Partnership Powered by Results
$3M
avg. monthly collections after rerouting
44%+
increase in avg. monthly collections
$928K
more collected monthly vs prior year
RESULT
Increase in Monthly Collections:
- Average monthly collections rose from $2.1M to $3M after the routing correction, adding $928K per month over the prior year
Higher Volume, No Backlog:
- An average of 800 additional claims are placed each month and worked without delay
Aged Claims Eliminated:
- No accounts in the queue are more than a year old, reducing timely filing risk
CHALLENGE
Claims Held Without the Right Expertise:
- The client’s early-out vendor kept workers’ comp accounts after coverage was identified, but lacked the expertise to resolve them quickly
No Visibility Into Expected Payment:
- Without fee schedule resources or escalation support, staff couldn’t verify what payers owed, so underpayments went unchallenged
Misrouted Claims Went Unnoticed:
- Workers’ comp claims sat in a work queue with no process to flag them for specialized handling
SOLUTION
The health system partnered with Aspirion to put its workers’ comp claims in specialized hands from day one. The approach included:
Routing Correction at the Source:
- Aspirion found the queue holding misrouted claims, and the client began routing them directly to Aspirion
Expert Fee Schedule Navigation:
- Fee schedule and clearinghouse access confirmed expected payment and recovered underpayments
Day-One Claim Resolution:
- New placements are worked immediately, with capacity to absorb the added volume
“I have worked with Aspirion for years, and every interaction has been positive. If I ever have any concerns or questions, the firm is always very responsive and easy to work with. I highly recommend their services.”
About the Provider
Regional health system serving communities across a multi-state area. Nationally recognized for quality care, this organization operates a network of hospitals, clinics and providers focused on delivering excellent care close to home.