The Company

Disease management and claims resolution are typically treated as separate functions. Claims are often paid without knowing whether the bills reflect the actual care that was approved and provided. Disease management programs are designed to achieve improved clinical outcomes, but continue to struggle to document genuine savings. The two functions are seldom integrated for maximum savings. Lost opportunities, wasted resources.

The Assist Group has leveraged technology and industry experts to develop the next generation of claims management solutions that take a complete 360-degree view of the claim – clinical and financial. Founded in 1999, we are the leader in integrated claims resolution and disease management solutions. Since the very beginning, our goal has always been the same: To maximize clinical outcomes while delivering the highest return on investment.

The Assist Group's Solutions

CareAssist

The combined cost of maternity, newborn and pediatric care is one of the most significant for health care payers. CareAssist is a care management program designed to positively impact clinical and financial outcomes for maternity, complex newborns and pediatrics.

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ClinAssist

It is estimated that 80-90% of hospital claims contain errors. ClinAssist is the leader in complex claims resolution. We offer payers a complete solution: initial screening through settlement. ClinAssist delivers a significant return on investment, yielding an average savings of 20%.*

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Company Highlights

The Assist Group gives payers a higher ROI by delivering measurable results utilizing:

  • 360-degree view of claims
  • Top industry experts
  • Innovative solutions
  • State-of-the-art methods and technology

Customer Testimonials

The Assist Group has helped us to significantly reduce our neonatal costs in two areas. First, we have experienced an overall reduction in inpatient days. Having the CareAssist Neonatologists collaborate regularly with the treating team is the greatest value. They are ensuring neonates are being treated according to the highest clinical standards, resulting in earlier progression toward discharge. Second, the ClinAssist Forensic Review has reduced hospital costs by identifying incorrect levels of care; unbundled charges; duplicate charges; and unreasonable charges. The same level of expertise is applied to the bill review as to the care management. We have had outstanding cost savings results in an area that has traditionally been unchallenged.
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