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ease 0 out of 5 stars
features 0 out of 5 stars
design 0 out of 5 stars
support 0 out of 5 stars

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Average Ratings 0 Ratings

Total 0 out of 5 stars
ease 0 out of 5 stars
features 0 out of 5 stars
design 0 out of 5 stars
support 0 out of 5 stars

No User Reviews. Be the first to provide a review:

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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.

Description

Rivon Health serves as a comprehensive platform for provider credentialing, licensing, and payer enrollment, catering to medical groups, MSOs, telehealth organizations, and medical practices. It streamlines the collection of provider documents by sending automatic reminders and utilizes AI technology to extract critical information from licenses, DEA registrations, and certificates, thereby pre-filling credentialing, state licensing, and payer applications for e-signature. Teams can efficiently monitor licenses, DEA registrations, board certifications, and CAQH attestations while receiving expiration alerts, supporting primary source verification, and keeping an eye on OIG and SAM exclusion lists as they navigate the payer enrollment process. The platform features a shared pipeline that provides visibility into each provider's status from initial intake to final approval. Additionally, Rivon offers specialized licensing and enrollment services for teams seeking operational assistance, enhancing their overall efficiency and compliance in the healthcare landscape. This multifaceted approach allows organizations to focus on delivering quality care while ensuring all credentialing processes are managed effectively.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

No images available

Integrations

Gmail No 
Microsoft Outlook No 

Integrations

Gmail Yes 
Microsoft Outlook Yes 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

$0
Free for up to 6 providers. Paid plans range from $49/month to $1,499/month, with prices based on provider count and storage. Annual billing is discounted by 20%. Optional AI Document Extraction is $49/month, and AI Quality Control is $59/month. Paid plans include a 14-day money-back guarantee.
Free Trial No 
Free Version Yes 

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 No 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) Yes 
In Person No 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) Yes 
In Person No 

Vendor Details

Company Name

Paradigm

Founded

2015

Country

United States

Website

www.paradigmseniors.com

Vendor Details

Company Name

Rivon Health

Website

www.rivon.health

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 

Product Features

Credentialing

Appointment Management No 
Certification Tracking No 
Committee Management No 
Document Management No 
Expiration Management No 
License Verification No 
Online Applications No 
Privileging No 

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