CareAssist Management System Highlights

Multi-Disciplinary, Expert Team

Our integrated management approach gives payers access to the country's leading neonatologists, maternal fetal medicine specialists, pediatric sub-specialists, and nurse care managers. Our team of experts look at every aspect of each case resulting in improved clinical and financial outcomes.

Acuity-Based Resource Allocation

Each case is assigned a nurse care manager and expert physician consultant. Additional resources may be assigned based on the complexity of the case, care plan progress, or client requirements.

Predictive Modeling

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.

Family Preparedness

CareAssist's nurse care managers work with the family to involve them in decision-making and provide them with the education and resources needed.

Financial Claim Review

Throughout the case, we document changes in levels of care provided and review the billed charges to assure their accuracy. When billing irregularities are identified, our ClinAssist claims resolution services are available to conduct a detailed review of the charges and negotiate on your behalf.

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

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