Blog.aspirion.com

UHC sepsis-related changes to know

WebBeginning 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 …

Actived: 3 days ago

URL: https://blog.aspirion.com/blog/uhc-sepsis-related-review-procedure-change

How Artificial Intelligence Powers Healthcare Denials Management …

WebWritten by Aspirion. Since 2008, Aspirion has offered a growing array of RCM services for hospital, health systems, and large physician groups looking for better …

Category: Health Go Health

3 Tips to Boost Medical Predetermination Submission Success

WebTip #1: Lean into the predetermination process regardless of timing. In many cases, the predetermination process requires a turnaround time of 30-45 days. The …

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Leveraging ERISA in overturning denied medical claims

WebLeveraging ERISA in overturning denied medical claims. Oct 11, 2021 8:31:14 PM / by Aspirion. The Employee Retirement Income Security Act of 1974 (ERISA) is a federal …

Category: Medical Go Health

Ensuring Reimbursement and Healthcare Revenue Integrity …

WebEnsuring Reimbursement and Healthcare Revenue Integrity Through Effective Appeals. Jul 8, 2020 10:23:10 AM / by Aspirion. Approximately 5-10% of medical billing …

Category: Medical Go Health

The Unique Challenges of Healthcare Cybersecurity

WebDue to its mission, healthcare has unique cybersecurity challenges that go beyond financial loss and breach of privacy. The loss of patient data can threaten patient …

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Denied: The Battle Against Readmission and Length of Stay Claims …

WebMay 10, 2023 8:00:00 AM / by Aspirion. Inpatient readmissions and length of stay claim denials are major issues in the healthcare industry. When a patient is readmitted to an …

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Ensure Sufficient Reimbursement on Your VA Medical Claims

WebWritten by Aspirion. Since 2008, Aspirion has offered a growing array of RCM services for hospital, health systems, and large physician groups looking for better …

Category: Health Go Health

Mounting prior authorization denials worsen hospital-payer

WebMounting prior authorization denials worsen hospital-payer relations. Prior authorization requirements have been around for decades, and frustration from providers …

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Ensure Your COVID-19 Claims Pay Properly

WebWritten by Aspirion. Since 2008, Aspirion has offered a growing array of RCM services for hospital, health systems, and large physician groups looking for better …

Category: Health Go Health

Everything You Need to Know About COVID-19 & Workers' …

WebWritten by Aspirion. Since 2008, Aspirion has offered a growing array of RCM services for hospital, health systems, and large physician groups looking for better …

Category: Health Go Health

Filing Hospital Liens Can Enhance the Patient Experience

WebWe have found that explaining the process carefully, setting the appropriate expectations, and presenting the hospital lien filing as a service that the medical provider …

Category: Medical Go Health

Inpatient or Outpatient

WebHow Humana’s Recent Statement Impacts Your Facility. Sep 9, 2020 8:30:00 AM / by Aspirion. In a recently released Care Decision Insights, Humana announced that …

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Arizona Laws Amended to Limit Future Hospital Lien Recovery

WebOn 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 …

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Aspirion Blog Aspirion

WebSince 2008, Aspirion has offered a growing array of RCM services for hospital, health systems, and large physician groups looking for better results in managing their most …

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New Law Impacts COVID-Related Reimbursement

WebNear 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 …

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Top 5 Mistakes Made in TPL Collections

WebThrough our nearly 20 years of experience, we’ve identified the top five mistakes facilities make when managing their TPL programs: #1: Only Pursuing Liability …

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Courts Rule that Veterans Affairs Should Pay as Secondary on

WebThe Court further indicated that it was Congress’s intent that the VA step in as a secondary payer when other healthcare insurers cover only a portion of the cost of the …

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