by Aspirion | Aug 26, 2026 | Artificial Intelligence (AI), Denials Management, Legislation, Revenue Cycle Management
The insights and clinical expertise shared in this post and included in the Q2 2026 Payer Policy Playbook draw on the expertise of Autumn Resch, Supervisor, Denials, and Melony Malone Norwood, Senior Clinical Review Analyst. We are grateful for their dedication to...
by Aspirion | Jul 24, 2026 | Artificial Intelligence (AI), Legislation, Out-of-Network Recovery, Revenue Cycle Management
If you’ve ever stared at a remittance advice trying to figure out why a claim got paid the way it did, you know the feeling. Rows of codes, no context, and a payer that’s technically told you everything while explaining nothing. Since the No Surprises...
by Aspirion | Jul 17, 2026 | Artificial Intelligence (AI), Legislation, Out-of-Network Recovery, Revenue Cycle Management
The Centers for Medicare & Medicaid Services (CMS) has announced that the Federal Independent Dispute Resolution (IDR) process is moving to a new, centralized IDR Gateway, replacing the single-use web form providers have relied on since the No Surprises Act (NSA)...
by Aspirion | Jun 3, 2026 | Artificial Intelligence (AI), Legislation, Out-of-Network Recovery, Revenue Cycle Management
A long-awaited rule overhauling the federal Independent Dispute Resolution (IDR) process established under the No Surprises Act (NSA)—the landmark consumer protection law designed to shield patients from unexpected out-of-network medical bills—was finalized last week....
by Aspirion | Feb 25, 2026 | Legislation, Motor Vehicle Accident, Revenue Cycle Management
By Martin Drake, Deputy General Counsel, Aspirion A quiet but significant legal shift is reshaping how hospitals get paid for treating motor vehicle accident (MVA) patients. Across the country, state legislatures are reworking the rules around what medical expenses...
by Aspirion | Feb 18, 2026 | Legislation, Out-of-Network Recovery, Revenue Cycle Management
Correction (Feb. 27, 2026): An earlier version of this article stated: “The Third Circuit ruled that arbitrators must presume the QPA is the appropriate payment unless other factors clearly outweigh it. Meanwhile, the D.C. Circuit rejected giving the QPA such...
