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www.paradigmseniors.comMiami, FL, United States
VA and Medicaid revenue cycle management for home care agencies.
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 statement
Paradigm is the leader in VA and Medicaid revenue cycle management for home care agencies.
Products & Services
Billing Automation Solution
Automate your billing process to ensure timely payments and improve cash flow.
www.paradigmseniors.com/solutions/billing-management- ✓ Compliance Safeguards — Prevent Billing Issues
- ✓ End-to-End Claims Management — Streamline Billing Process
- ✓ Medicaid and VA Payer Expertise — Expert Guidance
- ✓ Denial Tracking and Resubmissions — Reduce Denials
- ✓ Payment Posting and AR Visibility — Improve Cash Flow
- ✓ EVV Integration and Visit Reconciliation — Ensure Accurate Billing
Revenue Visibility Solution
Gain real-time insights into revenue streams and improve cash flow management.
www.paradigmseniors.com/solutions/revenue-visibility- ✓ Real-Time Claim Monitoring — Achieve Complete Revenue Transparency
- ✓ Payment Status Tracking — Monitor Payments Effortlessly
- ✓ Authorization Tracking — Ensure Compliance and Avoid Denials
- ✓ Multi-Payer Clarity — Simplify Revenue Management Across Payers
- ✓ Billing Issue Resolution — Accelerate Cash Flow Recovery
Enrollment & Credentialing Solution
Accelerate your agency's growth through efficient enrollment and credentialing services for Medicaid and VA.
www.paradigmseniors.com/solutions/enrollment-credentialing- ✓ Enrollment Submission and Updates — Streamline Enrollment Process
- ✓ Medicaid Enrollment and Waiver Setup — Facilitates Medicaid Participation
- ✓ VA Credentialing and Enrollment — Simplifies VA Access
- ✓ Proactive Submission Management — Enhances Approval Rates
- ✓ Comprehensive Support — Offers Expert Guidance
Authorizations & Eligibility Solution
Streamline client eligibility and authorization processes to ensure timely payments and reduce denials.
www.paradigmseniors.com/solutions/authorizations-eligibility- ✓ Authorization Management — Streamline Authorization Processes
- ✓ Eligibility Verification — Ensure Client Eligibility
- ✓ Reauthorization Tracking — Maintain Continuous Coverage
- ✓ Real-Time Claims Management — Accelerate Payments
- ✓ EVV Compliance Integration — Sync Visit Data
Paradigm Lens Platform
Paradigm Lens simplifies billing management by providing visibility to payment statuses and resolving issues.
- ✓ Payment Status Visibility — View Payment Status Instantly
- ✓ Billing Issue Repair — Resolve Billing Issues Quickly
- ✓ Authorization Tracking — Track Authorizations Efficiently
Careswitch AI-Powered Operating System Platform
Streamlines home care operations and accelerates payments through AI-driven automation.
- ✓ Agentic Automation — Automate Complex Workflows
- ✓ Error Detection Before Submission — Prevent Claim Denials
- ✓ Billing Automation Integration — Streamline Billing Processes
- ✓ Real-Time Monitoring — Track Payments In Real-Time
- ✓ Compliance Automation — Enhance Compliance Oversight
- ✓ Scheduling and Workforce Management Automation — Optimize Workforce Scheduling
Growth Coaching Service
Expert consulting to elevate home care agency performance and revenue.
www.paradigmseniors.com/solutions/growth-coaches- ✓ Tailored Strategic Plan — Craft a Unique Growth Strategy
- ✓ Expert Coaches — Access Industry Experts
- ✓ One-on-One Coaching — Receive Personalized Attention
- ✓ Data-driven Guidance — Leverage Real Insights
- ✓ Structured Coaching Program — Participate in Comprehensive Training
VA Reimbursement Tool Product
Streamline your VA billing with instant access to current fee schedules.
www.paradigmseniors.com/feescheduleaccess- ✓ VA Fee Schedule Lookup — Access Latest VA Fee Schedules
- ✓ Zip Code Rate Lookup — Find Rates Using ZIP Code
- ✓ Real-Time Revenue Tracking — Track Claims and Payments
- ✓ Customized Alerts for Expiring Authorizations — Receive Notifications for Expiring Auths
Payer Mix Tool Product
Analyze your agency's revenue diversification effectively.
www.paradigmseniors.com/payer-mix-tool- ✓ Payer Mix Analysis — Assess Revenue By Payer Source
- ✓ Revenue Diversification Planning — Model Scenarios For Revenue Growth
- ✓ Client Count Estimation — Forecast Number of Clients
Medicaid Rate Lookup Tool Product
Quickly find and compare Medicaid rates to maximize compliance and revenue.
www.paradigmseniors.com/home-care-medicaid-rate- ✓ Medicaid Rate Lookup — Check Medicaid Rates Instantly
- ✓ Real-time Updates — Receive Real-time Alerts
- ✓ Area-specific Rate Details — Access Area-specific Rates
Market Segments
Home care revenue cycle management
End-to-end management of claims, denials, payment posting, accounts receivable visibility and compliance for home care providers billing Medicaid and VA.
Medicaid and VA enrollment and credentialing
Payer enrollment, provider credentialing and VA onboarding services and workflows to enable timely contracting and reimbursement.
Care operations and workforce automation
Scheduling, workforce management and EVV-integrated visit reconciliation that automate operational workflows and reduce billing errors.
Revenue analytics and payer mix optimization
Analytics, rate lookup and forecasting to analyze payer mix, model revenue scenarios and support payer diversification decisions.
Common Questions
- What does Paradigm Senior Services do?
- 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.
- What is Paradigm Senior Services's role in the Home care revenue cycle management market?
- End-to-end management of claims, denials, payment posting, accounts receivable visibility and compliance for home care providers billing Medicaid and VA.
- What is Paradigm Senior Services's role in the Medicaid and VA enrollment and credentialing market?
- Payer enrollment, provider credentialing and VA onboarding services and workflows to enable timely contracting and reimbursement.
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