Partnership Powered by Results
180%
revenue lift above primary vendor
$2.2M
recovered within initial 9 months
$1.79M
beyond Epic’s expected reimbursement
RESULT
Superior Recovery:
- Recovered $1.8M from identical claims pool—180% more than previous vendor’s $1M—earning Aspirion the primary position
Accelerated Financial Impact:
- Exceeded previous primary vendor’s entire four-year total of $1.7M by recovering $2.2M within initial nine months
Uncovered Hidden Underpayments:
- Pursuing $1.79M in additional underpayments missed by Epic
CHALLENGE
Revenue Recovery Gaps:
- Narrow focus limited to higher-dollar underpayments by the primary vendor left significant revenue unrecovered
Insufficient Analysis:
- Primary vendor reporting failed to identify systematic underpayment patterns and provide actionable intelligence to prevent revenue leakage
Financial Pressure:
- Healthcare’s thin operating margins and complex payer methodologies required more thorough revenue optimization approaches
SOLUTION
Through the RFP process, industry-leading Aspirion replaced the primary vendor based on three key differentiators:
Comprehensive Review:
- Identified previously missed underpayments across all claim values and complexity levels as secondary reviewer
Complete Revenue Capture:
- Recovered previously neglected lower-dollar underpayments—no cherry-picking
Actionable Intelligence:
- Delivered root-cause analysis with practical improvement recommendations for prevention
“The Aspirion experience and expertise in revenue cycle under Managed Care contracts was invaluable for our team. They had a great deal more success on our Managed Care ‘zero balance’ accounts than any other vendor that we have ever used. The Aspirion contingency-based pricing showed the confidence they have in their work.”
About the Provider
- Leading not-for-profit health system serving the Pacific Northwest, which encompasses 300+ care locations across primary, urgent, pediatric, and specialty services, plus 13 hospitals
- Utilizes Epic EHR system