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RCM Insights | AI Is Changing the Revenue Cycle—Here’s How to Measure What Matters

RCM Insights | AI Is Changing the Revenue Cycle—Here’s How to Measure What Matters

by Aspirion | Nov 25, 2025 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management

Published by HealthLeaders, November 2025  |  Author: Jim Bohnsack, Chief Strategy and Client Officer, Aspirion Hospitals face a growing threat that’s quietly eroding their financial stability: payers using AI to retroactively deny claims based on clinical...
Turning Technology Loose on Out-of-Network Claims: AI’s Substantial Impact on NSA Recovery

Turning Technology Loose on Out-of-Network Claims: AI’s Substantial Impact on NSA Recovery

by Aspirion | Nov 25, 2025 | Artificial Intelligence (AI), Out-of-Network Recovery, Revenue Cycle Management

Since the No Surprises Act (NSA) took effect in January 2022, healthcare providers have faced a mounting challenge: managing out-of-network (OON) claims within tight deadlines. For many hospitals and healthcare systems, the administrative burden has become...
Aetna Revises Inpatient Payment Policy: Q&A with Legal Experts

Aetna Revises Inpatient Payment Policy: Q&A with Legal Experts

by Aspirion | Nov 13, 2025 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management

In August 2025, Aetna announced sweeping policy changes for Medicare Advantage and Medicare Special Needs Plans that raised alarm bells across the hospital industry. Those changes were set to take effect November 15, 2025, and were detailed by Aspirion here. Now, just...
How AI Powers Our Mission

How AI Powers Our Mission

by Aspirion | Nov 10, 2025 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management

Aspirion CEO, Nick Giannasi, shares how artificial intelligence is accelerating the company’s mission, unlocking new opportunities for healthcare revenue cycle management innovation and impact, and empowering the team to shape a transformative future together in...
AI and Denials in Pediatric Care: What Should Leaders Know?

AI and Denials in Pediatric Care: What Should Leaders Know?

by Aspirion | Nov 5, 2025 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management

Gloriann Sordo, General Manager of Denials Management at Aspirion, discusses the unique challenges children’s hospitals face with AI-powered claim denials and shares strategies for success. Healthcare technology is evolving rapidly, especially in claims...
Faster, Smarter Clinical Denials Management with AI

Faster, Smarter Clinical Denials Management with AI

by Aspirion | Oct 27, 2025 | Artificial Intelligence (AI), Denials Management

Our proprietary AI intelligently analyzes medical documentation and payer contracts to generate evidence-based appeals—validated by our clinical and legal experts. Our team follows through to account resolution. Your reality could look like this: 64% resolution rate,...
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