Case Study: Meridian Laboratory Physicians achieves 15–20% increase in collections and sustained financial stability with Optum Revenue Cycle Management

Comprehensive RCM services allow a lab to navigate challenges

Meridian Laboratory Physicians, a Manasquan, NJ pathology group serving four hospitals, faced declining hospital volume, a changing payer mix and reductions in reimbursements while lacking the billing expertise to capture the professional component of clinical pathology and manage complex outreach billing. To address these challenges they engaged Optum for Revenue Cycle Management services to improve claims, collections, CPT coding oversight, compliance and contract negotiations.

Optum implemented comprehensive RCM services including professional component billing (driving an initial 15–20% increase in collections), electronic interfaces for clean claims, proactive denial management, coding audits, ICD-10 support, outreach billing/accounting and market/referral assessments, and renegotiated managed care agreements. These Optum-led efforts helped Meridian optimize revenue, maintain financial stability and expand its outreach business.

Meridian Laboratory Physicians

Anis Rangwala

Managing Director & President