by Aspirion | Aug 5, 2026 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
If you’ve ever received a readmission denial and wondered, “How can the payer deny this when the patient clearly needed to be readmitted?” You’re not alone. Readmission denials are one of the most misunderstood areas of hospital billing and...
by Aspirion | Jul 24, 2026 | Artificial Intelligence (AI), Legislation, Out-of-Network Recovery, Revenue Cycle Management
If you’ve ever stared at a remittance advice trying to figure out why a claim got paid the way it did, you know the feeling. Rows of codes, no context, and a payer that’s technically told you everything while explaining nothing. Since the No Surprises...
by Aspirion | Jul 17, 2026 | Artificial Intelligence (AI), Legislation, Out-of-Network Recovery, Revenue Cycle Management
The Centers for Medicare & Medicaid Services (CMS) has announced that the Federal Independent Dispute Resolution (IDR) process is moving to a new, centralized IDR Gateway, replacing the single-use web form providers have relied on since the No Surprises Act (NSA)...
by Aspirion | Jul 15, 2026 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
The denials environment isn’t getting easier for healthcare providers. Payers are faster, more automated, and better resourced than ever. Most hospital billing teams are working harder and recovering less. In revenue cycle management (RCM),...
by Aspirion | Jul 1, 2026 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
Experimental and investigational denials are some of the most frustrating claim denials providers face. A procedure may be FDA approved, medically necessary, and even authorized, yet still denied as “experimental” or “non-covered.” In this...
by Aspirion | Jun 17, 2026 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
We sat down with Chief AI Officer Spencer Allee and Chief Technology Officer Curtis McGinnis for an honest, plain-language discussion on how AI and automation are actually working in healthcare revenue cycle and what health systems and hospitals should understand...
