RCM Insights | The No Surprises Act: Turning Out-of-Network Claims into a Revenue Advantage

by Aspirion | Aug 26, 2025 | Out-of-Network Recovery, Revenue Cycle Management

Published in HealthLeaders on August 26, 2025 | Author: Liana Hamilton, General Manager Payment Variance, Aspirion The No Surprises Act (NSA) implementation has fundamentally altered the out-of-network claims landscape for healthcare providers, creating both...

NSA Compliance: From Burden to Strategic Out-of-Network Revenue Driver

by Aspirion | Aug 20, 2025 | Out-of-Network Recovery, Revenue Cycle Management

The No Surprises Act (NSA) has fundamentally reshaped the out-of-network (OON) claims landscape since its implementation in January 2022. While the legislation successfully protects patients from unexpected medical bills, it has simultaneously created a complex...

Out-of-Network Claims and the 30-Day Revenue Window: How Missed NSA Deadlines Are Costing Hospitals Millions

by Aspirion | Jul 16, 2025 | Out-of-Network Recovery, Revenue Cycle Management

The clock starts ticking the moment a payer sends an initial payment for an out-of-network (OON) claim, since passage of the No Surprises Act (NSA). Healthcare providers have exactly 30 business days to negotiate a fair reimbursement—miss that window, and the...

RCM Insights | 5 Tech-Driven Strategies to Capture Your Out-of-Network Revenue Under the No Surprises Act

by Aspirion | Jun 6, 2025 | Artificial Intelligence (AI), Out-of-Network Recovery, Revenue Cycle Management

Published in Becker’s Hospital Review, April 2025 | Author: Liana Hamilton, General Manager, Payment Variance Recovery, Aspirion The No Surprises Act (NSA), implemented in January 2022, has placed significant operational and financial strain on hospitals,...

Beyond Compliance: Maximizing RCM Collections for Out-of-Network Claims

by Aspirion | May 21, 2025 | Out-of-Network Recovery, Revenue Cycle Management

When the No Surprises Act (NSA) took effect in January 2022, it solved one critical problem while creating another. For years, patients had been caught in the financial crossfire between providers and payers, often facing devastating surprise bills for out-of-network...

Out-of-Network Claims under the No Surprises Act: 5 Strategic Steps to Turn Your IDR Success into Payer Negotiation Wins

by Aspirion | Apr 3, 2025 | Out-of-Network Recovery, Revenue Cycle Management

Recent data from the U.S. Department of Health and Human Services reveals a striking fact: healthcare providers won 77% of nearly 84,000 Independent Dispute Resolution (IDR) decisions in the first half of 2023. Yet many hospitals and healthcare systems aren’t...