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Description
MDaudit is an innovative cloud-based solution that consolidates billing compliance, coding audits, and revenue-integrity processes for various healthcare entities, including hospitals, physician networks, and surgical centers. The platform caters to diverse audit types such as scheduled, risk-based, retrospective, and denial-focused evaluations. By automating the ingestion of data from pre-bill charges, claims, and remittance information, MDaudit efficiently initiates audit workflows, identifies anomalies and high-risk trends, and offers real-time dashboards with detailed analytics to uncover the underlying causes of billing mistakes, denials, and revenue loss. Among its features are a “Denials Predictor” designed for pre-submission claim validation and a “Revenue Optimizer” that enables ongoing risk monitoring, both of which assist organizations in minimizing claim denials, decreasing recoupments, and improving their revenue capture. Furthermore, MDaudit streamlines payer-audit management by providing a secure, centralized system for handling external audit requests and facilitating the exchange of necessary documentation, ultimately enhancing operational efficiency. The comprehensive nature of MDaudit's tools ensures that healthcare providers can maintain higher standards of compliance and revenue management.
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
MDaudit
Founded
1993
Country
United States
Website
mdaudit.com
Vendor Details
Company Name
Paradigm
Founded
2015
Country
United States
Website
www.paradigmseniors.com
Product Features
Revenue Cycle Management
Accounts Receivable
Claims Management
Collections Management
EHR/EMR Integration
For Healthcare
ICD-10 Compliance
Insurance Verification
Medical Billing
Patient Portal
Patient Registration
Patient Scheduling
Payment Processing
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