About Us
Meraki RCM Solutions, LLC
About Us
Welcome to Meraki RCM Solutions, LLC your trusted partner in the ever-evolving landscape of medical billing and practice management. With over 25 years of experience, we've honed our expertise to empower healthcare practitioners and clinics in navigating the complex terrain of the modern healthcare industry.
Our Vision
At Meraki RCM Solutions, LLC, we envision a healthcare landscape where providers thrive, patients receive exceptional care, and administrative burdens are minimized. Our vision guides everything we do, and we're committed to making it a reality.
Our Mission
Our mission is to create sustainable solutions for healthcare providers through our billing and collection operations. We invest heavily in technology, training resources, and maintaining the quality of service for each and every client. By doing this, we can continue providing excellent support and services to all of our clients.
Our Core Values
At the heart of Meraki RCM Solutions, LLC, are our core values. These principles shape our actions and decisions every day. They include:
- Integrity: We uphold the highest ethical standards in all our interactions. Trust is the foundation of our relationships.
- Excellence: We are dedicated to continuous improvement and delivering exceptional results. Quality is non-negotiable.
- Innovation: We embrace the latest technologies and industry trends to provide cutting-edge solutions to our clients.
- Collaboration: We believe in the power of teamwork. We collaborate with our clients and within our organization to achieve success together.
- Client-Centric: Our clients are at the center of everything we do. Their success is our success.
Our Expertise
Our team comprises seasoned experts with a cumulative experience of over 25 years in the fields of medical billing and practice management. This wealth of knowledge equips us with an innate understanding of the intricacies involved, ensuring your practice operates seamlessly.
Tailored Solutions
Recognizing that every clinic is unique, we offer a diverse array of services designed to cater to your specific needs. Our comprehensive suite encompasses services such as medical billing, coding, chart auditing, appointment scheduling, and insurance verification. We understand that a one-size-fits-all approach simply doesn't work in healthcare. That's why we provide free consultation services to help you find the perfect solution for your clinic.
Excellence in Billing
At Meraki RCM Solutions, excellence isn't just a goal; it's our commitment. We pride ourselves on delivering comprehensive and accurate billing services, effectively reducing administrative costs and mitigating issues. Our unwavering dedication ensures the highest possible return on your billing, follow-up, and, if necessary, lien litigation. When you partner with us, rest assured that we'll fight diligently to maximize your revenue.
Comprehensive Support
We provide end-to-end billing and collection support to ensure the seamless processing and collection of your claims. This includes insurance verification, charge posting, insurance e-billing or paper billing, meticulous follow-ups, second bill review (SBR) requests, independent bill review (IBR) requests, filing liens with DWC, and requesting hearings by filing the DOR. We also offer in-house settlements and court representation when needed.
Additional Services
In addition to our core offerings, we provide a-la-carte services tailored to your specific requirements. These include Medical Transcriptions, Medical Coding, Denial Management, Work Comp Lien Collection Services, PI Lien Collection Services, and more. Our versatility ensures that we can meet your unique needs comprehensively.
Seasoned in California
With over 25 years of experience representing providers and lien claimants in California, we possess a profound understanding of the intricacies of the state's healthcare landscape. Whether through out-of-court collection efforts or additional litigation, we have the knowledge and expertise to secure your rightful payments.
Join Our Growing Network
We are continually expanding our network of satisfied clients. Join us on the journey to optimize your practice's revenue, streamline operations, and provide the best possible care to your patients. Contact us today for a personalized consultation.
Transition Methodology
Acknowledge Requirement
- Identify client requirement
- Review scope of work
- Identify ‘intensive care’ areas
- Review business viability
- Software review
- Volume of work resources required
Deployment Planning
- Infrastructure arrangement
- Allocations
- Project proposal
- Technology set-up
- Staffing & Training
- SOP set-up
Benchmark set up
- Lead Manager assigned
- Quality set up
- Reporting set up
- Pilot Run
- Daily deliverables
- Reporting Analysis
- Production Matrices/SLA
- Feedback & Reviews
Test Run Complete, Go Live Stage
- Test run approved by client.
- Go Live
- Continuous Process improvement.
- Optimization of services.
- Enhancing customer value.
- Identifying new avenues of growth & scalability
MODUS OPERANDI
We keep our operations transparent, practical, and customer-focused. We call this “Modus Operandi”.
Every client is assigned a dedicated account manager who works during that customer’s business hours. You speak to the same account manager whenever you reach out to Meraki RCM Solutions. This personalized service to your account ensures accountability and confidentiality and promotes better process efficiency.
