For Healthcare Organizations

The problem is volume, not competence

Most organizations we meet are clinically strong. What's breaking is the administrative layer underneath: prior authorizations submitted late, documentation chased for days, OASIS scored inconsistently, claims going out slowly. None of that is a clinical failure. All of it costs money.

As census grows, documentation volume increases exponentially, the prior-auth burden increases, physician communication load expands and QA workload intensifies. Without scalable infrastructure, turnaround times slow, errors increase, the cash cycle extends and compliance risk multiplies. Many organizations grow revenue but shrink margin.

Most agencies do not fail clinically. They fail operationally. Home Care 101 — Paradygm Health Group

What we staff

You hire dedicated remote employees through us at a flat monthly rate. They work your systems, your workflows and your hours — but they're our staff to recruit, train, supervise and replace.

• Customer service (CSR) — we take the phones so your team can focus on clinical matters.
• Intake — a remote nurse doing your intake at a fraction of the cost of a typical front-desk employee. Eligibility confirmed before cost is incurred; payer type identified; unbillable admissions prevented.
• Prior authorization — obtained on time, every time. Poor submission means delayed care and delayed cash.
• Quality assurance — our nurses and physical therapists double-check your discipline's notes. QA and OASIS review directly affect case-mix weight, reimbursement and audit exposure.
• Document management — the process to stop your staff chasing signatures. Missed signatures mean held claims.

Why the back office decides profitability

This is the part that gets treated as overhead and is actually infrastructure. A structured back-office model reduces domestic payroll burden, increases throughput, standardises processes, adds performance oversight, protects against audit exposure, and improves EBITDA through both cost control and revenue capture.

The metrics it moves are the ones your board asks about: case-mix accuracy, denial rates, Days Sales Outstanding, LUPA percentage, episode profitability, audit exposure. Small percentage improvements in reimbursement accuracy, claim turnaround and denial reduction compound into meaningful annual margin.

The compliance question, answered directly

Is outsourcing even allowed?

If you are a Medicare provider, you should not outsource directly to the Philippines. Instead you contract with us — a non-Medicare provider — to handle the offshoring for you. That keeps you clear of any offshoring relationship. We do not handle clinical matters; we assist you and your staff with back-office work.

How is HIPAA handled?

We run a compliance department that understands PHI rules and regulations, holds regular HIPAA training, and performs periodic internal audits.

Do I get a dedicated employee?

We have a timesharing program for small organizations, but we encourage the dedicated employee program — your employee works only for your company.

What does it cost, and how long am I tied in?

A flat monthly rate per dedicated remote employee — less than about half the expense of a typical front-desk employee. Agreements are monthly. We believe in long-term relationships, not long-term agreements; cancel anytime you're not happy.