by Aspirion | Jan 8, 2025 | Payment Variance Recovery, Revenue Cycle Management, Zero-Balance Review
Healthcare providers face constant pressure to maintain healthy operating margins while delivering quality care. Yet many hospitals and health systems leave significant revenue on the table through underpayments and inappropriately denied claims. One powerful but...
by Aspirion | Feb 14, 2023 | Payment Variance Recovery
Revenue Integrity Payment Variance Recovery Find every dollar, recover every payment Download Service Summary Aspirion's Services Uncover, Recover, Maximize Payers shortchange claims in ways that are difficult to catch—from hidden adjustments to incorrect rates. They...
by Aspirion | Jul 7, 2021 | AR Management, Denials Management, Motor Vehicle Accident, Out-of-State Medicaid, Payment Variance Recovery, Staff Training, Veterans Affairs - TRICARE, Workers’ Compensation
Beginning July 1, 2021, United Healthcare (“UHC”) will begin reviewing Medicare Advantage and commercial claims for sepsis-related treatment on a pre-payment basis and post-payment basis. Previously, UHC only reviewed sepsis-related claims on a post-payment basis....
by Aspirion | Jul 8, 2020 | AR Management, Denials Management, Payment Variance Recovery
Approximately 5-10% of medical billing claims are rejected each year. These claims are extremely expensive to rework, requiring resubmissions and hindering productivity. To maximize revenue integrity, facilities must start by identifying how their denials are holding...
