by Andrew Ficco | Apr 8, 2025 | Zero Balance Review
At a Glance Challenges Limited zero-balance review (ZBR) scope and breadth Absence of root-cause analysis and actionable reporting Narrow recovery focused on high-dollar claims Complex reimbursement environment with tight margins and intricate payer methodologies...
by Aspirion | Mar 27, 2025 | Denials Management
CASE STUDY Denials Management Over $53 Million Recovered in Overturned Clinical Denials Download Case Study At a Glance Challenges Complex clinical denials for new medical technology labeled as “experimental” Multiple appeal levels required, including...
by Andrew Ficco | Mar 27, 2025 | Workers’ Compensation
At a Glance Challenges Cash-flow issues and a growing claims backlog were affecting the health system’s financial stability Internal team had limited expertise in Workers’ Compensation regulations and processes Resources were stretched, preventing hospital from...
by Aspirion | Sep 2, 2024 | AR Management
At a Glance Challenges Severe staffing shortages within healthcare system’s internal revenue cycle management team Lack of in-house expertise on payer-specific guidelines Persistent billing errors, including missing modifiers and incorrect bill type Solutions...
by Aspirion | Aug 15, 2024 | Denials Management
CASE STUDY Denials Resolution & Prevention Over $1.2 Million Recovered in Overturned Chemotherapy Drug Claims Download Case Study At a Glance Challenges Unexpected denials of high-cost chemotherapy drugs due to a surprise payer policy Inconsistent denials...
by Aspirion | Aug 7, 2024 | Veterans Affairs - TRICARE
CASE STUDY Veterans Affairs Over $1.6 Million Recovered from VA Claims Previously Denied Due to Timely Filing Download Case Study At a Glance Challenges Systemic problems in the provider’s notification process prompted significant financial losses due to failure...
by Aspirion | Jul 19, 2024 | Motor Vehicle Accident
CASE STUDY Motor Vehicle Accident Over 25% increase in collection in first six months of partnership Download Case Study At a Glance Challenges Anemic hospital collections in recent years Insufficient reporting kept provider in the dark on many issues Disjointed Motor...
by Aspirion | Oct 21, 2023 | Motor Vehicle Accident
CASE STUDY Motor Vehicle Accident Medical Center doubles revenue by maximizing Motor Vehicle Accident claims Download Case Study At a Glance Challenges Lack of communication and limited patient access training 3-year revenue recovery plateau Solutions Pursuance of...
by Aspirion | Aug 21, 2021 | Veterans Affairs - TRICARE
CASE STUDY Monument Health Veterans Affairs (VA) revenue boosted 100% in two years amid Covid-19 challenges Download Case Study Veteran icon At a Glance Challenges Staffing roadblocks Inability to effectively resolve VA claims in-house Poor VA revenue recovery...
