by Aspirion | Oct 15, 2025 | Denials Management, Legislation, Patient Advocacy, Revenue Cycle Management
Starting January 1, 2026, New York will become the first state in the nation to require insurance coverage for scalp cooling therapy—a significant policy shift that blends clinical care with psychosocial support and recognizes the profound psychological impact of...
by Aspirion | Oct 8, 2025 | Artificial Intelligence (AI), Out-of-Network Recovery, Revenue Cycle Management
Since its implementation in 2022, the No Surprises Act (NSA) has transformed how healthcare providers handle out-of-network (OON) claims. We sat down with Liana Hamilton, General Manager of Payment Variance Recovery at Aspirion, to discuss the financial impact of the...
by Aspirion | Oct 1, 2025 | Artificial Intelligence (AI), Out-of-Network Recovery, Revenue Cycle Management
In a recent HFMA Region 8 webinar, “Beyond Compliance: Transforming Out-of-Network Claims into Revenue Engines,” Kaiser Permanente’s Seth Ford, Revenue Cycle Manager, and Aspirion’s Liana Hamilton, General Manager of Payment Variance, discussed...
by Aspirion | Sep 29, 2025 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
Published in the North Carolina HFMA Chapter Newsletter, Tarheel News, September 2025 | Author: Elizabeth Purdy, J.D., Associate Attorney, Aspirion Healthcare revenue cycle teams facing exhausted appeal windows and passed timely filing deadlines have a powerful but...
by Aspirion | Sep 25, 2025 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
How Aetna’s “Level of Severity” Payment Policy Could Fundamentally Alter Hospital Reimbursement For years, hospitals have relied on the two-midnight rule as both a gatekeeper and a safety net in Medicare reimbursement. The rule established that...
by Aspirion | Sep 23, 2025 | Out-of-Network Recovery, Revenue Cycle Management
In this webinar, leaders from Kaiser Permanente and Aspirion reveal proven strategies and technologies that drive up to 77% success in Out-of-Network (OON) revenue recovery. Learn how to optimize claims, streamline processes, and boost ROI under the No Surprises Act...
by Aspirion | Sep 22, 2025 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
Published in HealthLeaders on September 22, 2025 | Author: Spencer Allee, Chief AI Officer, Aspirion Healthcare providers are experiencing a fundamental shift in denials management economics, driven by artificial intelligence innovations that are making previously...
by Aspirion | Sep 17, 2025 | Out-of-Network Recovery, Revenue Cycle Management
When the No Surprises Act (NSA) took effect on January 1, 2022, it created substantial financial and administrative challenges for hospitals and healthcare systems nationwide. While the legislation successfully protects patients from unexpected medical bills, it has...
by Aspirion | Sep 17, 2025 | Payment Variance Recovery
More than half of recoverable revenue comes from unknown or under-worked denials—claims that appear resolved but are actually hiding untapped opportunities in accounts marked “complete.” Our zero-balance review process examines every claim to uncover real...
