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Description
Paradigm Senior Services provides a comprehensive, AI-driven revenue cycle management solution designed specifically for home-care agencies that handle billing for various third-party payers, including the U.S. Department of Veterans Affairs (VA), Medicaid, and several managed-care organizations. The platform automates and enhances each phase of the billing and claims workflow, encompassing tasks such as verifying eligibility and authorizations, managing state- or payer-specific enrollment and credentialing, submitting accurate claims, addressing denials, and reconciling payments. It seamlessly integrates with widely used agency management software and electronic visit verification systems, enabling the scrubbing of shifts, weekly authorization verifications, and efficient payment reconciliations, all of which contribute to a reduction in denials and a lighter administrative load. Additionally, Paradigm offers "back-office as a service" for healthcare providers; this means that even if agencies have their own billing personnel or scheduling applications, Paradigm is equipped to manage claims processing, functioning as a dedicated, expert billing department. This flexibility allows agencies to focus more on patient care while leaving the complexities of billing in the hands of specialists.
Description
Our services for Provider Enrollment and Credentialing assist healthcare providers in securing and maintaining their enrollment, ensuring that payers have all necessary information to process claims efficiently. We focus on New Provider Enrollment by fostering relationships with new or previously unengaged payers to enhance revenue potential. Our re-credentialing process addresses the requirements of commercial payers and hospital applications, while our Annual Maintenance services include CAQH Maintenance and Attestation, as well as re-validations for both Medicaid programs and managing expiration dates for DEA, licenses, malpractice insurance, and more. Navigating the complexities of credentialing for your healthcare facility can be a daunting task that consumes significant staff resources. As a comprehensive revenue cycle management firm, we recognize the crucial role that provider credentialing plays in maintaining a healthy cash flow. Our credentialing services cater to both new and existing providers, ensuring that all necessary documentation and relationships are in place for seamless operations. By utilizing our expert services, healthcare practices can focus more on delivering quality care rather than getting bogged down by administrative burdens.
API Access
Has API
API Access
Has API
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
Paradigm
Founded
2015
Country
United States
Website
www.paradigmseniors.com
Vendor Details
Company Name
Visualutions
Founded
1996
Country
United States
Website
www.visualutions.com
Product Features
Home Care
Billing & Invoicing
Care Plan Management
Caregiver Management
Client Management
Field Communication
Insurance Management
Payroll Management
Scheduling
Visit Verification
Medical Billing
Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice
Product Features
Medical Practice Management
Claims Management
E-Prescribing
EMR / EHR
HIPAA Compliant
Insurance Eligibility Verification
Inventory Management
Multi-Office
Multi-Physician
Patient Billing
Patient Portal
Patient Records
Patient Registration
Patient Scheduling
Physician Scheduling