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AI in Action: A Smarter Approach to Clinical Denials and No Surprises Act Disputes

AI in Action: A Smarter Approach to Clinical Denials and No Surprises Act Disputes

by Aspirion | May 20, 2026 | Artificial Intelligence (AI), Denials Management, Payment Variance Recovery, Revenue Cycle Management

In a recent educational webinar, “AI-Powered Revenue Recovery: A Smarter Approach to Clinical Denials and No Surprises Act Disputes,” Aspirion’s Chase McGrath, Vice President of Product, and Nikki Ritchson, Senior Director of Operations, revealed how...
RCM Insights | The Revenue You’ve Already Earned: Recovering Underpayments from Zero-Balance Accounts

RCM Insights | The Revenue You’ve Already Earned: Recovering Underpayments from Zero-Balance Accounts

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...
RCM Insights | Hidden Revenue: How AI Contract Modeling Recovers What Closed Accounts Leave Behind

RCM Insights | Hidden Revenue: How AI Contract Modeling Recovers What Closed Accounts Leave Behind

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...
Appeals-Focused Q&A: Overcoming Aetna’s Level-of-Severity Underpayments

Appeals-Focused Q&A: Overcoming Aetna’s Level-of-Severity Underpayments

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,...
Why Your Smallest Denied Claims Are Costing Your Hospital the Most

Why Your Smallest Denied Claims Are Costing Your Hospital the Most

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...
Why 1% of Revenue Is Worth Fighting For

Why 1% of Revenue Is Worth Fighting For

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...
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