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
Remittance360 is a valuable tool that can be leveraged by all entities within the healthcare revenue cycle industry. When organizations receive standard 835 files, staff members across various departments will benefit from this resource in making informed decisions related to cash flow and accounts receivable processes. The user-friendly nature of Remittance360 allows for a quick setup, with the 835 data upload process taking just a few seconds. By employing the standard 835 data set, organizations can effortlessly upload relevant information with very little need for IT support. This platform capitalizes on existing data to provide insightful reporting on denials, emerging trends, and activities of individual payers. Such insights are crucial for pinpointing specific workflow requirements. Additionally, users will find the data querying feature straightforward, and they can conveniently save common queries for future use. For instance, analyzing denials based on remark codes and departmental performance can help uncover and address underlying issues effectively. Ultimately, Remittance360 empowers organizations to enhance their revenue cycle management by enabling informed decision-making and targeted improvements.
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
Yes
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
No
Types of Training
Training Docs
Yes
Webinars
No
Live Training (Online)
No
In Person
Yes
Vendor Details
Company Name
Paradigm
Founded
2015
Country
United States
Website
www.paradigmseniors.com
Vendor Details
Company Name
GAFFEY Healthcare
Country
United States
Website
gaffeyhealth.com/remittance360/
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 Billing
Claims Processing
No
Claims Scrubbing
No
Code & Charge Entry
No
Compliance Tracking
Yes
Customizable Dashboard
Yes
Dunning Management
Yes
Invoice History
Yes
Patient Eligibility Checks
Yes
Practice Management
No
Quotes/Estimates
Yes
Remittance Advice
No