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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.
Please don't share client names or health information.
- Thriving Providers
- 4,000+
- Collection Rate
- 99.99%
- Average Annual Provider Growth
- 3x
HIPAA compliant · SOC 2
The agencies and franchise networks that bill through Paradigm
Where are you right now?
A 3-client agency that isn't credentialed yet and a 40-location franchise with $2M stuck in AR need completely different conversations. Pick the one that sounds like you.
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“I'm not credentialed with the VA or Medicaid yet”
You want a third-party payer line but haven't got through enrollment.
Not credentialed yet -
“I'm billing, but the money isn't showing up”
Claims are going out. Denials, aged AR and silence are coming back.
Revenue is stuck -
“I want to add a payer line to grow”
Private-pay is capped and you want VA or Medicaid volume.
Adding a payer -
“I'm using another biller or my AMS and it isn't working”
A generic RCM, a local biller, or your scheduling software does your claims.
Switching providers
The Revenue Difference
Claims Revenue
$0 +56.7%
Date Range: March 1 - Present
Comparison: Previous Year
- Auto-scrub shifts for expiring authorizations
- Predict claim denial risk
- Flag real-time authorization overages
Serving veterans across Cape Cod is a major part of our mission, and Paradigm has helped make that possible. Their support with VA billing and operations has given us confidence as we continue expanding services to veterans in our community.
Asannie Campbell Office Administrator, ComForCare Home Care Plymouth, MAHow it Works
In short: we operate like an overqualified in-house billing department for third-party payer sources in home care agencies, with AI-enabled workflows.
Medicaid
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We handle the entire claims process.
We manage everything for Medicaid billing: submissions, rejections, appeals, and payer follow-ups.
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You get paid faster with full visibility.
We use AI to reconcile home care payments, post remits, and give your team real-time insights so your agency’s cash flow stays predictable.
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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
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We manage your VA claims from referral to reimbursement.
Our team tracks VA authorizations, handles claims and denials, and uses AI to ensure every home care visit is billed correctly.
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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.
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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.
Before + After Paradigm
Your home care agency’s revenue isn’t worth risking. Put your focus on clients, not claims.
Before Paradigm
Lost revenue & constant delays
- Delayed or missed Medicaid or VA payments
- Increased FWA (fraud, waste, abuse) risk
- Manual billing processes and errors
You know how it goes - claim rejections, compliance issues, and endless follow-ups that delay revenue.
After Paradigm
AI-enabled clean claims & on-time payments
- 99%+ first-pass acceptance rates
- Dedicated experts handling denials and escalations for you via workflow automation
- Payments processed in days, not weeks
Gain the AI-powered revenue cycle management tools and support to bill faster, get paid sooner, and scale your home care operation with ease.
Is My Home Care Agency a Good Fit For Paradigm?
Clear answers for home care agencies in every stage of growth.
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.
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 dabble in billing. If that’s you, please get in touch.
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’s home care revenue cycle management platform does. Our home care payer management software takes out the human error element so your agency wins.
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.
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
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.