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Meridian MSO provides the operational infrastructure that makes genetic testing practices scalable. From payer contracting to compliance, we handle the business of genomics so clinicians can focus on patients.
Genetics practices face operational burdens that generic practice management cannot solve. The gap between clinical capability and business infrastructure is the primary barrier to scaling genomic medicine.
Genomic testing uses specialized CPT codes (81400-81479, 81500-81599) with modifier requirements and stacking rules that standard billing systems cannot handle accurately.
Over 85% of genetic tests require prior authorization. Each request demands clinical documentation, medical necessity letters, and payer-specific criteria navigation.
Most payer medical directors lack genomics expertise. Contracting requires educating payers on yield data, clinical utility, and cost-effectiveness before negotiation begins.
Credentialing licensed genetic counselors across state lines and with multiple payers involves unique licensure requirements that differ from traditional provider enrollment.
Genomic testing laboratories operate under overlapping federal and state regulations, requiring specialized compliance frameworks that standard healthcare MSOs lack.
Clinical genomics has matured rapidly. Diagnostic yield across 20 organ systems now averages 53%, with some conditions exceeding 90%. The science delivers.
But the operational infrastructure has not kept pace. Practices that can sequence a genome in 48 hours still wait 45 days for credentialing, lose 30% of revenue to claim denials, and spend physician time on prior authorization instead of patient care.
The annual U.S. rare disease cost burden. Every operational inefficiency in genomic medicine delays the diagnostic resolution that reduces this figure. Meridian MSO eliminates those inefficiencies.
Six integrated service lines designed specifically for the operational demands of genomic medicine practices.
Negotiate genomic testing contracts with commercial payers, Medicare Advantage plans, and Medicaid MCOs. We translate clinical evidence into contract language that secures coverage and adequate reimbursement.
End-to-end RCM built for genomic billing complexity. From CPT code selection and modifier application to denial management and appeals, with specialized knowledge of genetic testing reimbursement.
Provider enrollment for genetic counselors, medical geneticists, and laboratory directors. We manage multi-state licensure coordination and payer-specific credentialing across all major networks.
Integrated compliance programs covering CLIA laboratory standards, CAP accreditation, HIPAA privacy and security for genomic data, and state-specific genetic testing regulations.
Operational dashboards tracking test utilization, diagnostic yield by indication, revenue per test type, payer mix analysis, and denial rate benchmarking. Data-driven decisions for genomic practice management.
Operationalize SequenceMedicine CarePathways within practice workflows. We handle the contracting, credentialing, billing infrastructure, and compliance requirements to deploy bundled genomic care episodes.
Clinical genomics is ready for population-scale deployment. The operational infrastructure is not.
Today's genomic testing laboratories can process a whole genome in under 24 hours. Genetic counselors can return results within a week. The clinical pipeline is fast, accurate, and getting faster.
But the business pipeline remains fragmented. Every practice reinvents payer contracting from scratch. Every lab builds its own compliance framework. Every genetic counselor navigates credentialing state by state, payer by payer.
This operational fragmentation is the reason genomic medicine has not scaled to meet the needs of 30 million Americans with rare diseases. The clinical evidence supports testing across 20 organ systems. The infrastructure to deliver, bill, and get paid for that testing does not exist at scale.
Meridian MSO exists to close this gap: purpose-built operational infrastructure so that every genetics practice can operate at the efficiency of the best-run programs in the country.
Meridian MSO serves the people responsible for making genomic medicine operationally viable.
Focus on clinical care while we manage payer relationships, revenue cycle, and operational compliance. Scale your practice without scaling your back office.
CLIA/CAP compliance frameworks, payer contracting for send-out and in-house testing, and revenue optimization for the full spectrum of genomic assays.
Integrate genomic testing programs into existing health system operations. We provide the specialized infrastructure layer that EHR and RCM vendors cannot.
Arm your team with evidence-based contracting materials, coverage policy analysis, and utilization data that demonstrates the cost-effectiveness of genomic testing.
Let Meridian MSO handle the operational complexity so you can focus on what matters: diagnosing patients.
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