by Aspirion | Jul 17, 2026 | Artificial Intelligence (AI), Legislation, Out-of-Network Recovery, Revenue Cycle Management
The Centers for Medicare & Medicaid Services (CMS) has announced that the Federal Independent Dispute Resolution (IDR) process is moving to a new, centralized IDR Gateway, replacing the single-use web form providers have relied on since the No Surprises Act (NSA)...
by Aspirion | Jul 15, 2026 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
The denials environment isn’t getting easier for healthcare providers. Payers are faster, more automated, and better resourced than ever. Most hospital billing teams are working harder and recovering less. In revenue cycle management (RCM),...
by Aspirion | Jul 13, 2026 | Artificial Intelligence (AI), Payment Variance Recovery, Zero-Balance Review
Published for the Healthcare Financial Management Association – Central Pennsylvania Chapter, July 2026 | Author: Liana Hamilton, President, Payment Variance, Aspirion For most hospital revenue cycle teams, a zero-balance account means the case is closed. A...
by Aspirion | Jul 1, 2026 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
Experimental and investigational denials are some of the most frustrating claim denials providers face. A procedure may be FDA approved, medically necessary, and even authorized, yet still denied as “experimental” or “non-covered.” In this...
by Aspirion | Jun 17, 2026 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
We sat down with Chief AI Officer Spencer Allee and Chief Technology Officer Curtis McGinnis for an honest, plain-language discussion on how AI and automation are actually working in healthcare revenue cycle and what health systems and hospitals should understand...
by Aspirion | Jun 3, 2026 | Artificial Intelligence (AI), Legislation, Out-of-Network Recovery, Revenue Cycle Management
A long-awaited rule overhauling the federal Independent Dispute Resolution (IDR) process established under the No Surprises Act (NSA)—the landmark consumer protection law designed to shield patients from unexpected out-of-network medical bills—was finalized last week....
