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
Solutions
- Identified and recovered missed underpayments, including complex and high-value claims
- Provided root-cause analysis with actionable recommendations to prevent future variances
- Recovered neglected lower-dollar underpayments, ensuring no revenue was left behind
Results
- Recovered $2.2M in just nine months as the secondary reviewer—surpassing the previous primary vendor’s four-year total of $1.7M
- Identified 160% more in missed revenue, going above and beyond by exposing significant gaps in the primary vendor’s processes
- Aspirion is currently pursuing an additional $4.5M in validated underpayments, further maximizing client revenue potential
About the Hospital
As a not-for-profit organization serving the Pacific Northwest, this healthcare leader operates eight hospitals and boasts a Net Patient Revenue of $4.3 billion. Powered by Epic EMR, the system is dedicated to advancing excellence in patient care through a well-integrated network.
“The Aspirion experience and expertise in revenue cycle under Managed Care contracts was invaluable for our team. They had a great deal more success on our Managed Care ‘zero balance’ accounts than any other vendor that we have ever used. The Aspirion contingency-based pricing showed the confidence they have in their work.”
-VP of Revenue Cycle, Aspirion Client
Contact Us
Contact us to discover how our highly-skilled team will help maximize your revenue from zero-balance accounts.