Insights

How Artificial Intelligence Powers Healthcare Denials Management and Revenue Integrity

Jan 27, 2022 10:03:32 AM / by Aspirion posted in Patient Experience, Reimbursement, Veterans Affairs, Denial Management, Complex Claims, VA Claims, Workers' Compensation, Third-Party Liability, Revenue Cycle Management, Artificial Intelligence

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Whether we notice it or not, organizations of every kind utilize artificial intelligence (AI) in their everyday processes. AI is artificial intelligence presented by a machine powered by algorithms built from statistical, machine learning, and deep learning techniques to replicate human intelligence. AI uses data to ...

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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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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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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 revenue cycle management 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 ...

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Ensure Sufficient Reimbursement on Your VA Medical 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 Veterans Affairs 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 ...

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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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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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