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...
by Aspirion | Dec 31, 2025 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
As we wrap up another year, we wanted to take a moment to say thank you. Whether you’ve been reading our content for years or just discovered us recently, we’re grateful you’re here. This year reminded us of why we do what we do. The healthcare...
by Aspirion | Dec 17, 2025 | Legislation, Revenue Cycle Management
This year, Governor Brian Kemp of Georgia signed comprehensive tort reform legislation into law. As other states watch Georgia’s implementation closely, healthcare providers nationwide are grappling with what these reforms mean for their operations and revenue...