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Company Description
Paradigm Senior Services is a revenue cycle and payment integrity partner purpose-built for home-based care providers, combining a hands-on services team with an AI-powered platform to make VA and Medicaid reimbursement faster, simpler, and more predictable. Positioned as home cares third-party payer experts, the company manages the end-to-end claims lifecycle from referral to reimbursement, including EVV-integrated workflows, clean claim submission, denial management, payer follow-ups, reconciliation, and remit posting, so agencies can reduce administrative burden and keep cash flow stable. Paradigm also maintains real-time authorizations and eligibility tracking with expiration alerts to prevent unbillable hours, and offers enrollment and credentialing support to navigate VA credentialing, state-by-state Medicaid requirements, MCO onboarding, SEOCs, and EVV configuration. Through Revenue Visibility, providers receive daily claim updates, payment dashboards, and trend reporting to forecast with confidence, while free growth coaching from former agency owners, franchise trainers, and sales coaches helps operators accelerate expansion through one-on-one sessions, group training, and operational audits. Vendor-agnostic and integrated with common agency management systems, Paradigm operates on a performance-aligned model we dont get paid until you get paid and emphasizes compliance, rule-change monitoring, and rapid escalation to protect revenue. The platform and service model have supported thousands of agencies, with 43,000,000 hours of care billed, $2,000,000,000+ in provider claims paid, a 99.9% first-pass claims acceptance rate, a 99.99% collection rate, and an average 2.4x annual provider growth reported, with 3,271 thriving providers relying on the solution. Recognized by leading home care franchises and independents alike, Paradigms mix of billing automation, authorizations and eligibility, enrollment and credentialing, and revenue analytics helps agencies stay compliant, reduce denials, shorten time-to-cash to days instead of weeks, and confidently scale veteran and Medicaid caseloads without sacrificing quality or visibility.
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