Insights

Aspirion

Since 2008, Aspirion has offered a growing array of RCM services for hospital, physcian group, and provider systems looking for better results in managing their most complex reimbursements. Aspirion has been and continues to be a trusted partner to many of the most prominent providers in the U.S.

Recent Posts

Are Your Accounts Receivable Numbers Accurate?

Jan 13, 2021 11:00:00 AM / by Aspirion posted in Reimbursement, Complex Claims

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The Accounts Receivable numbers on most hospital balance sheets are inflated. To give your organization’s finance executives accurate revenue expectations, you must ensure that your receivable is as accurate as possible. Here are three areas where revenue cycle professionals can upgrade their procedures to maximize ...

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New Law Impacts COVID-Related Reimbursement

Jan 6, 2021 9:15:00 AM / by Aspirion posted in Reimbursement, Workers' Compensation, COVID-19

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Near the end of 2020, New Jersey Governor Phil Murphy signed Senate Bill 2380 into law, establishing that essential workers’ contraction of COVID-19 during the Public Health Emergency is considered work-related and fully compensable for the purposes of workers’ compensation. This law applies to any individuals who ...

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Price Transparency: What You Need to Know in 2021

Oct 28, 2020 9:18:00 AM / by Aspirion posted in Price Transparency, Centers for Medicare and Medicaid Services

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In an effort to improve the patient experience, the healthcare industry is implementing new regulations and expectations regarding price transparency. As part of the new requirements, the Centers for Medicare and Medicaid Services’ (CMS) Price Transparency Final Rule will require hospitals operating in the U.S. to ...

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Georgia Supreme Court Rules in Favor of Georgia Hospitals

Sep 30, 2020 9:08:00 AM / by Aspirion posted in Liens, MVA Claims, Georgia Supreme Court

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Thanks to the recent Georgia Supreme Court ruling in Bowden v. The Medical Center (TMC), Georgia hospitals are free from the fear that filing a hospital lien at their chargemaster rates will result in a claim against them for fraud and negligent misrepresentation by a class or an individual uninsured patient. The ...

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Top 5 Mistakes Made in TPL Collections

Sep 23, 2020 9:15:00 AM / by Aspirion posted in Case Study, Third-Party Liability, MVA Claims

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When dealing with motor vehicle accident (MVA) claims, the collection rate on third-party liability can be substantially higher than any other payment source—particularly involving patients who have no form of health insurance. Whether managed in-house or outsourced, third-party liability (TPL) programs often generate ...

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Ensure Your COVID-19 Claims Pay Properly

Sep 15, 2020 3:17:30 PM / by Aspirion posted in Reimbursement, COVID-19

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Since the global outbreak of the novel coronavirus, many health systems have seen a decline in normal patient services, leaving gaps in revenue. In light of the national public health emergency, Congress has passed legislation designed to support both citizens and hospitals during the pandemic—but without a thorough ...

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Inpatient or Outpatient? How Humana’s Recent Statement Impacts Your Facility

Sep 9, 2020 8:30:00 AM / by Aspirion posted in Outpatient Care, CMS, Humana, Inpatient Care

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In a recently released Care Decision Insights, Humana announced that 145 formerly inpatient-only procedures are now approved at the outpatient level of care. According to Humana, the Centers for Medicare and Medicaid Services (CMS) says that its current inpatient-only list applies to traditional Medicare–but not ...

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Use Staff Training to Maximize the Patient Experience

Aug 28, 2020 11:09:31 AM / by Aspirion posted in Patient Experience, PAS Training

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Patient access teams are the face of your facility. These staff members must ask the right questions, gather accurate information, and establish trust with patients from all walks of life. If hospital staff cannot provide answers or proper assistance, patients become frustrated and confused. The key is informed, ...

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Everything You Need to Know About COVID-19 & Workers' Compensation

Aug 26, 2020 9:04:00 AM / by Aspirion posted in Reimbursement, Workers' Compensation, COVID-19

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Even before the outbreak of the novel coronavirus, workers’ compensation claims posed significant challenges for healthcare facilities. If a work-related illness or injury is overlooked initially—whether because the PAS misses it or the patient does not sufficiently disclose information—the patient’s primary insurance ...

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How to Eliminate the Pain Points of Provider Enrollment

Aug 19, 2020 9:00:00 AM / by Aspirion posted in Provider Enrollment

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Some of the top challenges affecting health systems’ reimbursement involve physician credentialing and provider enrollment. Enrollment with various payors in multiple states can be a tedious process—and few hospitals are staffed sufficiently to onboard, credential, and enroll new providers. Facilities must also ensure ...

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