by Aspirion | Oct 28, 2020 | Legislation
In an effort to improve the patient experience, the healthcare industry is implementing new regulations and expectations regarding price transparency. As part of the new requirements, the Centers for Medicare and Medicaid Services’ (CMS) Price Transparency Final...
by Aspirion | Sep 30, 2020 | Legislation
Thanks to the recent Georgia Supreme Court ruling in Bowden v. The Medical Center (TMC), Georgia hospitals are free from the fear that filing a hospital lien at their chargemaster rates will result in a claim against them for fraud and negligent misrepresentation by a...
by Aspirion | Sep 23, 2020 | Motor Vehicle Accident
When dealing with motor vehicle accident (MVA) claims, the collection rate on third-party liability can be substantially higher than any other payment source—particularly involving patients who have no form of health insurance. Whether managed in-house or outsourced,...
by Aspirion | Sep 20, 2020 | Legislation
In a recently released Care Decision Insights, Humana announced that 145 formerly inpatient-only procedures are now approved at the outpatient level of care. According to Humana, the Centers for Medicare and Medicaid Services (CMS) says that its current inpatient-only...
by Aspirion | Sep 15, 2020 | Legislation
Since the global outbreak of the novel coronavirus, many health systems have seen a decline in normal patient services, leaving gaps in revenue. In light of the national public health emergency, Congress has passed legislation designed to support both citizens and...
by Aspirion | Aug 28, 2020 | Staff Training
Patient access teams are the face of your facility. These staff members must ask the right questions, gather accurate information, and establish trust with patients from all walks of life. If hospital staff cannot provide answers or proper assistance, patients become...
by Aspirion | Aug 26, 2020 | Workers’ Compensation
Even before the outbreak of the novel coronavirus, workers’ compensation claims posed significant revenue cycle management challenges for healthcare facilities. If a work-related illness or injury is overlooked initially—whether because the PAS misses it or the...
by Aspirion | Aug 19, 2020 | Revenue Cycle Management
Some of the top challenges affecting health systems’ reimbursement involve physician credentialing and provider enrollment. Enrollment with various payers in multiple states can be a tedious process—and few hospitals are staffed sufficiently to onboard, credential,...
by Aspirion | Aug 5, 2020 | Veterans Affairs - TRICARE
After a 2014 scandal uncovered long wait times and insufficient care from Veterans Affairs facilities, Congress passed legislation that expanded veterans’ access to healthcare and enabled them to visit non-VA hospitals for treatments. However, even though the...
by Aspirion | Jul 17, 2020 | Out-of-State Medicaid
Especially for facilities near state borders, out-of-state Medicaid claims can cause huge headaches. Many hospitals just consider it write-off business. But this outlook leaves millions of unclaimed dollars on the table—and we can help you get that revenue back. When...
