by Aspirion | Jun 3, 2026 | Artificial Intelligence (AI), Legislation, Out-of-Network Recovery, Payment Variance 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 | May 14, 2026 | Payment Variance Recovery, Zero-Balance Review
Published by HFMA Massachusetts – Rhode Island Chapter, May 2026 | Author: Liana Hamilton, President, Payment Variance Aspirion The Underpayment Gap Nobody Is Chasing Underpaid claims don’t create tasks—they create zero-balance accounts that close quietly...
by Aspirion | May 12, 2026 | Payment Variance Recovery, Zero-Balance Review
Published by HFMA Oregon Chapter, May 2026 | Author: Liana Hamilton, President, Payment Variance Aspirion The Silent Revenue Drain Underpaid claims don’t behave like denials—they don’t create tasks, alerts, or follow-up workflows. The shortfall settles...
by Aspirion | Apr 1, 2026 | Payment Variance Recovery, Revenue Cycle Management, Zero-Balance Review
Aetna’s Level-of-Severity Inpatient Payment Policy creates a clear and appealable pathway for hospitals to challenge underpaid inpatient claims. At its core, the issue is straightforward: once Aetna approves an admission as inpatient, medical necessity is established,...
by Aspirion | Mar 18, 2026 | Artificial Intelligence (AI), Payment Variance Recovery, Revenue Cycle Management, Zero-Balance Review
Hospitals spend enormous energy chasing high-dollar denials. It makes intuitive sense—focus where the money is biggest. But this approach leaves a significant and largely invisible problem unaddressed: the accumulating weight of smaller denied claims that never get...
by Aspirion | Mar 4, 2026 | Artificial Intelligence (AI), Payment Variance Recovery, Revenue Cycle Management, Zero-Balance Review
Hospitals operate on razor-thin margins. For some health systems across the country, net margins hover below 5%—meaning every dollar of revenue carries significant weight. So when industry data suggests that a structured zero-balance review program can recover up...