We provide each of our clients with a complete set of reports on a daily/weekly/monthly basis to suit their model of operation and information flow cycle requirements. Enable the customer to track their workflow as they prefer, with up to real-time results.
- Rules and Instructions:- Instructions are drafted based on client needs and specifications
- Files Received Report:- Indicates the details of the files received for the day
- Daily Status Report:- Current status of each file
- Query Logs:- List of queries to the client
- Productivity Report:- Daily/monthly productivity details
- AR Follow-up Reports:- Complete details of the follow-up done and breakdown of the status of each claim
- Insurance Verification Report:-Individual report of each account verified
- Work Flow Management:-SOP documentation of the process workflow
Meraki RCM Solutions, LLC :
Leading the Way in HIPAA-Compliant Healthcare Billing Solutions
Meraki RCM Solutions, LLC, headquartered in Los Angeles, California, stands as a paragon of excellence in the realm of HIPAA-compliant healthcare billing solutions. With a rich history dating back to the enactment of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), this company has been at the forefront of healthcare billing, consistently adapting to the evolving landscape of regulations and technology.
HIPAA, a pivotal piece of healthcare legislation, was born out of the necessity to fortify the healthcare system's defenses against billing fraud while simultaneously fostering better access to health insurance for all Americans. Over the years, it has evolved to encompass various facets of healthcare, including administrative simplification and health information privacy.
Meraki RCM Solutions, LLC's dedication to upholding the stringent provisions of HIPAA is exemplified through its commitment to information security. In today's digital age, data protection is paramount. With the advent of the HIPAA Omnibus, the security and privacy provisions of HIPAA have grown more intricate. Consequently, strict controls and robust information security measures have become imperative.
The company's investment in state-of-the-art network infrastructure and high-security solutions underscores its unwavering pledge to HIPAA compliance. Moreover, employees at Meraki RCM Solutions, LLC undergo comprehensive training programs that emphasize the critical importance of information security and the protection of patient data. These training initiatives align with international standards, specifically ISO 27001:2013, further enhancing information confidentiality.
For those unfamiliar with the intricacies of HIPAA compliance within the healthcare business process outsourcing (BPO) sector, Meraki RCM Solutions, LLC offers clarity. HIPAA's primary focus is to safeguard the confidentiality of medical information, protecting the sanctity of individuals' medical records and personal health-related data. It places restrictions on the use and release of health records and deploys safeguards to protect health information's privacy.
Healthcare BPOs, including Meraki RCM Solutions, LLC,, are pivotal cogs in the healthcare machinery. They provide essential services such as medical billing, coding, electronic medical record (EMR) maintenance, medical transcription, and medical collections. However, being categorized as business associates under HIPAA, they are bound by stringent rules. HIPAA mandates that all healthcare vendors, whether business associates or subcontractors, protect Patient Health Information (PHI). This necessitates compliance with the HIPAA security rule's administrative, technical, and physical requirements, with an unwavering commitment to the privacy and security of healthcare information.
The scope of HIPAA extends to healthcare applications as well. Any application handling protected health information (PHI) must adhere to HIPAA compliance standards. Failure to do so exposes the company using the information to potential penalties for HIPAA violations.
The advantages of HIPAA compliance for healthcare BPOs are substantial. Beyond the regulatory aspects, compliance with HIPAA reduces healthcare organizations' costs, simplifies complex processes, minimizes administrative burdens, and, most importantly, enhances the privacy and security of patients' health information.
To ensure compliance, Meraki RCM Solutions, LLC, follows a comprehensive HIPAA compliance checklist. This checklist encompasses administrative, technical, and physical safeguards to ensure the security, integrity, and confidentiality of protected health information. It includes measures to limit access to patient health information, adherence to HIPAA-compliant transactions, provision of adequate HIPAA education to employees, and comprehensive training on protecting patient health information.
In conclusion, Meraki RCM Solutions, LLC, is not just a healthcare billing provider; it's a guardian of healthcare data integrity. With unwavering commitment to HIPAA compliance, advanced information security measures, and a passion for protecting patient data, this company embodies the ideals of trust and security in the healthcare billing industry. Whether you are a healthcare provider seeking a dependable partner or an individual looking for assurance in the safeguarding of your health information, Meraki RCM Solutions, LLC, stands as a beacon of reliability in the heart of Los Angeles, California.
Practice Management Applications
With Meraki RCM Solutions as your medical billing partner, you can be assured of error-free services as we use the best medical billing software available in the market. In case you use software not mentioned in this list, we can always work on the medical billing software that you are currently using.
