PAUSE BACKGROUND
CLAIMASSIST™
"MAKING FULL RECOVERY"™
ClaimAssist specializes in workers' compensation, motor vehicle accident, general liability, medical billing as well as A/R claims management.
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ClaimAssistUSA.com
ClaimAssist is 100% dedicated to healthcare insurance billing, including specialized workers' compensation, motor vehicle accident, general liability, managed care, and government payer follow-up. We represent some of the nation's largest healthcare providers, coast-to-coast, and have a detailed understanding of state-specific requirements throughout the country. To maximize reimbursement, we employ a dedicated team of experienced healthcare professionals who skillfully navigate the entanglements of liability claim billing, as well as the typical stalls/objections utilized by some payers to delay and/or minimize payment. Through decades of focused servicing experience, ClaimAssist has proven its ability to deliver benchmark recovery performance, interface at any desired level of technical sophistication, and above all, act as a strategic resource to its clients.
ABOUT USNationwide Coverage
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THE CHALLENGE
How can healthcare providers manage the processing of injury-related claims in a way that is efficient and cost-effective, while ensuring the maximum recoveries that they are entitled to?
THE ANSWER
By outsourcing your injury-related claims, a team of specialized professionals will maximize reimbursement while allowing your billing office to concentrate on the claims that make up the majority of your total revenue.
THE BOTTOM LINE
Hundreds of millions of dollars in liability claims are going uncollected by healthcare providers. ClaimAssist is the partner you need to deliver the reimbursement you deserve.
THE CHALLENGE
Injury-related claims often represent a small percentage of a provider's total revenue, while consuming a disproportionate amount of its billing resources. Payers are incentivized to reduce costs by disallowing and/or delaying payment, and many providers end up taking write-offs on collectable claims because they lack the in-house processing resources. Furthermore, it is challenging for any billing office to stay current on the laws and reimbursement fee schedules that differ from state-to-state.
Find out about The Answer
THE ANSWER
ClaimAssist was established specifically to assist healthcare providers in the recovery of complex, injury-related claims, and we routinely deliver dramatic improvements in the percentage of paid claims and cycle time to payment. We act as a seamless extension of the provider's billing office, and have extensive experience with virtually all billing systems.
ClaimAssist provides day-one and aged processing of workers' compensation, motor vehicle accident, and general liability claims, and our expert staff ensures that claims are sent to the correct payer the first time. By relying on our seasoned staff to manage your difficult third-party cases, you will effectively create a new revenue stream for your organization.
Find out about The Bottom Line
THE BOTTOM LINE
Healthcare providers face a variety of challenges when handling third-party liability claims. Typically, these claims represent a small percentage of the overall patient mix. However, if managed well, they can produce exceptionally high reimbursement rates.
Enormous amounts of liability claims get written off as a result of improper billing strategies and staffing issues. Most providers do not invest the requisite time or resources to maximize reimbursement.
Our process was designed to make it simple for you, and your staff, to focus on other priorities. We operate strictly on a contingency fee basis, and do not get paid unless we collect on your behalf.
A partnership with ClaimAssist ensures the rapid liquidation of your third-party liability claims, and at the reimbursement level to which you are entitled.
SEAMLESS
INTEGRATION
ClaimAssist interfaces with clients at any desired level of technical sophistication, and we have extensive experience working with systems such as Epic, Meditech, Cerner, Soarian, Siemens SMS, LSS, eClinicalWorks, Allscripts, HealthQuest, STAR, Eclypsis, GE, as well as home-grown platforms.
KEY
DIFFERENTIATORS
PATIENT
CARE
When contacting patients for information gathering purposes, our representatives are trained to be aware that they could be conversing with an individual who has recently gone through an emotionally difficult event, and to handle the discussion with care.
TPL
EXPERTISE
ClaimAssist has recruited experts from the insurance industry and revenue cycles of large healthcare providers who understand the typical stalls/objections utilized by some payers to delay/minimize payment, and employs their expertise to maximize reimbursement.
ELECTRONIC
BILLING
While electronic billing has been a part of the healthcare industry for years, TPL processing has traditionally been heavily paper-based. ClaimAssist has made electronic billing a core feature of its billing model, which optimizes days-to-cash.
REGISTRATION
TRAINING
ClaimAssist performs on-site patient registration training to educate client staff on the questions they should be asking patients up-front that can lead to increased revenue, patient satisfaction, and improved cycle time to payment.
HIPAA
COMPLIANCE
ClaimAssist has employed the necessary legal and operational resources to develop processes that meet HIPPA's stringent privacy provisions. The primary focus has been on safeguarding PHI, which begins with the comprehensive, ongoing training of our entire staff.
BILINGUAL
SERVICING
ClaimAssist has a large staff of bilingual representatives to service Spanish-speaking patients. Once identified, these accounts are transferred to bilingual queues to ensure any required follow-up is made by a representative that is fluent in the patient's preferred language.
"I just did the numbers for WKC and we posted the highest collections since last April.. you guys ROCK! Please pass along our appreciation to the team"|- Acute Care Community Hospital||"We are exceptionally impressed with your team's work. We ran the process from start to finish in 4 minutes. If there was a Nobel Peace for teamwork, the ClaimAssist team definitely deserves it!"|- Large National Clinical Laboratory||"We believe that success starts in creating trusting relationships and innovative partnerships with business partners who care for our patients and who act as an extension of us. Partners that embody our same principals and ethics, for us it's ClaimAssist."|- Large Healthcare System
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OUR SERVICING
EXPERTISE
Third-Party Liability:
Workers' Compensation & MVA
Workers' Compensation & MVA
ClaimAssist has been servicing workers' compensation, motor vehicle accident, and general liability referrals on behalf of some of the nation's largest healthcare providers for decades. As these complex claims require a disproportionate labor investment relative to their overall financial impact, ClaimAssist enables its clients to focus their valuable resources toward accounts with a higher ROI.
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Accounts Receivable (A/R) Management
ClaimAssist alleviates client resource constraints associated with new system implementations by working through existing receivables on the legacy system(s). We can also provide relief to your growing A/R by providing billing follow-up efforts to your managed care and government claims. ClaimAssist can support the billing needs of any provider.
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Over five decades of uninterrupted growth, proven leadership, unparalleled client relationships, and a tireless commitment to servicing excellence.
Over five decades of uninterrupted growth, proven leadership, unparalleled client relationships, and a tireless commitment to servicing excellence.