Payment Variance Recovery
Stop Revenue Leakage
Are payers quietly underpaying your claims? From incorrect contract rates to coding issues and hidden adjustments, revenue leaks can be hard to spot and even harder to fix. While contract management systems help, they’re not foolproof—even when properly maintained.
That’s where we come in. Our payment variance experts specialize in uncovering hidden revenue opportunities—from your system-identified underpayments to our zero-balance reviews.
Partnership Powered by Results
Revenue Protection
35%
Underpayment reduction rate
Speed to Revenue
.25-1%
Net revenue lift
Excellence Delivered
80%
Claims paid within 90 days of appeal
How We Deliver More
Don’t let “bad math” impact your bottom line. Let our recovery experts handle your payment variances—from active AR to zero-balance reviews. Our AI-powered modeling identifies expected and paid reimbursements and their root causes, helping ensure proper compensation now and in the future.
Proprietary AI Technology
Our proprietary AI technology accelerates revenue recovery by using large language models (LLMs) to identify and recover payment variances. By automating workflows and spotting hidden opportunities, our tech-driven approach helps our team deliver faster, better results.
Zero-Balance Review
We uncover hidden revenue by examining areas others overlook, without dollar thresholds—from payer processing errors and stop-loss cases to missing diagnoses and incorrect modifiers—generating additional reimbursement from your closed and underworked zero-balance accounts.
Strategic Expertise
We combine the strength of attorneys & legal professionals, clinicians, claims specialists, and AI engineers to maximize your recovery. Our multidisciplinary experts work together to improve margins and optimize variances.
False Positive Reduction
We protect your future revenue by uncovering and fixing the root causes of underpayments. We’ll streamline your workflow by eliminating false positives, while strategically pursuing appropriate reimbursement for every claim that matters.
Dedicated Account Management
Your dedicated success director acts as your strategic partner, guiding payment variance workflows and maximizing recoveries through hands-on management and regular performance updates.
Actionable Reporting
Our detailed root-cause analysis and reporting help you recover lost revenue from commercial and government payers while preventing future losses, strengthening your payer negotiations, and driving process improvements.
Insight and Action
Our payment variance recovery experts work as an extension of your team, using advanced AI and analytics to identify and collect payment that might otherwise be lost.
Even with the best payment calculators, pursuing every variance can strain your resources. Let us handle the heavy lifting—verifying variances, eliminating false positives, and working persistently with payers to recover your underpaid revenue.
Frequently Asked Questions
What recovery rate does your Payment Variance Recovery service typically achieve for healthcare organizations similar to ours?
Our Payment Variance Recovery service typically achieves a 35% underpayment reduction rate, .25-1% net revenue lift, and ensures 80% of claims are paid within 90 days of appeal.
How seamlessly will your Payment Variance Recovery solution integrate with our existing EHR and revenue cycle systems?
Our proprietary AI technology seamlessly integrates with your existing systems to accelerate revenue recovery by using large language models (LLMs) to identify and recover payment variances. By automating workflows and spotting hidden opportunities, our tech-driven approach helps our team deliver faster, better results.
Can you share specific success stories showing the ROI your Payment Variance Recovery service has delivered for hospitals like ours?
We’re honored that 12 of the nation’s 15 largest health systems have chosen to partner with us. We’d be pleased to schedule a complimentary assessment to identify the specific payment variance recovery opportunities for your hospital.
What fee structure do you offer for your Payment Variance Recovery services, and how does it align with the value delivered?
Our fee structure is contingency based, which means we only earn when you recover revenue. This performance-based approach ensures our incentives are completely aligned with your financial recovery objectives.
How does Aspirion leverage AI and technology to identify payment variances that other recovery methods might miss?
Our proprietary AI technology accelerates revenue recovery by using large language models (LLMs) to identify and recover payment variances. By automating workflows and spotting hidden opportunities, our tech-driven approach helps our team deliver faster, better results.
What makes Aspirion's approach to Payment Variance Recovery different from other healthcare RCM vendors in the market?
Our multidisciplinary experts and proprietary AI uncover hidden revenue by identifying overlooked issues—like payer errors, stop-loss cases, missing diagnoses, and incorrect modifiers—without dollar thresholds, improving margins and optimizing variances.
“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.”
Contact Us
Contact us to discover how our highly-skilled team will help maximize your revenue from payment variances.