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Understanding Aetna’s New Inpatient Payment Policy: A Q&A with Legal Experts

Understanding Aetna’s New Inpatient Payment Policy: A Q&A with Legal Experts

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

UPDATE: Aetna announced significant revisions to its inpatient payment policy days before the originally proposed implementation date. Hear from our legal experts about the details of the revised policy and what it means for hospitals here. Aetna’s recent...
5 Common Causes of Healthcare Denials—and How AI Can Tackle Them

5 Common Causes of Healthcare Denials—and How AI Can Tackle Them

by Aspirion | Aug 7, 2025 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management

Healthcare denial rates have surged from 8% to 11% in just two years, costing providers $19.7 billion annually in denials management expenses. Understanding and preventing common denial causes represents healthcare’s greatest revenue recovery opportunity. Claims...
Denials Case Study | $103M+ in total recoveries

Denials Case Study | $103M+ in total recoveries

by Aspirion | Jul 30, 2025 | Denials Management

Reversing AI-Powered Payer Denials: Healthcare Leaders Share Game-Changing Revenue Cycle Results

Reversing AI-Powered Payer Denials: Healthcare Leaders Share Game-Changing Revenue Cycle Results

by Aspirion | Jul 22, 2025 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management

A recent capacity-filled panel session hosted by Aspirion at the 2025 HFMA Annual Conference in Denver, Colorado, explored how some forward-thinking hospitals and health systems are leveraging AI and automation to address challenges in the revenue cycle. The session...
Final Doesn’t Mean Finished: Unlocking Revenue Through Strategic Denial Escalation

Final Doesn’t Mean Finished: Unlocking Revenue Through Strategic Denial Escalation

by Aspirion | Jul 17, 2025 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management

by Elizabeth Purdy, JD, Associate Attorney, Aspirion Executive Summary For many hospital and healthcare systems, a denied claim or appeal often feels like the end of the road. But in reality, final doesn’t mean finished. It’s just the beginning of a different kind of...
From Millions Lost to Millions Recovered: Real Healthcare Revenue Success Stories

From Millions Lost to Millions Recovered: Real Healthcare Revenue Success Stories

by Aspirion | Jul 9, 2025 | Denials Management, Revenue Cycle Management

Hospitals and health systems across the country face mounting pressure from staffing shortages, evolving payer requirements, and intricate reimbursement methodologies. But there’s hope. Real, actionable hope. The right partnership can transform these challenges into...
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