Stop level of care denials in their tracks
Status denials are avoidable but only with a clear argument for medical necessity. CareAssist helps your team make that case proactively, reducing payer pushback and protecting reimbursement for inpatient care that meets the mark.
Payers deny and downgrade more patient statuses than your team can keep up with.
Most status determinations reach the payer without a full clinical argument behind them, because a complete case review takes hours your nurses don’t have. CareAssist gives your team that argument on every admission, so they can review the patient instead of the checklist.
With CareAssist, every case gets a full clinical argument
The best offense is a good defense, and it takes more than a checklist review to stay ahead. Before the denial or downgrade happens, CareAssist gives each case the information it needs to maintain the right status based on clinical justification, not criteria.
Every patient, the whole chart
Consistent determinations
Justification already written
Re-evaluated during the stay
Work by exception
Runs inside your EMR
Built into the workflow your nurses already use.
Connect
CareAssist reads the record from your EMR and ADT feeds and flags the patients who need a status review. Your nurses keep working in the screens they already know.
Analyze
It reviews severity of illness and intensity of service across the whole chart, checked against payer policy and clinical literature.
Generate
Your nurse gets a recommended status and a written clinical justification, not a score. They review it, apply their judgment, and make the call.
Export
The justification goes into concurrent review notes, to the physician advisor, or back to the EMR, ready for the payer conversation.
Double your daily utilization reviews
At a large academic health system, UR nurses using CareAssist went from 30 charts a day to 68. Full case review dropped from two hours to just five minutes. Your department hits its review targets without adding headcount, and that productivity is a big part of how Long Tail cuts the cost of running UM by 25% or more.
See CareAssist on one of your own charts.
Send a few recent admissions. We run them through CareAssist and walk your UM team through the results. When you go live, CareAssist runs inside your EMR, it’s HIPAA-compliant, and your nurses keep the workflow they know.