by Aspirion | May 14, 2026 | Payment Variance Recovery, Zero-Balance Review
Published by HFMA Massachusetts – Rhode Island Chapter, May 2026 | Author: Liana Hamilton, President, Payment Variance Aspirion The Underpayment Gap Nobody Is Chasing Underpaid claims don’t create tasks—they create zero-balance accounts that close quietly...
by Aspirion | May 13, 2026 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
The insights and clinical expertise shared in this post and the Q12026 Policy Payer Playbook included were generously contributed by Autumn Resch, Lead Clinical Nurse Specialist, and Melony Malone Norwood, Lead Clinical Nurse Specialist. We are grateful for their...
by Aspirion | May 12, 2026 | Payment Variance Recovery, Zero-Balance Review
Published by HFMA Oregon Chapter, May 2026 | Author: Liana Hamilton, President, Payment Variance Aspirion The Silent Revenue Drain Underpaid claims don’t behave like denials—they don’t create tasks, alerts, or follow-up workflows. The shortfall settles...
by Aspirion | May 6, 2026 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
In this Q&A, Aspirion’s Rikki Ashkin, J.D., Senior Client Success Director, and Thomas Page, J.D., Sr. Director Ops Insights & Enablement, break down what extenuating circumstances are, how they apply across common authorization denial scenarios, and why...
by Aspirion | Apr 22, 2026 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
Published by Becker’s Healthcare, April 2026 | Author: Aspirion The Denial Crisis Isn’t a Documentation Problem Health systems treating rising denial rates as a documentation issue are misreading the situation. This is the output of a deliberate,...
by Aspirion | Apr 15, 2026 | Revenue Cycle Management, Workers’ Compensation
Workers’ compensation claims are among the most complex in the healthcare revenue cycle—but complex doesn’t mean unwinnable. For hospitals and health systems with the right expertise and approach, workers’ comp represents a meaningful and recoverable...
by Aspirion | Apr 8, 2026 | Artificial Intelligence (AI), Denials Management, Out-of-Network Recovery
In this session, revenue cycle experts from Aspirion explore how clinical denial appeals and out-of-network disputes are more connected than most teams realize and how the same strategies winning one can strengthen the other. By the end of this session, you’ll...
by Aspirion | Apr 7, 2026 | Revenue Cycle Management, Veterans Affairs - TRICARE
In Veterans Affairs claims management, few requirements carry more financial weight than a single 72-hour window. Miss it, and a legitimate claim can be denied outright. For hospitals already stretched thin managing complex VA regulations, that’s not just an...
by Aspirion | Apr 1, 2026 | Payment Variance Recovery, Revenue Cycle Management, Zero-Balance Review
Aetna’s Level-of-Severity Inpatient Payment Policy creates a clear and appealable pathway for hospitals to challenge underpaid inpatient claims. At its core, the issue is straightforward: once Aetna approves an admission as inpatient, medical necessity is established,...