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Description
E-COMB, or EDI Compatible Medical Billing, serves as a web-based platform designed to create medical claims that adhere to the HIPAA transaction and code set standards mandated by the US Government in accordance with the guidelines established by the American National Standards Institute (ANSI). This solution facilitates the generation, submission, and reconciliation of claims directed towards insurance companies, guarantors, and patients, making it an essential resource for healthcare providers to optimize their revenue by significantly shortening the claims reimbursement process. Additionally, all pertinent information related to the operational context of a Doctor’s Office or Hospital is compiled as Master Data, which is often utilized for claims processing and tends to remain stable over time. This Master Data encompasses critical details regarding Procedures, Diagnoses, Doctors, Payers, and Billing Providers, among others, and is initially created during the setup phase, with the flexibility for updates as necessary. Consequently, E-COMB not only streamlines the billing procedure but also ensures that healthcare professionals have easy access to the most current and relevant information for their operations.
Description
Paradigm Senior Services provides a comprehensive, AI-driven revenue cycle management solution designed specifically for home-care agencies that handle billing for various third-party payers, including the U.S. Department of Veterans Affairs (VA), Medicaid, and several managed-care organizations. The platform automates and enhances each phase of the billing and claims workflow, encompassing tasks such as verifying eligibility and authorizations, managing state- or payer-specific enrollment and credentialing, submitting accurate claims, addressing denials, and reconciling payments. It seamlessly integrates with widely used agency management software and electronic visit verification systems, enabling the scrubbing of shifts, weekly authorization verifications, and efficient payment reconciliations, all of which contribute to a reduction in denials and a lighter administrative load. Additionally, Paradigm offers "back-office as a service" for healthcare providers; this means that even if agencies have their own billing personnel or scheduling applications, Paradigm is equipped to manage claims processing, functioning as a dedicated, expert billing department. This flexibility allows agencies to focus more on patient care while leaving the complexities of billing in the hands of specialists.
API Access
Has API
API Access
Has API
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
KBTS Technologies
Website
www.kbtstech.com
Vendor Details
Company Name
Paradigm
Founded
2015
Country
United States
Website
www.paradigmseniors.com
Product Features
Medical Billing
Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice
Product Features
Home Care
Billing & Invoicing
Care Plan Management
Caregiver Management
Client Management
Field Communication
Insurance Management
Payroll Management
Scheduling
Visit Verification
Medical Billing
Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice