There is a growing need for home care services for Veterans who require assistance with their Activities of Daily Living (ADLs). The Department of Veterans Affairs (VA) provides a range of benefits and services, including home care assistance.
However, navigating the VA system and meeting its requirements can be a complex and time-consuming process for home care agencies.
This article will explore how Paradigm helps home care agencies effectively manage the VA system and streamline their operations to provide better care for Veterans.
Credentialing
The credentialing process with the Department of Veterans Affairs (VA) is a crucial step for home care agencies that want to provide services to Veterans. This process can be complicated and time-consuming, requiring a significant amount of paperwork and documentation, as well as a thorough understanding of the VA's requirements and regulations.
One unique challenge that home care agencies face when working with the VA is the need to stay up-to-date with changing regulations and requirements, which can be confusing and overwhelming. Paradigm has a wealth of experience and knowledge working successfully with Optum and TriWest while remaining well-informed on any VA-related regulatory changes.
Education
Paradigm has an exceptional portal available to all clients with a number of courses and resources available to educate yourself on all things VA. We host live workshops on a weekly basis on topics like how to grow your VA census and next steps workshops for VA providers, ensuring that all clients are well educated on the VA.
Billing
Home care agencies who are authorized to serve VA clients are required to submit claims to the VA for payment, rather than billing the Veteran directly. The VA then reviews the claim to ensure that the services provided are covered under the Veteran's benefits and that the charges are in line with the allocated hours.
"Now that we use Paradigm, our interface to the VA is 100% automated and we are receiving accurate payments from the VA in a timely fashion" - Alex Shenker
VA and Medicaid billing can be quite a complicated process. Through Paradigm, you can completely automate your billing and direct your focus on growing your business instead.
Authorization Management
The VA authorization process typically begins when a Veteran requests home care services from a VA-authorized home care agency. The agency will then work with the VA to obtain authorization for the necessary services, which may include personal care assistance, homemaker services, etc.
Paradigm facilitates your authorizations so that you don't have to log into multiple portals, fetch details, and then download them into your EHR or scheduling software. Our system does this for you, and we notify you with easy-to-read, customizable email notifications.
VA authorizations typically expire once a year and we ensure that you have a new one in place so that there's no lapse in the coverage for your Veterans.
Audit and Collections
VA billing can become increasingly hard and overwhelming, especially with the constant changes to programs, compliance requirements, and strict deadlines for claims.
Paradigm audits and then collects on any outstanding VA-related accounts receivable, with huge success collecting payments of up to five years old. Our team sifts through billing reports, old authorizations, reports directly from the VA, and more, so that you can spend more time facilitating care for Veterans in need.
To Sum Things Up
Navigating the VA system can be complex and time-consuming for home care agencies.
Paradigm provides a range of services to help home care agencies overcome the unique challenges of working with the VA, automating billing processes, offering educational resources on the VA, facilitating VA authorization management, and auditing and collecting on any outstanding VA-related accounts receivable.
By partnering with Paradigm, home care agencies can streamline their operations and provide better care for Veterans in need.
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