by Aspirion | Sep 8, 2022 | Denials Management
On July 6, 2022, the Arizona legislature passed 2022 Ariz. SB 1021 regarding hospital liens for healthcare treatment and transportation of an injured person. The bill is effective September 24, 2022, amending A.R.S. § 33-931 and adding A.R.S. § 33-937. This article...
by Aspirion | May 20, 2022 | Denials Management
It is relatively easy to identify the root cause of an inpatient denial due to a procedural matter like failure to obtain an authorization. But what is the root cause of an inpatient denial when the hospital does everything ‘right’? They notify the correct insurance...
by Aspirion | Oct 11, 2021 | Denials Management
The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that, in part, enables beneficiaries to appeal any covered insurance claim to request payment in full. Sounds simple, but it’s not. ERISA is a complex set of laws, and one article definitely...
by Aspirion | Sep 28, 2021 | Aged AR, AI/ML, Denials Management, Motor Vehicle Accident, Out-of-State Medicaid, Staff Training, Underpayment Recovery, Veterans Affairs, Workers’ Compensation
The BI platform fuels performance transparency and financial accountability through consistent and scalable client-vendor engagement. COLUMBUS, Ga.-September 28, 2021-(BUSINESS WIRE)–Aspirion, the leader in technology-enabled healthcare complex claims...
by Aspirion | Aug 31, 2021 | Denials Management
Many times, payers deny specific patient treatments, drugs, or hospital stays due to the specific treatment or drug being considered non-covered or experimental. While these claim denials can be argued in a formal appeal on the back end, a health system can also...
by Aspirion | Jul 7, 2021 | Aged AR, Denials Management, Motor Vehicle Accident, Out-of-State Medicaid, Staff Training, Underpayment Recovery, Veterans Affairs, Workers’ Compensation
Beginning July 1, 2021, United Healthcare (“UHC”) will begin reviewing Medicare Advantage and commercial claims for sepsis-related treatment on a pre-payment basis and post-payment basis. Previously, UHC only reviewed sepsis-related claims on a post-payment basis....
