by Aspirion | Apr 22, 2026 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
Published by Becker’s Healthcare, April 2026 | Author: Aspirion The Denial Crisis Isn’t a Documentation Problem Health systems treating rising denial rates as a documentation issue are misreading the situation. This is the output of a deliberate,...
by Aspirion | Apr 15, 2026 | Revenue Cycle Management, Workers’ Compensation
Workers’ compensation claims are among the most complex in the healthcare revenue cycle—but complex doesn’t mean unwinnable. For hospitals and health systems with the right expertise and approach, workers’ comp represents a meaningful and recoverable...
by Aspirion | Apr 7, 2026 | Revenue Cycle Management, Veterans Affairs - TRICARE
In Veterans Affairs claims management, few requirements carry more financial weight than a single 72-hour window. Miss it, and a legitimate claim can be denied outright. For hospitals already stretched thin managing complex VA regulations, that’s not just an...
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 30, 2026 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
Published by Becker’s Healthcare, March 2026 | Author: Aspirion The Real Source of Rising Denial Rates Despite investments in Clinical Documentation Improvement programs, clinical denial rates keep climbing—not because of documentation failures, but because...
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...
