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
Veritable enhances the process of verifying patient insurance eligibility and checking claims status by delivering immediate results through a user-friendly interface. It facilitates real-time and batch processing of patient lists, allowing eligibility verification with over 1,000 payers, including national Medicare and state Medicaid, across various service categories. Furthermore, it provides the capability to monitor claims status from the point of submission to reimbursement, enabling practices and billing firms to swiftly pinpoint issues that could lead to payment delays or denials. Notable advantages include the automation of eligibility and claims processes, which minimizes the need for manual data entry and reduces phone inquiries, thereby enhancing the patient experience at the front desk by confirming coverage and copay amounts during check-in. Additionally, it ensures a smooth integration experience for users of all technical skill levels while maintaining robust data security protocols. Another valuable feature is the “Code Explorer,” which allows for quick reference to ICD-10-CM, ICD-10-PCS, HCPCS Level II, and CPT codes, making it easier for users to navigate coding requirements efficiently. Overall, Veritable streamlines administrative tasks within healthcare practices, ultimately leading to improved operational efficiency and patient satisfaction.
API Access
Has API
No
API Access
Has API
No
Integrations
MediCare HMS
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
$50 per month
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)
Yes
In Person
No
Vendor Details
Company Name
Paradigm
Founded
2015
Country
United States
Website
www.paradigmseniors.com
Vendor Details
Company Name
314e Corporation
Founded
2004
Country
United States
Website
www.veritable.app/
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
Insurance Claims Management
CRM
No
Claims tracking
No
Customer portal
No
Document management
No
EDI data exchange integrations
No
Electronic claims
No
Fraud management
No
Reporting
No