Partnership Powered by Results
$85M
reduction in Aged AR in under 6 months
$7M+
total cash collections
$4M
collected on accounts older than 331 days
RESULT
Expertise in Action:
- Aspirion’s skilled clinicians and attorneys resolved aged denials, achieving a remarkable $85 million reduction in aged accounts within six months—a 278% increase in collections
Impressive Recoveries:
- The team recovered over $4 million from accounts aged 331+ days and nearly $3 million from those exceeding 361 days
Partnership Expansion:
- Inspired by these results, the healthcare provider transitioned from a one-time project to an ongoing partnership with Aspirion
CHALLENGE
Overcoming Staffing Shortages:
- Severe staffing shortages left the healthcare system overwhelmed with a massive backlog of aging accounts
Addressing Knowledge Gaps:
- A lack of in-house expertise on payer-specific guidelines hindered effective accounts receivable management
Resolving Billing Errors:
- Persistent issues like missing modifiers, hardcopy claim submissions, and incorrect bill types for outpatient claims from CAHs compounded the challenges
SOLUTION
Aspirion deployed a strategic blend of technical, clinical, and legal expertise, focusing on change management, partnership optimization, and proactive troubleshooting. Here’s what we did:
Rapid Learning:
- Mastered payer guidelines and implemented SOPs for the follow-up team
Strategic Management:
- Assigned accounts by financial class, dollar range, and payer expertise
Proactive Solutions:
- Escalated denials, engaged specialists, and resolved billing issues to prevent future problems, helping ensure proper authorization and complete claim documentation
“Aspirion is always very collaborative. They come to us with their findings. If we need to escalate something further to a payer, Aspirion will bring those cases back to us. They just don’t sit on the inventory without doing anything; they are always acting on things, and I appreciate that.”
About the Provider
- This major Southeastern healthcare system features 3 hospitals, 13 practices, and 30 outpatient sites, plus telehealth. It boasts nationally ranked cancer and rehabilitation centers.