by Aspirion | Dec 29, 2023 | AI/ML, Denials Management
Hospitals are facing significant financial challenges due to rising costs, labor shortages, and an influx of denied claims. A Kaiser Family Foundation study found that insurance companies initially deny 17% of claims on average, even for in-network care. The rate of...
by Aspirion | Dec 21, 2023 | Denials Management
As denials management becomes increasingly complex, optimizing your managed care contracts can be a strategic step in mitigating challenges. Here’s a RCM wishlist of contract provisions that can fortify your position and protect your organization from the...
by Aspirion | Dec 7, 2023 | Denials Management
In today’s blog post, we delve into the intricate area of what is colloquially referred to as “ghost denials.” While the terminology might sound unconventional, we aim to shed light on these “phenomena,” unravel their implications, and explore how...
by Aspirion | Nov 22, 2023 | Denials Management
During an executive roundtable at the 8th Annual Becker’s Health IT + Digital Health + RCM Meeting, Aspirion leaders Jeff Podraza and Nancy Momcilovic discussed denial prevention, focusing on the importance of managed care contracts and agreements in relation to...
by Aspirion | Nov 22, 2023 | Denials Management
Getting a handle on denials can be difficult for any healthcare organization, but clinical denials specifically pose special challenges. Clinical denials are more difficult to manage as deeper root cause analysis and collaboration between hospitals, physicians, and...
by Aspirion | May 10, 2023 | Denials Management
Inpatient readmissions and length of stay claim denials are major issues in the healthcare industry. When a patient is readmitted to an acute care hospital within a certain period of time following the hospital discharge—typically within 30 days—it can lead to a claim...
