At a Glance
Challenges
- Severe staffing shortages within healthcare system’s internal revenue cycle management team
- Lack of in-house expertise on payer-specific guidelines
- Persistent billing errors, including missing modifiers and incorrect bill type
Solutions
- Aspirion quickly mastered complex payer guidelines, developing and implementing standardized procedures for the follow-up team
- Strategic assignment of accounts based on financial class and value with specific payers allocated to subject-matter experts
- Outstanding denials escalated to payer management including addressing billing issues to prevent future denials
Results
- Reduced Aged AR by $85 million on 22,282 accounts
- Over $8 million in total cash collections
- $4 million (53%) collected on accounts older than 331 days
- 278% increase in collections compared to provider’s internal staff performance on the same inventory
$85M
reduction in Aged AR in under 6 months
About the Hospital
This major Southeastern healthcare system features 3 hospitals, 13 practices, and 30 outpatient sites, plus telehealth. It boasts nationally ranked cancer and rehabilitation centers.
“Aspirion is always very collaborative. They come to us with their findings. If we need to escalate something further to a payer, Aspirion will bring those cases back to us. They just don’t sit on the inventory without doing anything; they are always acting on things, and I appreciate that.“
-Director, Aspirion Client
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