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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 AveaOffice?

Designed to reflect the typical patient journey from the initial admission to the final discharge, while still permitting tailored modifications to align with your unique processes, our platform equips each team member to enhance workflows effortlessly and collect crucial information for accurate claims and maximum reimbursements. Our services encompass a wide range of functionalities including patient onboarding, benefit confirmation, Utilization Review, attendance monitoring, speeding up claims processing, addressing denials, and ensuring payments, thereby providing thorough assistance across your operations. In the current environment, it has become increasingly important to implement intelligent work strategies instead of simply working harder. Through our sophisticated automation and powerful claims processing engines, we have raised the bar for alleviating your staff from the burdens of manual tasks and outdated methods. Effectively navigating the revenue cycle can be as gratifying as witnessing a perfectly aligned row of dominoes topple in harmony. The ever-evolving landscape, characterized by new payer regulations, diminishing reimbursements, and tighter profit margins, poses continuous obstacles. By adopting these advancements, your organization can not only survive but also flourish in the intricate world of healthcare, ensuring that you stay ahead of the curve. Ultimately, embracing technology is key to streamlining operations and enhancing patient experiences.

Media

Media

Integrations Supported

Integrations Supported

BestNotes
Braided

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

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
Webinars
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

Avea Solutions

Company Location

United States

Company Website

www.aveasolutions.com

Categories and Features

Home Care

Not specified

Medical Billing

Not specified

Categories and Features

Medical Billing

Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

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