{"schemaVersion":1,"profileUrl":"https://nowen.ai/agents/paradigmseniors-com","markdownUrl":"https://nowen.ai/agents/paradigmseniors-com.md","jsonUrl":"https://nowen.ai/agents/paradigmseniors-com.json","name":"Paradigm Senior Services","nickname":"Paradigm","website":"https://www.paradigmseniors.com","location":"Miami, FL, United States","address":{"city":"Miami","state":"FL","country":"United States"},"industry":"Payer Services","status":{"trust":"unclaimed","text":"Unclaimed: compiled by Nowen from public sources, not reviewed by the company"},"updatedAt":"2026-09-06T23:48:00.807Z","summary":"VA and Medicaid revenue cycle management for home care agencies.","description":"Paradigm Senior Services is a revenue cycle management company specializing in government payers for home-based care providers. It partners with home care agencies to simplify VA and Medicaid billing through end-to-end services, including eligibility and enrollment, claim submission, denial management, payments posting, and revenue visibility. Having acquired Careswitch, an AI-powered home care operating system, Paradigm emphasizes automation to streamline workflows and reduce administrative burden. The company positions itself as the only pure-play RCM focused on VA and Medicaid for home care agencies, aiming to accelerate payments, improve compliance, and support providers serving veterans and seniors nationwide.","mission":"Paradigm is the leader in VA and Medicaid revenue cycle management for home care agencies.","directory":{"industryName":"Payer Services","agentCount":2,"indexable":false,"hubUrl":"https://nowen.ai/industry/payer-services"},"aiReaderFamilies":["Anthropic","Amazon"],"products":[{"name":"Billing Automation","type":"Solution","url":"https://www.paradigmseniors.com/solutions/billing-management","summary":"Automate your billing process to ensure timely payments and improve cash flow.","description":"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.","pricing":{},"features":[{"name":"Compliance Safeguards","value":"Prevent Billing Issues","valueDescription":"Ensures adherence to payer rules, avoiding claim rejections."},{"name":"End-to-End Claims Management","value":"Streamline Billing Process","valueDescription":"Manages the complete billing cycle for efficiency."},{"name":"Medicaid and VA Payer Expertise","value":"Expert Guidance","valueDescription":"Navigates complex billing for better compliance."},{"name":"Denial Tracking and Resubmissions","value":"Reduce Denials","valueDescription":"Increases claim acceptance rates by effectively addressing denial reasons."},{"name":"Payment Posting and AR Visibility","value":"Improve Cash Flow","valueDescription":"Provides insights into revenues."},{"name":"EVV Integration and Visit Reconciliation","value":"Ensure Accurate Billing","valueDescription":"Aligns billing with actual care provided."}]},{"name":"Revenue Visibility","type":"Solution","url":"https://www.paradigmseniors.com/solutions/revenue-visibility","summary":"Gain real-time insights into revenue streams and improve cash flow management.","description":"Revenue Visibility provides real-time insight into revenue streams, allowing providers to monitor payments and authorizations, and identify issues across the revenue cycle.","pricing":{},"features":[{"name":"Real-Time Claim Monitoring","value":"Achieve Complete Revenue Transparency","valueDescription":"Minimizes delays in payments."},{"name":"Payment Status Tracking","value":"Monitor Payments Effortlessly","valueDescription":"Identifies issues that may delay reimbursements."},{"name":"Authorization Tracking","value":"Ensure Compliance and Avoid Denials","valueDescription":"Helps avoid billing errors and ensures consistent cash flow."},{"name":"Multi-Payer Clarity","value":"Simplify Revenue Management Across Payers","valueDescription":"Focuses on areas needing improvement."},{"name":"Billing Issue Resolution","value":"Accelerate Cash Flow Recovery","valueDescription":"Leads to quicker payments."}]},{"name":"Enrollment & Credentialing","type":"Solution","url":"https://www.paradigmseniors.com/solutions/enrollment-credentialing","summary":"Accelerate your agency's growth through efficient enrollment and credentialing services for Medicaid and VA.","description":"Enrollment and credentialing services for agencies including VA credentialing and onboarding with payer portals, ensuring timely reimbursement and compliance.","pricing":{},"features":[{"name":"Enrollment Submission and Updates","value":"Streamline Enrollment Process","valueDescription":"Minimizes delays in approval."},{"name":"Medicaid Enrollment and Waiver Setup","value":"Facilitates Medicaid Participation","valueDescription":"Ensures compliance and timely reimbursement."},{"name":"VA Credentialing and Enrollment","value":"Simplifies VA Access","valueDescription":"Helps navigate complex credentialing requirements."},{"name":"Proactive Submission Management","value":"Enhances Approval Rates","valueDescription":"Minimizes delays in payment processes."},{"name":"Comprehensive Support","value":"Offers Expert Guidance","valueDescription":"Helps overcome barriers in enrollment."}]},{"name":"Authorizations & Eligibility","type":"Solution","url":"https://www.paradigmseniors.com/solutions/authorizations-eligibility","summary":"Streamline client eligibility and authorization processes to ensure timely payments and reduce denials.","description":"Handles client eligibility verification and service authorizations, reducing denials and ensuring timely payments.","pricing":{},"features":[{"name":"Authorization Management","value":"Streamline Authorization Processes","valueDescription":"Reduces the risk of denials."},{"name":"Eligibility Verification","value":"Ensure Client Eligibility","valueDescription":"Prevents service disruptions."