CASE STUDY
Veterans Affairs
Over $1.6 Million Recovered from VA Claims Previously Denied Due to Timely Filing
At a Glance
Challenges
- Systemic problems in the provider’s notification process prompted significant financial losses due to failure to submit timely 72-hour notifications for patient VA claims
- Delays led to strained patient-provider relationships, as patients faced uncertainties and potential disruptions in their care due to administrative shortcomings
Solutions
- Partnered with Aspirion for enhanced efficiency of VA claims management
- Focused on clean submissions and aggressive follow-up
- Implemented real-time tracking and automated work queue system
Results
- Recovery of over $1.6M from VA claims previously denied due to late 72-hour notifications
- 100% compliance with payer-notification requirements resulting in 16-hour average notification time
- Improved efficiency through streamlined workflows and documentation
About the Hospital
The leading nonprofit, integrated health system based in the Midwest delivers comprehensive healthcare services across 10 hospitals, 48 primary care clinics, numerous specialty clinics, and includes 2,400 affiliated providers.
“Aspirion does a great job. They are definitely experts in their field. The VA is a very complex payer with a lot of rules and guidelines, and it is always evolving and changing and getting more restrictive, but Aspirions stays on top of the changes. The government doesn’t want to pay and is hard to work with. The firm does a fantastic job of staying on top of nuances. Additionally, I am highly satisfied with how the firm performs in motor vehicle accidents. They do a great job with filings and everything. They also have great reports.“
-Director, Aspirion Veterans Affairs Client