Lakewood, CO – Workers’ Compensation costs are rising every year. Medical benefit outlay for US employers in 2010 was more than $28 billion. Reducing these costs is at the forefront of insurance payers’ goals and The Assist Group (TAG) offers an integrated solution.
ClinAssist, the proprietary review process from The Assist Group, offers Workers’ Compensation administrators pre-payment analysis of claims, saving payers a significant amount of money. Leveraging extensive experience resolving claims and using “clean claim” standards for all review, TAG experts advise payers which items on the claims are compliant and which are inappropriate. The process also uncovers in and out-of-network discounts and additional savings obtained through an extensive medical network with providers around the country. Contracted rates provide discount savings averaging 30% below state fees or UCR cuts.
As Workers’ Compensation expenses continue to grow, the chances for inappropriate billing increase dramatically. Although administrators may have in-house claim reviewers, payment urgency and insufficient processes allow inappropriate charges to fall through the cracks and inflate into billions of dollars annually. Retrospective audits, which review claims after payment, are not sufficient and essentially leave organizations chasing the providers for refunds. A prospective solution is needed. In addition to pre-payment review and resolution, the ClinAssist Workers’ Compensation claim review service also offers clients sign-offs on final resolution with no provider recourse or balance billing to patients.
“Every claim should be billed appropriately and should be free from errors and TAG has saved clients hundreds of millions of dollars,” says Bob Malone, CEO of The Assist Group. “As the entire insurance industry looks for cost containment solutions The Assist Group is offering solutions to become the comprehensive choice for payers.”
Source: The Assist Group