Back-office and bookkeeping services for agencies at any stage of growth.
We handle the full home care billing cycle, from matching EVV visits to posting payments, and keep your books clean along the way.
Plans from $200 a month.
4,000+ agencies bill with Paradigm without switching their AMS.
September close
Example- Billed in your AMS
- $48,210.00
- Deposited in your bank
- $46,935.00
- Difference
- $1,275.00
Where it went
- LTCi claim paid short, wrong units $640.00
Corrected and resubmitted
- Two private-pay invoices past due $520.00
Reminders sent to both families
- Card processing fees $115.00
Booked to merchant fees
Every dollar accounted for. Books closed.
For agencies struggling with:
Each of these slows down how fast you get paid. We take them off your plate without changing the systems you already use.
Find your Package-
Your AMS, bank, payroll and 401(k) each show a different number, and no one has time to reconcile them. So you’re never sure which figure is right. It's impossible to spot trends and allocate budget when your bank, bookkeeping software, AMS, and payroll system are out of sync.
Financial system reconciliation
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Every payer has a different process, submission schedule and requirements. It can be a lot to manage for anyone, let alone someone wearing multiple hats. The impact can be lost revenue.
AMS invoice creation and submission
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Every third-party payer has its own forms, documentation requirements and filing deadlines. Miss a deadline and you often can’t resubmit, so that revenue is lost.
Third-party payer invoicing and compliance
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Your P&L, balance sheet, cash flow, receivables and royalty reports show up weeks after month-end, if they show up at all. By then it’s too late to fix what went wrong.
Monthly reporting
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A bookkeeper hands you statements. Nobody sits down each quarter to show you what's trending, or which payer is actually carrying the business.
Quarterly financial review
One partner from the visit to the balance sheet
You keep your AMS, your bank and your QuickBooks. We do the work that connects them.
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Visit
Shifts and EVV stay in your current AMS, so there's nothing to migrate.
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Bill
We invoice private-pay families and third-party payers. Add RCM and we'll handle VA and Medicaid claims too.
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Collect
We post payments in your AMS, review every remittance, and follow up on short payments.
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Close
We reconcile your bank, payroll and 401(k) and close your books in QuickBooks Online every month.
Start with your books. Add VA and Medicaid when you're ready.
Every package runs inside your AMS and your QuickBooks Online.
Plans from $200 a month.
Lite
For new agencies and agencies billing mostly private pay from one location.
Plans from $200/month
Get started with LiteInvoicing
Private-pay and card-processing invoices, created and sent from your AMS
Reconciliation
AMS, bank and payroll
Monthly Reporting
P&L, balance sheet and cash flow
Quarterly review
- available with Full plan
QuickBooks Online, kept in your name.
Full
For agencies with more payers, more locations, or reports owed to a franchisor, lender or investors.
Custom Prices Quoted
Get started with FullInvoicing
Everything in Lite, plus LTCi, Medicaid Advantage and other third-party payers, with filing and documentation compliance
Reconciliation
AMS, bank, payroll and 401(k)
Monthly Reporting
Everything in Lite, plus receivables by payer and royalty reports
Quarterly review
Virtual financial analysis and trending review with your team
QuickBooks Online, kept in your name.
VA & Medicaid RCM
For agencies billing the VA, state Medicaid or Medicaid managed care plans.
We don't get paid until you do
Book a DemoEnrollment
Credentialing and payer enrollment
Claims
VA, Medicaid and MCO claims, built and submitted
Authorizations
Eligibility and authorization tracking
Collections
Denials, appeals, payment posting and A/R follow-up
Trusted by 4,000+ agencies.
Not sure which fits?
A 15-minute call is all it takes. We’ll look at how you bill today and recommend the package that makes sense for your agency.
Book a DemoWhy agencies choose us over a bookkeeper.
Add VA or Medicaid without adding a vendor
We already credential, enroll and bill VA, Medicaid and MCO plans. We already handle credentialing, enrollment and billing for VA, Medicaid and managed care plans. When you’re ready to add them, you won’t need to find another vendor.
Keep the AMS you have
We work inside WellSky, HHAeXchange, AxisCare, Careswitch and most other major platforms. No data migration and no new software to buy.
Every payment matched to its claim
We match every payment to the claim it belongs to. When a deposit comes up short, we find out why and fix it instead of just logging it.
Built for Home Care
We know home care: royalty reports, receivables by payer, and billing based on EVV. Your reports reflect how your agency actually operates.
Before and after
The same four questions, before and after
| Before With a biller and a bookkeeper | After With Paradigm | |
|---|---|---|
| Your A/R | Two numbers that never quite match | One number, reconciled claim by claim |
| A short payment | Someone records it | Someone finds the cause and fixes it |
| Your margin | A number at the bottom of a P&L | Margin by payer, so you know which ones to grow |
| Your vendors | Two partners who never talk to each other | One partner who sees both sides |
Questions agencies ask first
No. Both packages stand on their own. If you start billing VA or Medicaid later, add RCM without changing vendors.
No. We work inside the AMS you already use, including WellSky, HHAeXchange, AxisCare and Careswitch. Tell us yours when you get started and we'll confirm.
You do. It stays in your name and you keep full access. We work in it, but you stay in control.
Today we work in QuickBooks Online. If you use something else, tell us when you get started.
Lite fits new agencies and agencies billing mostly private pay from one location. Full fits agencies billing several payers, running more than one location, or owing reports to a franchisor, lender or investors. Your account executive confirms the fit on your first call.
Lite starts as low as $200 a month. Full is quoted to your payers and locations. VA and Medicaid RCM is priced separately, as a percentage of what we collect for you.
Bring us last month's numbers.
Send us your A/R aging report and last month’s P&L. On a short call, we’ll show you where the numbers don’t line up and how we’d fix it.