by Aspirion | Jan 27, 2022 | Artificial Intelligence, Complex Claims, Denials Management, Patient Experience, Veterans Affairs, Workers’ Compensation
Whether we notice it or not, organizations of every kind utilize artificial intelligence (AI) in their everyday processes. AI is artificial intelligence presented by a machine powered by algorithms built from statistical, machine learning, and deep learning techniques...
by Aspirion | Oct 11, 2021 | Complex Claims
The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that, in part, enables beneficiaries to appeal any covered insurance claim to request payment in full. Sounds simple, but it’s not. ERISA is a complex set of laws, and one article definitely...
by Aspirion | Sep 28, 2021 | Complex Claims
The BI platform fuels performance transparency and financial accountability through consistent and scalable client-vendor engagement. COLUMBUS, Ga.-September 28, 2021-(BUSINESS WIRE)–Aspirion, the leader in technology-enabled healthcare complex claims...
by Aspirion | Aug 31, 2021 | Clinical Denials, Complex Claims, Denials Management
Many times, payers deny specific patient treatments, drugs, or hospital stays due to the specific treatment or drug being considered non-covered or experimental. While these claim denials can be argued in a formal appeal on the back end, a health system can also...
by Aspirion | Aug 21, 2021 | Complex Claims, Veterans Affairs
CASE STUDY Monument Health Veterans Affairs (VA) revenue by 100% in two years amid Covid-19 challenges Download Case Study Veteran icon At a Glance Challenges Staffing roadblocks Inability to effectively resolve VA claims in-house Poor VA revenue recovery performance...
by Aspirion | Jul 7, 2021 | Clinical Denials, Complex Claims, Denials Management
Beginning July 1, 2021, United Healthcare (“UHC”) will begin reviewing Medicare Advantage and commercial claims for sepsis-related treatment on a pre-payment basis and post-payment basis. Previously, UHC only reviewed sepsis-related claims on a post-payment basis....