“Change Healthcare has done an excellent job for us. They’ve helped us increase our reimbursement during a time when many labs are seeing their revenues decline. Our client manager works aggressively and diligently to meet our needs. I truly can’t say enough about how benefi cial this relationship has been for Meridian.”
- Anis Rangwala, M.D., President, Meridian Laboratory Physicians
Meridian Laboratory Physicians
Improve claims, collections, and contract terms to combat declining hospital volume and complex outreach billing requirements.
Revenue Cycle Management Services
- Established comprehensive revenue cycle services
- Initiated professional component billing for 15-20% revenue increase
- Accommodated outreach billing and accounting needs
- Obtained market and referral assessments for optimal collections
- Supported ICD-10 transition
The Customer: Meridian Laboratory Physicians
Based in Manasquan, N.J., Meridian Laboratory Physicians provides pathology services for four Meridian Health System hospitals in east-central New Jersey. The group’s 16 physicians annually perform about 300,400 clinical procedures and about 152,700 anatomical procedures.
The Challenge: Improving Coding and Billing for Clinical Pathology
In 2003, Meridian turned to Change Healthcare to shore up coding and billing. The practice had been working with a regional billing vendor that had neither the expertise nor capacity to meeting a range of essential revenue cycle management needs, including billing for the professional component of clinical pathology. Additional mission-critical requirements included CPT coding oversight, audits of billed work, regulatory compliance, and contract negotiations.
In recent years, Meridian has battled to make up for declining hospital volume, a changing payer mix, and reductions in Medicare and commercial reimbursements.