO Emergency Medicine
Moore, Patrick D., MD General-Family Practice
Mora, Michelle M., DO Neurology
Moses, Donald G., MD Pathology
Mosier, Willard W., Jr., MD General Surgery
Mouledoux, Jessica H., MD Pediatric Cardiology
Mulder, Theodorus J., MD Pediatric Cardiology
Muldowny, David S., MD Orthopedic Surgery
Mullen, William C., M.D. Radiology
Munshi, Ilyas, MD Neurosurgery
Musumeche, Adrienne R., MD Pediatrics
Myers, Elliot J., FNP Advanced Dep Practitioner
Myers, Melanie L., PA Advanced Dep Practitioner
Naeem, Uzma F., M.D. Obstetrics/Gynecology
Nagendran, Krishna, M.D. Cardiology
Nagendran, Manikandan, M.D. Internal Medicine
Naidu, Durga P., MD Pediatric Cardiology
Naquin, Lauren B., ANP Advanced Dep Practitioner
Navarre, Sarah E., FNP Advanced Dep Practitioner
Neumann, Duane E., MD Maternal-Fetal Medicine
Neusetzer, Scott M., M.D. Urology
Nicklas, Alicia F., FNP Advanced Dep Practitioner
Page 28 of 34 Financial Assistance Policy
Noel, Jacque F., III, MD Gastroenterology
Noel, Phillip E., MD Otorhinolaryngology
Noriega, James A., Jr, DPM Podiatry
Novak, Christopher E., M.D. Internal Medicine
O’Neal, James W., IV, MD General Surgery
O’Neal, Kenneth, MD Internal Medicine
O’Quin, Jacob M., PA Advanced Dep Practitioner
Oats, Sylvia M., ANP Advanced Dep Practitioner
Ogden, Moira L., MD Internal Medicine
Oge, Linda K., MD General-Family Practice
Okechukwu, Vitalis C., M.D. Infectious Diseases
Oliver, Noah G., DPM Podiatry
Olivier, Joseph R., CRNA Advanced Dep Practitioner
Omoregbee, Edugie V., DPM Podiatry
Ovella, Ty A., MD Radiology
Overton, Tiameko J., WHNP Advanced Dep Practitioner
Owens, Justin M., M.D. Radiology
Padgett, Charles E., M.D. Obstetrics/Gynecology
Padgett, Stephen M., M.D. Obstetrics/Gynecology
Palfrey, Richard G., MD Anesthesiology
Panelli, Victoria E., MD Oncology
Panyanouvong, Vannasinh B., CRNA Advanced Dep Practitioner
Paredes, Juan R., M.D. General Surgery
Parker, Catrina A., FNP Advanced Dep Practitioner
Parsel, Lauren J., CRNA Advanced Dep Practitioner
Passos, Mary Q., CRNA Advanced Dep Practitioner
Patel, Amit N., M.D. Cardiology
Patel, Jay B., MD Internal Medicine
Patel, Jigar N., M.D. Radiology
Patel, Rajiv A., MD Internal Medicine
Patin, Nicholas C., CRNA Advanced Dep Practitioner
Patlola, Raghotham R., MD Cardiology
Pearce, James A., DDS General Dentistry
Pearson, Bryan S., DDS Periodontics
Peck, Trevor H., MD Anesthesiology
Peebles, Michael L., M.D. Emergency Medicine
Penton, Judson L., M.D. Orthopedic Surgery
Page 29 of 34 Financial Assistance Policy
Perdigao, Ana Maria, M.D. Radiology
Perdigao, Joseph A., M.D. Radiology
Perry, Adam T., M.D. Orthopedic Surgery
Person, Stephen M., M.D. Gastroenterology
Petrolia, Chelsea R., FNP Advanced Dep Practitioner
Petry, Jessica L., MD Internal Medicine
Phelps, Russell T., DO Obstetrics/Gynecology
Phillips-Savoy, Amanda R., MD General-Family Practice
