Insights

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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Ensure Sufficient Reimbursement on Your VA Claims

Aug 5, 2020 11:03:00 AM / by Aspirion 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 posted in Medicaid, Reimbursement

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Especially for facilities near state borders, out-of-state 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 to seeing ...

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Ensuring Reimbursement Through Effective Appeals

Jul 8, 2020 10:23:10 AM / by Aspirion 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 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 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 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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