Knowlegeable and Responsive
Our OOS team is well-versed in all state Medicaid program regulations and requirements. Through automation and efficient processes, we’re responsive and flexible to each client’s need.
Aspirion’s 100 percent US-based team includes:
attorneys/legal professionals
clinicians
claims specialists
Our Approach
Out-of-State Medicaid Claims Resolution
How much revenue is your hospital leaving on the table?
Discovery
Verification of patient Medicaid eligibility
Credentialing
Physician and facility enrollment and maintenance for state Medicaid or MCO programs
Submission
Adherence to state Medicaid and MCO timely filing via electronic claims submission and management
Appeals
End-to-end management of coverage or payment decision appeals
Our Elevated Experience
Expertise
We’re experts in the nuances of Medicaid programs across all 50 states. From complex state-specific regulations to tedious provider credentialing and billing practices, our specialized team manages it all.
Technology
Our proprietary technology streamlines electronic claims submissions to accelerate revenue recovery through flexible and scalable workflows with 24/7 access to our performance.
Cost Savings
All costs to collect are inclusive of our OOS Medicaid contingency fees. It’s just that simple—we only get paid when you get paid.
Data Security
We adhere to strict data security standards across all Medicaid state programs and MCOs. Our HITRUST Risk-based, 2-year Certification validates our commitment.
For 9 years, Aspirion has helped us collect on our out-of-state Medicaid claims. We had one very difficult claim from California that took over two years to resolve.
The Aspirion team worked relentlessly on our behalf until we were paid what was due- a high dollar payment, at that. Aspirion continues to be a true partner in all of our billing and enrollment needs for out-of-state Medicaid.”
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Supplemental Resources
Don’t let missing information prevent reimbursement. Find out how you can give your staff the support they need.
Learn how to overcome OOS Medicaid complexity to maximize reimbursement and shorten the AR cycle.
Learn how mounting prior authorization denials are worsening hospital-payer relations.