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Out-of-Network Recovery | Nearly $1M Recovered Through NSA Claim Recovery

Out-of-Network Recovery | Nearly $1M Recovered Through NSA Claim Recovery

by Aspirion | Apr 10, 2026 | Out-of-Network Recovery

AI-Powered Revenue Recovery: A Smarter Approach to Clinical Denials and No Surprises Act Disputes

AI-Powered Revenue Recovery: A Smarter Approach to Clinical Denials and No Surprises Act Disputes

by Aspirion | Apr 8, 2026 | Artificial Intelligence (AI), Denials Management, Out-of-Network Recovery

In this session, revenue cycle experts from Aspirion explore how clinical denial appeals and out-of-network disputes are more connected than most teams realize and how the same strategies winning one can strengthen the other. By the end of this session, you’ll...
No Surprises Act Clarity: A Q&A on Courts, Congress, and Out-of-Network Strategies

No Surprises Act Clarity: A Q&A on Courts, Congress, and Out-of-Network Strategies

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...
Turning Technology Loose on Out-of-Network Claims: AI’s Substantial Impact on NSA Recovery

Turning Technology Loose on Out-of-Network Claims: AI’s Substantial Impact on NSA Recovery

by Aspirion | Nov 25, 2025 | Artificial Intelligence (AI), Out-of-Network Recovery, Revenue Cycle Management

Since the No Surprises Act (NSA) took effect in January 2022, healthcare providers have faced a mounting challenge: managing out-of-network (OON) claims within tight deadlines. For many hospitals and healthcare systems, the administrative burden has become...
No Surprises Act Q&A: What the $2.2 Billion in IDR Awards Means for Providers

No Surprises Act Q&A: What the $2.2 Billion in IDR Awards Means for Providers

by Aspirion | Oct 8, 2025 | Artificial Intelligence (AI), Out-of-Network Recovery, Revenue Cycle Management

Since its implementation in 2022, the No Surprises Act (NSA) has transformed how healthcare providers handle out-of-network (OON) claims. We sat down with Liana Hamilton, General Manager of Payment Variance Recovery at Aspirion, to discuss the financial impact of the...
How to Win 80% of Your IDR Cases: A Guide to No Surprises Act Revenue Recovery

How to Win 80% of Your IDR Cases: A Guide to No Surprises Act Revenue Recovery

by Aspirion | Oct 1, 2025 | Artificial Intelligence (AI), Out-of-Network Recovery, Revenue Cycle Management

In a recent HFMA Region 8 webinar, “Beyond Compliance: Transforming Out-of-Network Claims into Revenue Engines,” Kaiser Permanente’s Seth Ford, Revenue Cycle Manager, and Aspirion’s Liana Hamilton, General Manager of Payment Variance, discussed...
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