by Aspirion | Feb 29, 2024 | Artificial Intelligence, Automation, Clinical Denials, Denials Management, Denials Prevention
The next frontier in revenue cycle management (RCM) is already upon us—denials management powered by artificial intelligence (AI) and machine learning (ML). Whether hospitals and healthcare providers embrace or ignore these burgeoning technologies will have...
by Aspirion | Dec 7, 2023 | Clinical Denials, Denials Management
In today’s blog post, we delve into the intricate area of what is colloquially referred to as “ghost denials.” While the terminology might sound unconventional, we aim to shed light on these “phenomena,” unravel their implications, and explore how...
by Aspirion | Nov 22, 2023 | Clinical Denials
Getting a handle on denials can be difficult for any healthcare organization, but clinical denials specifically pose special challenges. Clinical denials are more difficult to manage as deeper root cause analysis and collaboration between hospitals, physicians, and...
by Aspirion | May 10, 2023 | Clinical Denials, Denials Management
Inpatient readmissions and length of stay claim denials are major issues in the healthcare industry. When a patient is readmitted to an acute care hospital within a certain period of time following the hospital discharge—typically within 30 days—it can lead to a claim...
by Aspirion | Feb 28, 2023 | Clinical Denials, Denials Management
As revenue cycle management experts, we’re always looking at the broad picture of denied accounts placed with Aspirion to see where there is an uptick in payer denials. One area of uptick relates to level of care denials. Although hospital Utilization...
by Aspirion | Feb 20, 2023 | Clinical Denials, Denials Management, Denials Prevention, Patient Experience
This Denials Management and Prevention Session 1 webinar establishes the groundwork for how medical professionals decide whether an individual should be treated medically — as an inpatient or outpatient. In addition, the Aspirion presenters will outline the denial...