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Transforming MVA Claims into Revenue Gold: Proven Strategies and Real Results

Transforming MVA Claims into Revenue Gold: Proven Strategies and Real Results

by Aspirion | May 6, 2025 | Motor Vehicle Accident, Revenue Cycle Management

Mountain West Medical Center Achieves 25.6% MVA Collections Increase A prominent non-profit medical center in the Mountain West region was struggling with anemic hospital collections and a disjointed motor vehicle accident (MVA) claims process that confused patients...
5 Key Advantages of Zero-Balance Reviews in Healthcare Revenue Cycle Management

5 Key Advantages of Zero-Balance Reviews in Healthcare Revenue Cycle Management

by Aspirion | May 1, 2025 | Payment Variance Recovery, Revenue Cycle Management, Zero-Balance Review

As a revenue cycle leader, you are constantly juggling competing priorities while facing unprecedented financial pressures. Your to-do list never ends—managing denials, addressing contractual underpayments, optimizing your AR days, implementing new payer policies, and...
AI in RCM: How to Turn Claims Challenges into Revenue Opportunities

AI in RCM: How to Turn Claims Challenges into Revenue Opportunities

by Aspirion | Apr 24, 2025 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management

In a recent Becker’s Healthcare webinar, “AI in RCM: How to Turn Claims Challenges into Revenue Opportunities,” Aspirion’s Jim Bohnsack, Chief Strategy & Client Officer, and Spencer Allee, Chief AI Officer, discussed how artificial...
Recovering Lost Revenue: 10 Causes of Underpayments in Healthcare RCM

Recovering Lost Revenue: 10 Causes of Underpayments in Healthcare RCM

by Aspirion | Apr 10, 2025 | Payment Variance Recovery, Revenue Cycle Management

Healthcare revenue cycle teams are facing unprecedented challenges. Recent findings from the American Hospital Association reveal a troubling trend: half of all hospitals and healthcare systems are struggling with over $100 million in aged accounts receivable claims...
Out-of-Network Claims under the No Surprises Act: 5 Strategic Steps to Turn Your IDR Success into Payer Negotiation Wins

Out-of-Network Claims under the No Surprises Act: 5 Strategic Steps to Turn Your IDR Success into Payer Negotiation Wins

by Aspirion | Apr 3, 2025 | Out-of-Network Recovery, Revenue Cycle Management

Recent data from the U.S. Department of Health and Human Services reveals a striking fact: healthcare providers won 77% of nearly 84,000 Independent Dispute Resolution (IDR) decisions in the first half of 2023. Yet many hospitals and healthcare systems aren’t...

Aspirion Announces Appointment of Scott Doolittle as Chief Financial Officer

by Aspirion | Apr 1, 2025 | News

COLUMBUS, Ga., April 1 /PRNewswire/ — Aspirion, the healthcare technology revenue cycle management (“RCM”) leader for denials, payment variance, and complex claims, today announced the appointment of Scott Doolittle as its Chief Financial Officer (“CFO”) effective...
Denials Management | Over $53M recovered

Denials Management | Over $53M recovered

by Aspirion | Mar 28, 2025 | Denials Management

Workers’ Compensation | 105% increase in cash collections compared to internal team

Workers’ Compensation | 105% increase in cash collections compared to internal team

by Aspirion | Mar 27, 2025 | Workers’ Compensation

When Payers Second-Guess Doctors: Strategic Steps to Overcome the DRG Downgrade Crisis

When Payers Second-Guess Doctors: Strategic Steps to Overcome the DRG Downgrade Crisis

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...
Zero-Balance Reviews: Frequently Asked Questions

Zero-Balance Reviews: Frequently Asked Questions

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...
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