},{"name":"Reauthorization Tracking","value":"Maintain Continuous Coverage","valueDescription":"Helps prevent revenue loss."},{"name":"Real-Time Claims Management","value":"Accelerate Payments","valueDescription":"Reduces delays and improves cash flow."},{"name":"EVV Compliance Integration","value":"Sync Visit Data","valueDescription":"Minimizes discrepancies."}]},{"name":"Paradigm Lens","type":"Platform","url":"","summary":"Paradigm Lens simplifies billing management by providing visibility to payment statuses and resolving issues.","description":"Paradigm Lens is a module of Paradigm’s platform enabling providers to track payments and fix billing issues directly.","pricing":{},"features":[{"name":"Payment Status Visibility","value":"View Payment Status Instantly","valueDescription":"Helps manage revenue cycles effectively."},{"name":"Billing Issue Repair","value":"Resolve Billing Issues Quickly","valueDescription":"Maintains cash flow and operational efficiency."},{"name":"Authorization Tracking","value":"Track Authorizations Efficiently","valueDescription":"Ensures compliance and proper service delivery."}]},{"name":"Careswitch AI-Powered Operating System","type":"Platform","url":"","summary":"Streamlines home care operations and accelerates payments through AI-driven automation.","description":"Careswitch automates scheduling, billing, compliance, and workforce management for home care agencies.","pricing":{},"features":[{"name":"Agentic Automation","value":"Automate Complex Workflows","valueDescription":"Enhances operational efficiency."},{"name":"Error Detection Before Submission","value":"Prevent Claim Denials","valueDescription":"Ensures accuracy before submission."},{"name":"Billing Automation Integration","value":"Streamline Billing Processes","valueDescription":"Reduces errors and delays in payments."},{"name":"Real-Time Monitoring","value":"Track Payments In Real-Time","valueDescription":"Provides immediate visibility into billing status."},{"name":"Compliance Automation","value":"Enhance Compliance Oversight","valueDescription":"Manages documentation and audit trails."},{"name":"Scheduling and Workforce Management Automation","value":"Optimize Workforce Scheduling","valueDescription":"Improves scheduling efficiency."}]},{"name":"Growth Coaching","type":"Service","url":"https://www.paradigmseniors.com/solutions/growth-coaches","summary":"Expert consulting to elevate home care agency performance and revenue.","description":"Growth Coaching provides structured consulting for Paradigm customers to grow home care agencies through payer diversification.","pricing":{},"features":[{"name":"Tailored Strategic Plan","value":"Craft a Unique Growth Strategy","valueDescription":"Aligns with market opportunities."},{"name":"Expert Coaches","value":"Access Industry Experts","valueDescription":"Provides tailored strategies."},{"name":"One-on-One Coaching","value":"Receive Personalized Attention","valueDescription":"Focuses on unique challenges."},{"name":"Data-driven Guidance","value":"Leverage Real Insights","valueDescription":"Drives informed decision-making."},{"name":"Structured Coaching Program","value":"Participate in Comprehensive Training","valueDescription":"Balances group learning with individual attention."}]},{"name":"VA Reimbursement Tool","type":"Product","url":"https://www.paradigmseniors.com/feescheduleaccess","summary":"Streamline your VA billing with instant access to current fee schedules.","description":"The VA Reimbursement Tool provides quick access to the latest VA fee schedules for accurate billing.","pricing":{},"features":[{"name":"VA Fee Schedule Lookup","value":"Access Latest VA Fee Schedules","valueDescription":"Ensures accurate billing."},{"name":"Zip Code Rate Lookup","value":"Find Rates Using ZIP Code","valueDescription":"Streamlines the billing process."},{"name":"Real-Time Revenue Tracking","value":"Track Claims and Payments","valueDescription":"Ensures visibility over revenue."},{"name":"Customized Alerts for Expiring Authorizations","value":"Receive Notifications for Expiring Auths","valueDescription":"Maintains compliance."}]},{"name":"Payer Mix Tool","type":"Product","url":"https://www.paradigmseniors.com/payer-mix-tool","summary":"Analyze your agency's revenue diversification effectively.","description":"The Payer Mix Tool helps analyze and diversify revenue sources and forecasts future revenue.","pricing":{},"features":[{"name":"Payer Mix Analysis","value":"Assess Revenue By Payer Source","valueDescription":"Provides insights for financial management."},{"name":"Revenue Diversification Planning","value":"Model Scenarios For Revenue Growth","valueDescription":"Identifies opportunities in diverse payer types."},{"name":"Client Count Estimation","value":"Forecast Number of Clients","valueDescription":"Strategic planning for agency growth."}]},{"name":"Medicaid Rate Lookup Tool","type":"Product","url":"https://www.paradigmseniors.com/home-care-medicaid-rate","summary":"Quickly find and compare Medicaid rates to maximize compliance and revenue.","description":"This tool provides access to Medicaid rates for home care services, enhancing pricing decisions.","pricing":{},"features":[{"name":"Medicaid Rate Lookup","value":"Check Medicaid Rates Instantly","valueDescription":"Ensures accurate billing."},{"name":"Real-time Updates","value":"Receive Real-time Alerts","valueDescription":"Prevents billing mistakes."},{"name":"Area-specific Rate Details","value":"Access Area-specific Rates","valueDescription":"Enables informed revenue strategies."}]}],"audiences":[],"segments":[{"name":"Home care revenue cycle management","description":"End-to-end management of claims, denials, payment posting, accounts receivable visibility and compliance for home care providers billing Medicaid and VA.","color":1,"productNames":["Billing Automation","Paradigm Lens","Revenue 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