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...
by Aspirion | Feb 25, 2026 | Legislation, Motor Vehicle Accident, Revenue Cycle Management
By Martin Drake, Deputy General Counsel, Aspirion A quiet but significant legal shift is reshaping how hospitals get paid for treating motor vehicle accident (MVA) patients. Across the country, state legislatures are reworking the rules around what medical expenses...
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...
by Aspirion | Feb 4, 2026 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
If you ask many revenue cycle leaders what is driving denials, most will point to the usual suspects: coding errors, eligibility mix-ups, missing documentation. And they are not wrong—those issues are real, persistent, and costly. But they are not the whole story. A...
by Aspirion | Jan 28, 2026 | Artificial Intelligence (AI), Payment Variance Recovery, Revenue Cycle Management, Zero-Balance Review
Healthcare providers face a stark reality: they’re chronically underpaid. It’s not an accident—it’s a feature of an impossibly complex system where payers have little incentive to pay correctly, contracts are deliberately indecipherable, and the...
by Aspirion | Jan 7, 2026 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
As 2025 draws to a close, healthcare providers find themselves at a significant juncture. The year brought accelerating challenges—rising denials and payer audits, payer technology advancing at unprecedented speed, and hospitals continuing to operate under financial...
