Paradigm Senior Services Unclaimed

Automate your billing process to ensure timely payments and improve cash flow.

Gain real-time insights into revenue streams and improve cash flow management.

Accelerate your agency's growth through efficient enrollment and credentialing services for Medicaid and VA.

Streamline client eligibility and authorization processes to ensure timely payments and reduce denials.

Paradigm Lens simplifies billing management by providing visibility to payment statuses and resolving issues.

Streamlines home care operations and accelerates payments through AI-driven automation.

Expert consulting to elevate home care agency performance and revenue.

Streamline your VA billing with instant access to current fee schedules.

Analyze your agency's revenue diversification effectively.

Quickly find and compare Medicaid rates to maximize compliance and revenue.

End-to-end management of claims, denials, payment posting, accounts receivable visibility and compliance for home care providers billing Medicaid and VA.

Payer enrollment, provider credentialing and VA onboarding services and workflows to enable timely contracting and reimbursement.

Scheduling, workforce management and EVV-integrated visit reconciliation that automate operational workflows and reduce billing errors.

Analytics, rate lookup and forecasting to analyze payer mix, model revenue scenarios and support payer diversification decisions.

Billing Automation

Paradigm’s Billing Automation automates the end-to-end billing workflow for home care providers, enhancing revenue cycle efficiency and improving cash flow. It integrates with scheduling and EVV to ensure accurate billing and adheres to payer requirements.

• Prevent Billing Issues
  Ensures adherence to payer rules, avoiding claim rejections.
• Streamline Billing Process
  Manages the complete billing cycle for efficiency.
• Expert Guidance
  Navigates complex billing for better compliance.
• Reduce Denials
  Increases claim acceptance rates by effectively addressing denial reasons.
• Improve Cash Flow
  Provides insights into revenues.
• Ensure Accurate Billing
  Aligns billing with actual care provided.

Revenue Visibility

Revenue Visibility provides real-time insight into revenue streams, allowing providers to monitor payments and authorizations, and identify issues across the revenue cycle.

• Achieve Complete Revenue Transparency
  Minimizes delays in payments.
• Monitor Payments Effortlessly
  Identifies issues that may delay reimbursements.
• Ensure Compliance and Avoid Denials
  Helps avoid billing errors and ensures consistent cash flow.
• Simplify Revenue Management Across Payers
  Focuses on areas needing improvement.
• Accelerate Cash Flow Recovery
  Leads to quicker payments.

Enrollment & Credentialing

Enrollment and credentialing services for agencies including VA credentialing and onboarding with payer portals, ensuring timely reimbursement and compliance.

• Streamline Enrollment Process
  Minimizes delays in approval.
• Facilitates Medicaid Participation
  Ensures compliance and timely reimbursement.
• Simplifies VA Access
  Helps navigate complex credentialing requirements.
• Enhances Approval Rates
  Minimizes delays in payment processes.
• Offers Expert Guidance
  Helps overcome barriers in enrollment.

Authorizations & Eligibility

Handles client eligibility verification and service authorizations, reducing denials and ensuring timely payments.

• Streamline Authorization Processes
  Reduces the risk of denials.
• Ensure Client Eligibility
  Prevents service disruptions.
• Maintain Continuous Coverage
  Helps prevent revenue loss.
• Accelerate Payments
  Reduces delays and improves cash flow.
• Sync Visit Data
  Minimizes discrepancies.

Paradigm Lens

Paradigm Lens is a module of Paradigm’s platform enabling providers to track payments and fix billing issues directly.

• View Payment Status Instantly
  Helps manage revenue cycles effectively.
• Resolve Billing Issues Quickly
  Maintains cash flow and operational efficiency.
• Track Authorizations Efficiently
  Ensures compliance and proper service delivery.

Careswitch AI-Powered Operating System

Careswitch automates scheduling, billing, compliance, and workforce management for home care agencies.

• Automate Complex Workflows
  Enhances operational efficiency.
• Prevent Claim Denials
  Ensures accuracy before submission.
• Streamline Billing Processes
  Reduces errors and delays in payments.
• Track Payments In Real-Time
  Provides immediate visibility into billing status.
• Enhance Compliance Oversight
  Manages documentation and audit trails.
• Optimize Workforce Scheduling
  Improves scheduling efficiency.

Growth Coaching

Growth Coaching provides structured consulting for Paradigm customers to grow home care agencies through payer diversification.

• Craft a Unique Growth Strategy
  Aligns with market opportunities.
• Access Industry Experts
  Provides tailored strategies.
• Receive Personalized Attention
  Focuses on unique challenges.
• Leverage Real Insights
  Drives informed decision-making.
• Participate in Comprehensive Training
  Balances group learning with individual attention.

VA Reimbursement Tool

The VA Reimbursement Tool provides quick access to the latest VA fee schedules for accurate billing.

• Access Latest VA Fee Schedules
  Ensures accurate billing.
• Find Rates Using ZIP Code
  Streamlines the billing process.
• Track Claims and Payments
  Ensures visibility over revenue.
• Receive Notifications for Expiring Auths
  Maintains compliance.

Payer Mix Tool

The Payer Mix Tool helps analyze and diversify revenue sources and forecasts future revenue.

• Assess Revenue By Payer Source
  Provides insights for financial management.
• Model Scenarios For Revenue Growth
  Identifies opportunities in diverse payer types.
• Forecast Number of Clients
  Strategic planning for agency growth.

Medicaid Rate Lookup Tool

This tool provides access to Medicaid rates for home care services, enhancing pricing decisions.

• Check Medicaid Rates Instantly
  Ensures accurate billing.
• Receive Real-time Alerts
  Prevents billing mistakes.
• Access Area-specific Rates
  Enables informed revenue strategies.