<aside> <img src="notion://custom_emoji/a92c6bb2-4eea-4bb5-a994-6ce2ed0f4d9f/1d17c7d2-8dd8-805b-a7b8-007aee0eaa01" alt="notion://custom_emoji/a92c6bb2-4eea-4bb5-a994-6ce2ed0f4d9f/1d17c7d2-8dd8-805b-a7b8-007aee0eaa01" width="40px" /> A note from our CEO:

I founded Paradigm with a single mission: to fix home and community-based care. The fastest way to do that was to empower the providers who deliver it every day, so I assembled a team of passionate innovators (i.e. Paradigm Shifters) to tackle two challenges at once:

  1. Close the knowledge gap. Providers need clear, up-to-date guidance on third-party payers, regulations, and best practices.
  2. Build intelligent products. Tools that make billing effortless, speed up payments, and clear a path for growth.

The strategy worked. A few weeks ago, the CEO of a major MCO told me, “Your people know this space better than my own,” and that says everything.

Today we’re sharing that expertise with the entire industry. The VA Vault is only the first step. We’ll keep expanding it, then add Medicaid resources and more. Every guide, dataset, and checklist will remain free, whether an agency works with Paradigm or not.

Why give it away? Because healthcare moves forward when providers have real knowledge and practical tools. Research should never hide behind paywalls or service fees. By sharing what we know, we raise the bar for everyone, and when agencies have the support they need, veterans and other clients receive the care they deserve.

Paradigm will still offer the most hands-on growth coaching in the industry, and the agencies that partner with us will always move faster and adapt sooner. But we are turning our values into practice by opening access to our research for free.

Thank you for being part of this movement. I hope the VA Vault makes your path a little clearer.

Best

Danny Shapiro,

Paradigm CEO

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Before digging into the VA Vault, take a minute to read this disclaimer.

This guide is a shared resource, not legal advice, and while we’ve done our best to make it accurate and useful, you’re responsible for how you use it. Always double-check details with the VA, your TPA, or a compliance expert.

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Vault Map

Important Disclaimer :verified-2370fe:

VA-Funded Home Care Services :verified-2370fe:

Community Care Network

Aid & Attendance

Veteran Directed Care

Caregiver Support Programs

Community Care Network :verified-2370fe:

Third Party Administrators

History & Overview

Agency Eligibility & Getting Started

Enrollment & Credentialing

Authorizations & Referrals :verified-2370fe:

How VA Referrals Are Generated

Authorization types

Requesting and Securing Authorizations

Managing Expired or Soon-to-Expire Authorizations

HealthShare Referral Manager (HSRM)

Ensocare

Compliance :verified-2370fe:

Holiday Rates, Mileage, and Overtime

Registered Nurse (RN) Services

Authorizations and Consult

Shifts, Billing, & Coding

Re-credentialing

Staying on Top of Alerts & Advisories

Billing & Claims Management :verified-2370fe:

Ways to Bill VACCN

Billing Foundations: CPT, HCPCS, and Revenue Codes

Navigating TPA Portals (Optum & TriWest)

VA Fee Schedules and Reimbursement Methodologies

Common Billing Errors and How to Avoid Them

Correcting and Resubmitting Denied or Rejected Claims

Overpayments, Recoupments, and Refunds

Troubleshooting Other Common Problems

Escalation Matrix

Payment & Reimbursement :verified-2370fe:

Timelines for VA Payments

Reconciling Payments and Avoiding Discrepancies

Advanced Payment Tracking and Reporting

Escalating Late or Missing Payments

Improving Cash Flow

Census Growth :verified-2370fe:

The Utilization Gap & Opportunity

Positioning Your Agency As A VA Specialist

Creating Marketing Materials & Assets

Leveraging Success Stories and Testimonials

Online Presence & SEO

Developing A Reputation For Quality

Engaging Local VA Medical Centers and Clinics

Partnering with Veteran Service Organizations (VSOs)

Participating in Veteran Outreach Events

Tools :verified-2370fe:

Case Mix Tool

Rate Lookup Tool

Additional Resources :verified-2370fe:

Glossary of Terms

FAQs

VA Support & TPA Directories

Veterans’ Advocacy Groups

Contribute Knowledge to the Vault

Get Billing Help :verified-2370fe:

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