Partnership Powered by Results
$2.5M+
in overturned denials in 11 months
45 Days
from kickoff to go-live
94%
of appealed denials overturned within 30 days
RESULT
Seamless Go-Live:
- Launched in 45 days with minimal IT demand and no disruption to operations
Revenue Recovered:
- Overturned 94% of complex clinical denials within 30 days, recovering $2.5M+ over 11 months
Cleanup Review Success:
- Recovered $632K of the $2.5M total from a one-time review of unpaid claims
Upstream Insights:
- Denial insights helped CDI and UM teams target root causes of future denials
CHALLENGE
Denials Draining Revenue:
- Rising denials were eroding revenue, and the health system needed a partner who could launch quickly without adding strain on staff
Stretched IT Resources:
- Hospital IT was already managing multiple vendor integrations, with little capacity left for another implementation
Complex Clinical Appeals:
- Complex clinical denials exceeded the in-house team’s appeals expertise and capacity
SOLUTION
Aspirion paired specialized denials expertise with AI to recover revenue quickly while keeping the lift on hospital IT light:
Guided Implementation:
- Aspirion led onboarding and implementation with rapid turnaround, adding no new systems for the team to learn
Expert-Driven AI Appeals:
- Aspirion’s denials specialists used proprietary AI to build precise appeals backed by cited clinical evidence
Insights to Act On:
- Aspirion shared denial trends and documentation gaps by payer and denial reason for CDI and UM teams to act on
“Aspirion’s implementation team is responsive, easy to partner with, and works seamlessly across our organization. Their use of AI and the results they’ve delivered in denials management impressed us so much that we’ve expanded our partnership to include out-of-network recovery and zero-balance review.”
About the Provider
A leading not-for-profit health system in the South serving its community for over a century, with three hospitals and specialty care spanning trauma, cardiology, and cancer care.