Picard, Guy D., CRNA Advanced Dep Practitioner
Piccione, Richard J., MD Ophthalmology
Pike, Steven L., MD Peripheral Vascular Surgery
Pizzolato, Lindsi D., NP Advanced Dep Practitioner
Plaisance, Morgan S., FNP Advanced Dep Practitioner
Polk, Loretta F., FNP Advanced Dep Practitioner
Preis, Cynthia J., FNP Advanced Dep Practitioner
Prejean, Brandon M., PA Advanced Dep Practitioner
Prejean, Stella P., CNS Advanced Dep Practitioner
Prellop, Perri B., M.D. Radiation Oncology
Price, Stephen R., PA Advanced Dep Practitioner
Prouet, Emily M., M.D. Ophthalmology
Prudhomme, Matthew B., DO Emergency Medicine
Pugliese, Jennifer B., MD Obstetrics/Gynecology
Pumarol Castillo, Edgar, M.D. Internal Medicine
Quebedeaux, Timothy J., PA Advanced Dep Practitioner
Quincy, Richard E., Jr., MD Anesthesiology
Rabalais, M. Scott, MD Pediatrics
Ramirez-Astacio, Cesar A., M.D. Internal Medicine
Ramsey, Brent K., CRNA Advanced Dep Practitioner
Ramsey, Joshua C., CRNA Advanced Dep Practitioner
Rao, Ashwin P., M.D. Radiology
Redlich, Gillian C., MD Pathology
Reed, David A., MD Internal Medicine
Reed, Donald J., M.D. General-Family Practice
Rhinehart, Timothy A., FNP Advanced Dep Practitioner
Rhodes, John B., Jr., MD Gastroenterology
Richard, Arlene C., MD General-Family Practice
Ridgley, Kira L., PA Advanced Dep Practitioner
Page 30 of 34 Financial Assistance Policy
Riehl, Winston P., M.D. General-Family Practice
Riggs, Gregory S., MD Internal Medicine
Ritch, Ellen D., FNP Advanced Dep Practitioner
Robichaux, Michael S., FNP Advanced Dep Practitioner
Robin, Dena G., PA Advanced Dep Practitioner
Robinson, Darrell C., MD Obstetrics/Gynecology
Robles, Hector A., M.D. Internal Medicine
Rochon, Brent J., M.D. Cardiology
Rodts-Palenik, Sheryl, MD Maternal-Fetal Medicine
Romero, Ashley T., PA-C Advanced Dep Practitioner
Romero, Neil C., MD Orthopedic Surgery
Romero, Quentin D., MD Internal Medicine
Rossitter, Chad W., MD Nephrology
Rosson, Billy J., Jr., M.D. Pulmonary Medicine
Roth, William B., M.D. Urology
Rue, Byron T., CRNA Advanced Dep Practitioner
Ruiz, Fernando J., MD Cardiology
Rupe, Brad D., MD Anesthesiology
Rupley, Daniel G., MD Radiology
Russo, James K., II, M.D. Radiation Oncology
Ryan, Allie L., FNP Advanced Dep Practitioner
Ryder, Brad M., CRNA Advanced Dep Practitioner
Saad, Marc N., M.D. Cardiology
Sabbaghian-Hebert, M. S., MD General Surgery
Saeed, Ali M., MD Internal Medicine
Saenz, Rodrigo E., M.D. Radiology
Safavi, Kurosh A., M.D. Radiology
Saleh, Omar M., M.D. Internal Medicine
Salopek, Stephen R., M.D. Internal Medicine
Salvaggio, Louis A., M.D. Cardiology
Salvatierra, Erick A., MD Gastroenterology
Samii, Mark, M.D. General-Family Practice
Sanders, Brandt J., AGACNP Advanced Dep Practitioner
Sanders, Laterica L., FNP Advanced Dep Practitioner
Sanford, Curtis L., II, CRNA Advanced Dep Practitioner
Sasser, Charles G., MD Internal Medicine
