by Aspirion | Aug 27, 2025 | Payment Variance Recovery, Revenue Cycle Management, Zero-Balance Review
A perfect storm of rising expenses and financial pressures has left 40% of hospitals operating in the red, according to a Kaufman Hall analysis. While revenue cycle leaders focus on managing denials, addressing contractual underpayments, and optimizing AR days, a...
by Aspirion | Aug 26, 2025 | Out-of-Network Recovery, Revenue Cycle Management
Published in HealthLeaders on August 26, 2025 | Author: Liana Hamilton, General Manager Payment Variance, Aspirion The No Surprises Act (NSA) implementation has fundamentally altered the out-of-network claims landscape for healthcare providers, creating both...
by Aspirion | Aug 25, 2025 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
UPDATE: Aetna announced significant revisions to its inpatient payment policy days before the originally proposed implementation date. Hear from our legal experts about the details of the revised policy and what it means for hospitals here. Aetna’s recent...
by Aspirion | Aug 20, 2025 | Out-of-Network Recovery, Revenue Cycle Management
The No Surprises Act (NSA) has fundamentally reshaped the out-of-network (OON) claims landscape since its implementation in January 2022. While the legislation successfully protects patients from unexpected medical bills, it has simultaneously created a complex...
by Aspirion | Aug 7, 2025 | Artificial Intelligence (AI), Denials Management, Revenue Cycle Management
Healthcare denial rates have surged from 8% to 11% in just two years, costing providers $19.7 billion annually in denials management expenses. Understanding and preventing common denial causes represents healthcare’s greatest revenue recovery opportunity. Claims...
by Aspirion | Jul 31, 2025 | Payment Variance Recovery, Revenue Cycle Management
Published in HFMA First Illinois Chapter Newsletter, June 2025 | Author: Liana Hamilton, General Manager, Payment Variance Recovery, Aspirion Since the No Surprises Act (NSA) took effect in January 2022, hospital revenue cycle leaders have faced significant challenges...
