Average Ratings 0 Ratings
Average Ratings 0 Ratings
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
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
No
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
No
Types of Training
Training Docs
Yes
Webinars
Yes
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
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
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
Product Features
Medical Practice Management
Claims Management
No
E-Prescribing
No
EMR / EHR
No
HIPAA Compliant
Yes
Insurance Eligibility Verification
No
Inventory Management
No
Multi-Office
No
Multi-Physician
Yes
Patient Billing
No
Patient Portal
No
Patient Records
No
Patient Registration
No
Patient Scheduling
No
Physician Scheduling
No