Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
MDaudit is an innovative cloud-based solution that consolidates billing compliance, coding audits, and revenue-integrity processes for various healthcare entities, including hospitals, physician networks, and surgical centers. The platform caters to diverse audit types such as scheduled, risk-based, retrospective, and denial-focused evaluations. By automating the ingestion of data from pre-bill charges, claims, and remittance information, MDaudit efficiently initiates audit workflows, identifies anomalies and high-risk trends, and offers real-time dashboards with detailed analytics to uncover the underlying causes of billing mistakes, denials, and revenue loss. Among its features are a “Denials Predictor” designed for pre-submission claim validation and a “Revenue Optimizer” that enables ongoing risk monitoring, both of which assist organizations in minimizing claim denials, decreasing recoupments, and improving their revenue capture. Furthermore, MDaudit streamlines payer-audit management by providing a secure, centralized system for handling external audit requests and facilitating the exchange of necessary documentation, ultimately enhancing operational efficiency. The comprehensive nature of MDaudit's tools ensures that healthcare providers can maintain higher standards of compliance and revenue management.
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.
API Access
Has API
No
API Access
Has API
No
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
No
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
Yes
Webinars
No
Live Training (Online)
Yes
In Person
No
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
No
Vendor Details
Company Name
MDaudit
Founded
1993
Country
United States
Website
mdaudit.com
Vendor Details
Company Name
Paradigm
Founded
2015
Country
United States
Website
www.paradigmseniors.com
Product Features
Revenue Cycle Management
Accounts Receivable
No
Claims Management
No
Collections Management
No
EHR/EMR Integration
No
For Healthcare
No
ICD-10 Compliance
No
Insurance Verification
No
Medical Billing
No
Patient Portal
No
Patient Registration
No
Patient Scheduling
No
Payment Processing
No
Product Features
Home Care
Billing & Invoicing
No
Care Plan Management
No
Caregiver Management
No
Client Management
No
Field Communication
No
Insurance Management
No
Payroll Management
No
Scheduling
No
Visit Verification
No
Medical Billing
Claims Processing
No
Claims Scrubbing
No
Code & Charge Entry
No
Compliance Tracking
No
Customizable Dashboard
No
Dunning Management
No
Invoice History
No
Patient Eligibility Checks
No
Practice Management
No
Quotes/Estimates
No
Remittance Advice
No