Partnership Powered by Results
$11.6M+
recovered in 7 months
1.4X
faster first placement to closure
75%
overturn success rate
RESULT
Revenue Recovered:
- 11.6M+ recovered in 7 months through AI-driven denials management
Faster Time-to-Payment:
- 1.4x acceleration in placement-to-closure cycle through intelligent workflow automation
Success Rate Excellence:
- 75% overturn rate on claim appeals achieved through AI-powered documentation and evidence optimization
CHALLENGE
Slow Speed to Recovery:
- Manual, disconnected workflows created bottlenecks that extended cycle times and strained staff capacity
Poor Appeals Performance:
- Inconsistent overturn rates and lack of denial pattern visibility resulted in significant revenue leakage
Reactive Operations:
- No standardized approach to prioritize denials, identify root causes, or leverage insights for improvement
SOLUTION
The hospital partnered with Aspirion to implement its AI-powered denials management services:
AI-Driven Intelligence:
- Aspirion’s DocIQ extracted targeted data to generate evidence-based appeals validated against payer policies & clinical guidelines
Expert Collaboration:
- Legal and clinical experts reviewed and refined AI-drafted appeals for maximum impact
Accelerated Processing:
- Automated submission and follow-up through closure—no new systems or training required
“I would absolutely recommend Aspirion to a friend. We brought them on, and they exceeded our net revenue-improvement goal. They continue to go and find dollars for us. Additionally, Aspirion is all in with strategy and the use of AI. I love where they are going.”
VP/Other Executive
Denials Management Client
About the Provider
- A premier pediatric acute care children’s hospital system, generating over $1B in annual net patient revenue while serving children and families throughout the region.