Schaublin, Greg A., MD Neurology
Page 31 of 34 Financial Assistance Policy
Schlecht, Brooke R., MD Emergency Medicine
Schneider, Bruce A., DDS Oral Surgery
Schulze, Eric S., M.D. Radiology
Schunemeyer, Amy B., DPM Podiatry
Scimio, Maryam N., FNP Advanced Dep Practitioner
Scott, Walter I., III, M.D. Pediatrics
Sfondouris, John L., M.D. Radiology
Shaffett, Todd P., DNP Advanced Dep Practitioner
Sharma, Priyanka, MD Internal Medicine
Sharma, Sarita, MD Neonatology
Shepard, Bailey T., PA Advanced Dep Practitioner
Shipley, Kayla O., M.D. Emergency Medicine
Showalter, Josh A., MD Pathology
Shuffler, Samuel H., MD Urology
Shute, Creighton E., DO Emergency Medicine
Sibley, Bryan G., M.D. Pediatrics
Sicard, Colleen C., M.D. Pediatrics
Siddiqi, Saif H., M.D. Radiology
Sigue, Gerard F., MD Nephrology
Silva, Francisco J., MD General-Family Practice
Simar, Leah T., FNP Advanced Dep Practitioner
Simms, Lindsey S., PA Advanced Dep Practitioner
Simpson, Karen W., MD Pathology
Simpson, Stephen R., M.D. Cardiology
Singleton-Ben, Mia A., M.D. Emergency Med (Pediatric)
Smalling, William E., Jr., M.D. Neonatology
Smith, George R., DPM Podiatry
Smith, Ronni A., CRNA Advanced Dep Practitioner
Sobiesk, Angela G., FNP Advanced Dep Practitioner
Sobiesk, George A., DPM Podiatry
Solet, Darrell J., M.D. Cardiology
Spears, Katherine P., FPMHNP Advanced Dep Practitioner
Speeg, Jeremy S., M.D. Urology
Spurgeon, Kelly L., ANP Advanced Dep Practitioner
Srigiriraju, Hyndhavi, MD Pediatrics
Srivastava, Mohit, MD Internal Medicine
Stafford, John W., M.D. General-Family Practice
Page 32 of 34 Financial Assistance Policy
Staires, Steven K., M.D. Pain Management
Steinberg, Lon R., MD Neurology
Stephan, Mark T., MD Radiology
Stephenson, Jamie D., CPNP Advanced Dep Practitioner
Stewart, Norman C., MD Obstetrics/Gynecology
Stewart, Steven E., CRNA Advanced Dep Practitioner
Stone, Andrew M., MD Radiology
Storment, John M., MD Gynecology
Stubbs, Malcolm J., MD Orthopedic Surgery
Sugeng, Budi N., M.D. Pediatrics
Summers, Mary F., MD Ophthalmology
Sumrall, Stepheny B., AGACNP Advanced Dep Practitioner
Swan, Kevin R., MD Ophthalmology
Tadin, David M., M.D. Cardiology
Tainsh, Cynthia S., MD Neurology
Talahma, Murad M., M.D. Neurology
Tan, Kenneth T., M.D. Radiology
Tarsia, Joseph, III, M.D. Neurology
Tauzin, Kristin E., FNP Advanced Dep Practitioner
Taylor, Kimberly B., ANP Advanced Dep Practitioner
Thekkoott, Narayanan D., MD Cardiology
Theriot, Cory D., ACNP Advanced Dep Practitioner
Theriot, Jeanne D., MD General-Family Practice
Theriot, Matthew B., ACNP Advanced Dep Practitioner
Thibodaux, Emily R., PA Advanced Dep Practitioner
Thibodeaux, Jeffrey J., MD Urology
Thomas, Corwin A., DO Cardiology
Thomas, Patricia E., MD Pediatric Cardiology
Thomas, Timothy R., DDS General Dentistry
Thomassee, Eric J., MD Cardiology
Thomassee, May S., MD Gynecology
Thompson, Charles A., M.D. Cardiology
