by Aspirion | Oct 11, 2021 | Denials Management
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 | Aug 31, 2021 | 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 | Jul 7, 2021 | AR Management, Denials Management, Motor Vehicle Accident, Out-of-State Medicaid, Payment Variance Recovery, Staff Training, Veterans Affairs - TRICARE, Workers’ Compensation
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....
by Aspirion | Mar 18, 2020 | Denials Management
Disability is a lengthy and arduous process; waiting on a case to be determined by the Social Security Administration (SSA) for disability can be a daunting experience. Claimants are commonly faced with medical issues, mounting medical bills, and little to no income....
by Aspirion | Oct 15, 2019 | Denials Management
Disability is a lengthy and arduous process; waiting on a case to be determined by the Social Security Administration (SSA) for disability can be a daunting experience. Claimants are commonly faced with medical issues, mounting medical bills, and little to no income....
