Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
Miramar: Enroll offers a comprehensive multi-channel intake and verification system, seamlessly integrating with CMS while providing real-time work queue distribution. Having deep operational alignment with health plans, we understand the essential components of an effective Medicare plan administration solution. Our custom-built enterprise platform, Miramar, features dynamic workflows, sophisticated work queue functionalities, SmartWizard tools, automated notifications, and reconciliation rates that surpass the capabilities of most traditional software providers. Effectively managing government-sponsored health plan operations involves excelling in daily management tasks. With our specialized software solutions, you can achieve the primary objective of optimizing processes for improved efficiency and guaranteed compliance. Whether it's data reconciliation, overseeing your sales team, or monitoring compliance, our solutions are designed to integrate smoothly into your existing technology infrastructure, enabling you to activate your teams swiftly and enhance your overall productivity. Additionally, by leveraging our platform, you will be well-equipped to navigate the complexities of Medicare administration while ensuring that your organization remains agile and responsive to changing needs.
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
No
API Access
Has API
No
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
Yes
Online Support
Yes
Customer Support
Business Hours
No
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
No
Webinars
No
Live Training (Online)
No
In Person
No
Types of Training
Training Docs
Yes
Webinars
Yes
Live Training (Online)
Yes
In Person
No
Vendor Details
Company Name
Convey Health Solutions
Founded
2001
Country
United States
Website
conveyhealthsolutions.com/medicare-enrollment-software/
Vendor Details
Company Name
Paradigm
Founded
2015
Country
United States
Website
www.paradigmseniors.com
Product Features
Medical Billing
Claims Processing
No
Claims Scrubbing
No
Code & Charge Entry
No
Compliance Tracking
No
Customizable Dashboard
No
Dunning Management
No
Invoice History
No
Patient Eligibility Checks
No
Practice Management
No
Quotes/Estimates
No
Remittance Advice
No
Product Features
Home Care
Billing & Invoicing
No
Care Plan Management
No
Caregiver Management
No
Client Management
No
Field Communication
No
Insurance Management
No
Payroll Management
No
Scheduling
No
Visit Verification
No
Medical Billing
Claims Processing
No
Claims Scrubbing
No
Code & Charge Entry
No
Compliance Tracking
No
Customizable Dashboard
No
Dunning Management
No
Invoice History
No
Patient Eligibility Checks
No
Practice Management
No
Quotes/Estimates
No
Remittance Advice
No