by Aspirion | Mar 25, 2025 | Denials Management, Payment Variance Recovery, Revenue Cycle Management
Hospitals and healthcare systems nationwide are experiencing an alarming increase in diagnosis-related group (DRG) downgrades. This emerging trend poses significant financial and operational challenges for providers already navigating razor-thin operating margins. But...
by Aspirion | Mar 20, 2025 | Payment Variance Recovery, Revenue Cycle Management, Zero-Balance Review
Zero-balance reviews (ZBRs) have emerged as a powerful tool for recovering missed revenue opportunities. As ZBR experts who partner with healthcare providers nationwide, we’ve witnessed the growing need for this strategic approach. While the financial benefits...
by Aspirion | Mar 18, 2025 | Out-of-Network Recovery, Revenue Cycle Management
Since the No Surprises Act (NSA) took effect on January 1, 2022, healthcare providers have faced significant out-of-network revenue cycle challenges while adapting to this complex legislation. While the NSA protects patients from unexpected medical bills, it has...
by Aspirion | Mar 13, 2025 | Out-of-Network Recovery, Revenue Cycle Management
While the No Surprises Act (NSA) aims to protect patients from unexpected medical bills, it has created substantial financial and administrative challenges for hospitals and healthcare systems nationwide. Since its implementation on January 1, 2022, healthcare...
by Aspirion | Mar 10, 2025 | Motor Vehicle Accident, Patient Advocacy, Revenue Cycle Management
Patient advocacy has emerged as an important component that serves both patients and healthcare providers alike. Beyond improving the patient experience for motor vehicle accident (MVA) and third-party liability (TPL) patients, a well-structured advocacy program...
by Aspirion | Mar 4, 2025 | Motor Vehicle Accident, Patient Advocacy, Revenue Cycle Management
Hospital patients often find themselves navigating a labyrinth of insurance policies, billing procedures, and coverage options—all while dealing with the physical and emotional stress of injury or illness. This challenge becomes particularly acute for patients...
by Aspirion | Feb 27, 2025 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
In a recent HFMA Region 8 webinar, “AI in Denials Management: From Concept to Reality,” Aspirion’s Jim Bohnsack, Chief Strategy & Client Officer, and Spencer Allee, Chief AI Officer, provided an insightful look into how artificial intelligence (AI) is...
by Aspirion | Feb 19, 2025 | Zero-Balance Review
With 40% of hospitals operating in the red, according to Kaufman Hall, healthcare organizations are seeking effective strategies to strengthen their financial health. One proven approach to improving the hospital bottom line is conducting a thorough payment review...
by Aspirion | Feb 13, 2025 | Legislation, Motor Vehicle Accident
In a bold move that has sparked intense debate across Georgia’s legal and healthcare communities, Governor Brian Kemp has unveiled his much-anticipated tort reform initiative. The proposed legislation, split into Senate Bills 68 and 69, aims to reshape...
