Frequently Asked Questions
- What is CareAssist?
- CareAssist is a care management program designed to positively impact clinical and financial outcomes for maternity, complex newborns and pediatrics. CareAssist's sophisticated care management system combines a multidisciplinary, team of clinical experts with predictive modeling technology to determine length of stay (LOS) benchmarks, allocate case-appropriate resources, develop a comprehensive care-to-discharge plan, assure family preparedness and conduct a complete financial claim review.
- The CareAssist program is highly flexible and can be customized to meet each payer's care management requirements.
- How are you different from other care management or disease management companies?
- CareAssist is the only program that combines care management with claims resolution. This integrated approach allows a more complete clinical and financial view of the case to help deliver superior outcomes for both patients and payers.
- What is your clinical expertise?
- CareAssist specializes in maternity, complex newborn and pediatric conditions. The company's medical directors, care managers, physician consultants, and other clinical consultants are leading experts in maternal fetal medicine, neonatology, and various pediatric sub-specialties.
- What conditions do you manage?
- CareAssist manages maternity, complex newborns, and pediatric conditions on an integrated or stand-alone basis, based on your management needs.
- The maternity program addresses high risk pregnancies presenting with any of the following risk factors: multiple gestations; diabetes; hypertension; preterm premature rupture of the membranes; placentia previa/abrupto and/or hemorrhage; pre-term labor; previous spontaneous pre-term birth; pregnancy with a history of infertility, significant congenital anomalies or genetic disorders, and other pregnancies with a poor obstetric history.
- The complex newborn program can manage all NICU admissions or a subset of the NICU population, including newborns with genetic disorders or congenital anomalies.
- The pediatric program can manage cancer, congenital anomalies, rare syndromes, and trauma, such as burns, spinal cord injury, or brain injury.
- Can you help us develop referral criteria that meet our management needs?
- Yes. CareAssist can be customized to meet your specific care management needs.
- What additional services do you provide to support my case managers?
- Our integrated management approach gives you access to the country's leading neonatologists, maternal fetal medicine specialists and pediatric sub-specialists, along with a team of experts to look at your case from a combined clinical and financial point of view.
- Our team of clinical professionals' works collaboratively with the treatment team to resolve key issues, accelerate care when appropriate, and offer innovative evidence-based solutions. CareAssist's care managers work closely with your team and the family to assure continuity of care.
- Our complex newborn program uses a sophisticated predictive modeling system that draws from a database containing nearly 180,000 newborn records estimating each infant's Length of Stay (LOS) and costs.
- Lastly, a financial review is conducted on every case.
- Can you review the billed charges at the conclusion of a case to ensure they accurately reflect the course of care?
- CareAssist is the only care management program with the ability to compare and validate that all billed charges are accurate, reflect the actual clinical care given, and that the cost benefit analysis shows real, not estimated savings.
- How do I refer a case for management?
- You can refer a case to us via Internet, phone, or fax. You can submit a referral through our secure website – www.AssistGroup.com, by calling 877-631-9080, or faxing us at 800-435-2049.
Did you know?
According to the HCUP fact book number 4 published in October of 2003, three of the top ten diagnoses with the longest lengths of stay for all children are conditions originating in the neonatal period which include cardiac and circulatory birth defects, respiratory distress and prematurity
Learn More »
