REVENUE CYCLE + PAYMENT INTEGRITY

Faster and easier payments from the VA and Medicaid.

We’re home care’s third-party payer experts. Home-based care providers use Paradigm to get paid on time, stay compliant, and scale confidently with a fully integrated, AI-powered platform.

3,942
Thriving Providers
99.99
 %
Claims Acceptance Rate
2.9
x
Average Annual Provider Growth
A conceptual visualization from Paradigm’s portal showing projected growth in VA and Medicaid home-based care billing over time.

The Revenue Difference

“As the founder of a home care agency billing the VA. . . I can truly say using Paradigm is one of the best business decisions I’ve made.

LaChaundra Laster
CEO, Client Conscious Care

"Paradigm has been a tremendous help for managing and growing my business. They are the payer gurus in home care billing.”

Mike Gibson
Griswold Home Care

“Prior to partnering with Paradigm, our VA billing was an ongoing stressor in the office. Working with Paradigm was the best choice our home care agency could have made.”

Amy and Jeff Peck
Synergy HomeCare

“We’re growing quickly. . . using Paradigm has taken a lot of work out of our home care billing and the customer service response time is fantastic.”

Karcher Argyle
Select Home Care

"Paradigm makes the home care billing process incredibly simple and efficient, especially when we have any type of billing issue. I don't know if I could handle our VA caseload if it wasn't for them!"

Allison Negri
ComForCare

“I’ve been using Paradigm for our home care billing for two years now. They are very helpful with my VA billing and have EXCELLENT customer service. I highly recommend them.”

Melanie Nagy Mahran
Owner/Director, Visiting Angels

"In the past, some VA payments would show up 2-3 months after home care services were provided; with Paradigm in place, all VA payments arrive just a week after billing is concluded."

Alex Shenker
Senior Helpers

“Paradigm makes my life so much easier with automated home care billing. That gives me time to focus on other critical areas.”

Karen Straehle
Owner, Home Helpers of Norwood

"Paradigm handles all of our home care billing; our claims are submitted timely and correct. Most importantly, we're being paid quickly and accurately for our work!"

Julie Mejia
Nu Care

How It Works

In short: we operate like an overqualified in-house billing department for third-party payer sources in home care agencies.

Medicaid

We handle the entire claims process.

We manage everything for Medicaid billing: submissions, rejections, appeals, and payer follow-ups.

You get paid faster with full visibility.

We reconcile home care payments, post remits, and give your team real-time insights so your agency's cash flow stays predictable.

If necessary, we help you get enrolled and ready to bill.

We walk you through contracts, MCO onboarding, and EVV setup on a state-by-state basis.

Veterans Affairs

We manage your VA claims from referral to reimbursement.

Our team tracks VA authorizations, handles claims and denials, and ensures every home care visit is billed correctly.

Stay compliant, get paid.

We monitor rule changes, flag compliance risks, and make sure you get paid on time while staying in good standing with the VA.

If necessary, we guide you through the VA enrollment maze.

We help you get credentialed with the right TPA, set up SEOCs and authorizations, and start billing for your home care agency.

FAQ's

Is My Home Care Agency a Good Fit For Paradigm?

Clear answers for home care agencies in every stage of growth.

What if my agency handles third-party payer billing in-house?
Yes. We complement your internal team, allowing them to focus on client-facing work while we free them from wrestling the beast that is government payer sources. We are the only pure-play revenue cycle management company for home care agencies being paid from the VA and Medicaid. Your billing team will probably report fewer headaches and a renewed zest for life within just a few weeks.
What if we already use scheduling software that also does VA and Medicaid billing?
Yes. We’re vendor-agnostic and integrate with your AMS. Agency management systems are scheduling software systems natively and if they include billing, it's typically an add on. They’re not billing specialists nor focused on the VA and Medicaid. We’ve put in the time and energy to understand home care billing services better than anyone; and as a result we often get called in to clean up the messes made by non-billing vendors trying to do billing. If that's you, please get in touch.
How about if my home care agency uses a local/boutique billing company?
Yes. Even if you’re lucky enough to have one that says they know local VA or Medicaid billing, they typically don’t have the resources for rapid response times, escalated claims, and AI-powered monitoring. Paradigm does.
If we use a generic healthcare RCM company for our home care billing, are we a good fit for Paradigm?
Yes. Generic RCM companies rarely understand home care, and this often results in small mistakes, unnecessary denials, slower claim escalation, and missed revenue. In addition, most broad RCMs don't understand the complexities of the VA and Medicaid. Paradigm is 100% focused on the nuances of billing for home care agencies.
Expert Coaching

Grow Faster With
Expert Growth Coaching

Our revenue grows with yours, so we provide free growth coaching to our customers. Our veteran coaching team includes former agency owners, franchise trainers, sales coaches, and more.

Grow Faster With
Expert Growth Coaching.

Our growth depends on your growth. So we assembled a team of home care experts to help you out.
The coaching team includes former agency owners, franchise coaches, sales coaches, and more.

One-on-one coaching

Group training sessions

Business operation audits

Solutions

The Perfect Mix of Real Humans,
Best-In-Class AI, & Deep Payer Knowledge

We’re more hands-on than a typical tech company and more tech-forward than a typical service company.

Billing Automation

Third-Party revenue cycle management built for home care.

EVV integrated workflows
Clean claim submission
Denial management
Authorizations & Eligibility

Keep Every Hour Of Care Authorized And Payable

Real-time tracking
Expiration alerts
Eligibility checks—no gaps in coverage or payment
Enrollment & Credentialing

Enrollment support for Medicaid, VA, and other third-party payers.

State-specific guidance
TPA relationship guidance
Faster approvals
Revenue Visibility

AI-powered workflows and tracking to reduce uncertainty and improve forecasting.

Daily claim updates
Payment dashboards
Trend reporting

We’ll Obsess About Your Cashflow
Like Our Own Cashflow Depends On It. Because It Does.

We don’t get paid until you get paid. If you’re ready to streamline your home care agency's billing processes and accelerate your cashflow, let’s talk.