Insights

Ensure Sufficient Reimbursement on Your VA Claims

Aug 5, 2020 11:03:00 AM / by Aspirion Health Resources posted in Reimbursement, VA Claims

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After a 2014 scandal uncovered long wait times and insufficient care from VA facilities, Congress passed legislation that expanded veterans’ access to healthcare and enabled them to visit non-VA hospitals for treatments. However, even though the Department of Veterans Affairs was supposed to pay as a secondary payor ...

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Overcome the Challenges of Out-of-State Medicaid

Jul 17, 2020 11:36:54 AM / by Aspirion Health Resources posted in Medicaid, Reimbursement

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Especially for facilities near state borders, out-of-state Medicare and Medicaid claims can cause huge headaches. Many hospitals just consider it write-off business. But this outlook leaves millions of unclaimed dollars on the table—and we can help you get that revenue back. This case study illustrates our commitment ...

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Ensuring Reimbursement Through Effective Appeals

Jul 8, 2020 10:23:10 AM / by Aspirion Health Resources posted in Denial Management, Complex Claims

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Approximately 5-10% of medical billing claims are rejected each year. These claims are extremely expensive to rework, requiring resubmissions and hindering productivity. To maximize income, facilities must start by identifying how their denials are holding them back. Our white paper gives you four simple tips on how ...

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Eliminate the Burden of Eligibility & Enrollment Screenings

May 27, 2020 10:00:00 AM / by Aspirion Health Resources posted in Eligibility & Enrollment, Medicaid, Case Study

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Eligibility and enrollment services require one-on-one interactions with patients—which is something large hospitals rarely have the bandwidth to do well. Unfortunately, sacrificing patient screening for the sake of efficiency hinders reimbursement. In an effort to maximize patient satisfaction and streamline ...

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How SSA Disability Denials Impact Provider Financials

Mar 18, 2020 10:00:00 AM / by Aspirion Health Resources posted in Disability, Reimbursement

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Disability is a lengthy and arduous process; waiting on a case to be determined by the Social Security Administration (SSA) for disability can be a daunting experience. Claimants are commonly faced with medical issues, mounting medical bills, and little to no income. Sixty-seven percent of applications are denied ...

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Filing Hospital Liens Can Enhance the Patient Experience

Dec 11, 2019 10:00:00 AM / by Aspirion Health Resources posted in Liens, Patient Experience

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While hospitals have long pursued liens as a method of increasing cash collections, did you know that processing liens, when done thoughtfully, should improve your patient experience? When a patient has been a victim to another’s negligence, he or she does not commonly understand that the responsible party’s insurance ...

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Courts Rule that VA Should Pay as Secondary on Emergent Claims

Oct 2, 2019 10:00:00 AM / by Aspirion Health Resources posted in VA, Veterans Affairs

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On September 9, 2019, the United States Court of Appeals for Veterans Claims invalidated federal regulations related to reimbursement of a Veteran’s cost of emergency medical care at non-VA facilities. Specifically, the Court held that the VA must reimburse Veterans for out-of-pocket emergency medical expenses not ...

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