BILLING FOR DIRECT SERVICES
THREE OBJECTIVES,
ONE SOLUTION
What makes us different?
As your billing partner, we understand three things clearly. It’s our job to bring revenue into your schools. It’s our job to provide you with reliable information. And, it’s our job to not only grow your program but to streamline the billing process for you.
By doing these three tasks in an outstanding way, Paradigm ensures you will have a successful, compliant, and cost-efficient billing programs.
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Reduce Redundancies
We deliver programs that are functional and maximized—that means finding all opportunities for reimbursement and leveraging existing processes to reduce your administrative burden. Our online application tracks all student health and related services in one place, simplifying program management and reporting.
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Increase Reimbursements
Our primary function is to accurately process your claims and exhaust them for payment. Couple this with regular guidance from a dedicated program advisor, comprehensive training, a sound fiscal strategy, and ongoing program analysis you will understand why Paradigm is called “a partner.”
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Be Audit-Ready
Your exposure is our exposure—we just don’t risk it. You will be informed, benefit from hands-on compliance reviews, and be provided the tools to keep back-up documentation up-to-date and in order. Paradigm is literally by your side for every review and audit.
We provide schools the support they need
Our experienced advisors, policy analysts, technology experts, and on-call support team are certain to exceed your expectations. We offer:
Dedicated Program Advisors
Accurate and comprehensive claims processing services (billing)
Innovative “how-to” training
Streamlined participation with our online applications
Enhanced participation and compliance with our custom documentation tools
Sophisticated reporting and program analytics
On-call support for you and your staff
Value-added program advocacy and policy analysis
TECHNOLOGY
Student Health Network (SHN)
Paradigm’s SHN is an online solution for collecting, tracking, accessing, and protecting your students’ health information. It is not merely a Medicaid billing software suite, but a powerful tool that enables schools to:
Build a single, comprehensive electronic health record for each student
Enter service data via a user-friendly interface
Access powerful reporting providing you with insights into student health on a micro and macro level
Streamline Medicaid billing
SHN has an integrated ICD-10-CM index, is FERPA and HIPAA compliant, and completely secure.
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School-Based Administrative Claiming
Paradigm offers comprehensive consulting, audit preparedness, and invoicing services to local educational agencies participating in the School-Based Medi-Cal Administrative Activities (SMAA) program.
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Supporting Services for CYBHI
From Medi-Cal billing expertise to Paradigm’s agile Student Health Network (SHN) and Student Wellness Module, discover how Paradigm can provide seamless support for California’s Child & Youth Behavioral Health Initiative.