VA Billing Services Management for Home Care Agencies
Paradigm handles the entire VA billing process for home care agencies. Our experienced specialists and smart technology work together to prevent billing issues, resolve denials, and help you get paid accurately and on time
How it Works
We only charge you for successful VA claims paid and our revenue depends on yours, so we’re invested in your success.
We take the claims off your plate
We run your VA claims management like we’re your in-house billing department
We help you grow your VA census
We show you where VA referrals come from so you can increase revenue
We can help get you going with the VA
We help you get enrolled with the VA, if you aren’t already
Don’t Risk Your Revenue
We’ve mastered the art and science of protecting your revenue at every stage of the VA claims process.
Challenge
Missing or incomplete referrals
Risk to revenue
Thousands lost on hours delivered without a valid referral
Our solution
We validate and interpret referrals across all sources
Challenge
Claims not submitted
Risk to revenue
Tens of thousands of dollars in care never invoiced or reimbursed
Our solution
We reconcile and submit claims weekly to prevent loss
Challenge
Overbilling SEOC hour caps
Risk to revenue
Hours of care erased by authorization caps that flew under the radar
Our solution
We map shifts to SEOC caps and alert stakeholders before overages
Challenge
Incorrect HCPCS or modifiers
Risk to revenue
Claims bounce back unpaid due to preventable code errors
Our solution
We automatically scrub claims with AI to prevent code-related denials
Challenge
Delayed claim submission
Risk to revenue
Clock runs out on claims sitting in internal backlogs
Our solution
We submit weekly and flag missing items proactively
Challenge
Vague or unclear denials
Risk to revenue
Cashflow locked in limbo while staff chases vague denials
Our solution
We resolve denials using payer logic and historic cases
Challenge
Duplicate claim submissions
Risk to revenue
Rejections pile up from unintentional claim duplicates
Our solution
We block duplicate claims using submission history logic
Challenge
Mismatch between consult and SEOC
Risk to revenue
Shifts denied when staff follow clinical intent over billing rules
Our solution
We align consults with SEOC limits to ensure compliance
We Handle It All
It’ll feel like you’ve gained a team of coworkers who’ve spent their whole careers learning to speak the VA’s language.
Frequently Asked Questions
Yes, but we don’t provide them directly. We guide agencies through HSRM and Ensocare setup, and coach you on how to connect with VA case managers.
No. We’ll handle your TriWest or Optum enrollment from start to finish.
We support both TriWest and Optum, including their different systems, processes, and billing rules.
Yes. We work with AMS platforms like WellSky, AxisCare, AlayaCare, and others.
We operate on a pay-for-performance model - no setup fees, no monthly minimums.
Yes. We’ll take over your claims process seamlessly, fix billing issues, and ensure compliance moving forward.
Yes. We offer VA billing education, compliance training, and ongoing support for your care coordinators.
No Setup Fees. No Monthly Minimums. Just Proven Results.
Got questions about our VA billing services? Let’s talk.