<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:
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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Important Disclaimer :verified-2370fe:
VA-Funded Home Care Services :verified-2370fe:
Community Care Network :verified-2370fe:
Agency Eligibility & Getting Started
Authorizations & Referrals :verified-2370fe:
How VA Referrals Are Generated
Requesting and Securing Authorizations
Managing Expired or Soon-to-Expire Authorizations
HealthShare Referral Manager (HSRM)
Holiday Rates, Mileage, and Overtime
Registered Nurse (RN) Services
Staying on Top of Alerts & Advisories
Billing & Claims Management :verified-2370fe:
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
Payment & Reimbursement :verified-2370fe:
Reconciling Payments and Avoiding Discrepancies
Advanced Payment Tracking and Reporting
Escalating Late or Missing Payments
Census Growth :verified-2370fe:
The Utilization Gap & Opportunity
Positioning Your Agency As A VA Specialist
Creating Marketing Materials & Assets
Leveraging Success Stories and Testimonials
Developing A Reputation For Quality
Engaging Local VA Medical Centers and Clinics
Partnering with Veteran Service Organizations (VSOs)
Participating in Veteran Outreach Events
Additional Resources :verified-2370fe:
Contribute Knowledge to the Vault
Get Billing Help :verified-2370fe:
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