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What is Paradigm?

Paradigm Senior Services offers a robust, AI-enabled revenue cycle management solution tailored for home-care agencies that manage billing across various third-party payers, such as the U.S. Department of Veterans Affairs (VA), Medicaid, and numerous managed-care organizations. The platform streamlines and improves every aspect of the billing and claims process, which includes tasks like eligibility verification, authorization management, and handling state or payer-specific enrollment and credentialing. It also ensures the submission of correct claims, addresses any denials that arise, and facilitates payment reconciliation. By integrating smoothly with popular agency management software and electronic visit verification systems, it allows for the effective scrubbing of shifts, weekly authorization checks, and smooth payment reconciliations, ultimately leading to fewer denials and reduced administrative burdens. Furthermore, Paradigm provides a "back-office as a service" model for healthcare providers, meaning that even if agencies have their own billing teams or scheduling tools, Paradigm can still oversee claims processing as if it were a dedicated, knowledgeable billing department. This adaptability empowers agencies to prioritize patient care, alleviating them from the intricacies of billing operations by entrusting those complexities to experts. In doing so, Paradigm not only enhances operational efficiency but also supports better financial outcomes for home-care agencies.

What is Approved Admissions?

Approved Admissions is a robust platform designed to streamline the monitoring of changes in coverage for Medicare, Medicaid, and commercial payers, while also providing real-time eligibility verification and coverage discovery. Its main objective is to assist healthcare providers in reducing the frequency of claim denials that occur due to overlooked insurance changes, thereby expediting the billing process. Features of Approved Admissions include: - Automated eligibility verification and re-verification processes - Notifications via email or API whenever any coverage changes are identified - Real-time verification capabilities - Batch processing for eligibility verification - Smooth integration with various Revenue Cycle Management (RCM) and Electronic Health Record (EHR) systems like PointClickCare, MatrixCare, SigmaCare, DKS/Census, FacilitEase, among others - RPA-enabled synchronization across different platforms to enhance efficiency. This comprehensive approach not only ensures accuracy in coverage tracking but also optimizes workflow for healthcare providers.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

$100 per month

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Web-Based Support

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training

Training Options

Documentation Hub
Online Training
On-Site Training

Company Facts

Organization Name

Paradigm

Date Founded

2015

Company Location

United States

Company Website

www.paradigmseniors.com

Company Facts

Organization Name

Approved Admissions

Date Founded

2013

Company Location

United States

Company Website

www.approvedadmissions.com

Categories and Features

Home Care

Not specified

Medical Billing

Not specified

Categories and Features

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