Thompson, Jonathan W., MD Radiation Oncology
Thompson, Shelly K., MD Pediatrics
Toler, Jeremy M., MD Pediatric Neurology
Torres, Jean-Carlo, M.D. Pediatrics
Toups, Lori L., MD Pediatrics
Page 33 of 34 Financial Assistance Policy
Trahan, Jason R., M.D. Otorhinolaryngology
Trahan, Jayme, M.D. Neurosurgery
Trahan, Katie C., FNP Advanced Dep Practitioner
Trahan, Maxie A., MD General Surgery
Trawick, Eric P., MD Gastroenterology
Tseng, Ian K., MD Radiology
Tujague, Laken C., CRNA Advanced Dep Practitioner
Tumma, Rajachendra S., MD Internal Medicine
Vaid, Rajesh R., MD Radiology
Valentino, Vernon A., MD Cardiology
Vallee, John P., M.D. Urology
Vallee, Monique P Dibbs, M.D. Emergency Med (Pediatric)
Vanderbrook, Richard C., Jr., MD Radiology
Vargas Estrada, Andres M., M.D. Cardiology
Vasireddy, Deepa, MD Pediatrics
Veeramachineni, Suguna, M.D. Internal Medicine
Veerina, Kalyan K., MD Cardiology
Verlander, Gregory E., MD Anesthesiology
Verlander, Leo D., MD Anesthesiology
Vicknair, Emily, FNP Advanced Dep Practitioner
Vidal, Gabriel A., MD Neurology
Villanueva, Juanito S., Jr., MD Radiology
Villien, Marc J., MD Anesthesiology
Villien, Richard P., MD Anesthesiology
Vizzi, Peter D., MD Orthopedic Surgery
Waguespack, Elaine M., FNP Advanced Dep Practitioner
Waheed, Salman, M.D. Cardiology
Walker, Craig M., M.D. Cardiology
Walker, James C., MD Otorhinolaryngology
Walker, Michael A., PA-C Advanced Dep Practitioner
Ward, Rachel J., FNP Advanced Dep Practitioner
Weaver, Sydney S., AGNP Advanced Dep Practitioner
Webb, Kelsey J., M.D. Obstetrics/Gynecology
Wei, Stephen C., M.D. Radiology
Weir, David L., M.D. Neurology
Welch, Patrick J., M.D. Cardiology
West, Donald W., M.D. Pathology
Page 34 of 34 Financial Assistance Policy
Wheat, James E., CRNA Advanced Dep Practitioner
White, James R., Jr., M.D. Otorhinolaryngology
White, Jonathan E., CRNA Advanced Dep Practitioner
White, Michael G., M.D. Pediatric Cardiology
Whitmore, Ashley L., PA Advanced Dep Practitioner
Whittington, Mathew J., MD Emergency Medicine
Williams, George R., M.D. Orthopedic Surgery
Williams, Matthew D., MD Orthopedic Surgery
Williams, Michael, M.D. General-Family Practice
Williams, Samantha L., ANP Advanced Dep Practitioner
Willis, John K., II, M.D. Pediatric Neurology
Wilt, Stephen R., M.D. Radiation Oncology
Wimberley, Alex G., CRNA Advanced Dep Practitioner
Wojak, Joan C., MD Neuroradiology
Woodruff, Seth M., FNP Advanced Dep Practitioner
Wortham, Roger L., M.D. Psychiatry
Wyble, Keiffer B., AGACNP Advanced Dep Practitioner
Yazdi, Masoud, M.D. Nephrology
Yellin, Joshua H., MD Radiology
Yellin, Steven D., MD Radiology
Yerasi, Srinivasa R., M.D. Pediatrics
Yoselevitz, Moises, M.D. Radiology
Young, Thomas W., MD Pediatric Cardiology
Zafar, Sarosh N., MD Plastic Surgery
Zaroban, Linsey M., CRNA Advanced Dep Practitioner
Zeik, Juan C., MD Nephrology
Zweifler, Richard M., MD Neurology