JSON twin: https://www.healthaidb.com/software/aspirion-denials-management.json
Aspirion
https://www.aspirion.com/services/denials-management/
Aspirion Denials Management is an AI-enabled, expert-driven service that identifies, appeals, and prevents payer claim denials to recover hospital revenue.
Aspirion combines a proprietary AI platform (Compass), clinical and legal experts, and dedicated account management to automate denial analysis, generate evidence-based appeals (DRG, medical necessity, level-of-care), and provide prevention insights. Services include end-to-end denial resolution, day-1 overturn workflows, analytics, and HITRUST-certified data security.
unknown
2006
P0148
2025-09-07
commercial/proprietary
Contact vendor for pricing, service-tier details, and implementation options; no public list prices.
enterprise_quote
2012
product
1.0
{
"company_name": "Aspirion",
"company_url": "https://www.aspirion.com",
"company_offices": [
"United States"
],
"company_founding": "2006",
"product_url": "https://www.aspirion.com/services/denials-management/",
"categories": [
"administrative",
"revenue cycle",
"revenue integrity",
"billing",
"claims management",
"AI-enabled automation"
],
"market_segment": [
"enterprise",
"smb"
],
"links": [
"https://www.aspirion.com",
"https://www.aspirion.com/services/denials-management/",
"https://www.aspirion.com/wp-content/uploads/2021/01/Denial-Management-One-Pager.pdf",
"https://www.aspirion.com/about-us/",
"https://www.aspirion.com/hitrust-risk-based-r2-certification/",
"https://klasresearch.com/comments/aspirion-denials-management-services/223955",
"https://www.prnewswire.com/news-releases/aspirion-named-2025-best-in-klas-for-denials-management-for-second-consecutive-year-302368137.html",
"https://www.inc.com/profile/aspirion-health-resources"
],
"summary": "Aspirion Denials Management is an AI-enabled, expert-driven service that identifies, appeals, and prevents payer claim denials to recover hospital revenue.",
"description": "Aspirion combines a proprietary AI platform (Compass), clinical and legal experts, and dedicated account management to automate denial analysis, generate evidence-based appeals (DRG, medical necessity, level-of-care), and provide prevention insights. Services include end-to-end denial resolution, day-1 overturn workflows, analytics, and HITRUST-certified data security.",
"target_users": [
"revenue cycle managers",
"hospital finance/administration",
"billing and coding specialists",
"denials teams",
"clinical documentation specialists",
"legal/appeals teams"
],
"specialties": [
"revenue cycle management",
"denials management",
"medical necessity appeals",
"DRG appeals",
"hospital revenue integrity"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing, service-tier details, and implementation options; no public list prices.",
"license": "commercial/proprietary",
"deployment_model": [
"cloud-based (SaaS)"
],
"os_platforms": [
"Web"
],
"features": [
"AI-powered automated appeal generation",
"Intelligent document processing (extract clinical evidence)",
"Proprietary Compass denials platform",
"Attorney and clinical review workflow",
"Denial scoring and prioritization",
"Analytics and trend insights",
"Day-1 clinical denials overturn capability",
"Contingency-based fee model",
"Dedicated account management",
"Workflow automation for appeals",
"Denial prevention and root-cause analysis",
"Patient information collection support"
],
"optional_modules": [
"Denial prevention programs",
"Advanced analytics / reporting",
"Staff training and change management"
],
"integrations": [],
"data_standards": [],
"api_available": "unknown",
"system_requirements": "",
"compliance": [
"HITRUST Risk-based r2",
"HIPAA"
],
"certifications": [
"HITRUST Risk-based r2"
],
"security_features": [
"Encryption",
"Audit logging",
"Role-based access control (RBAC)",
"Secure cloud hosting"
],
"privacy_features": [
"Business Associate Agreement (BAA) available"
],
"data_residency": "",
"customers": [],
"user_reviews": [
"We constantly ask Aspirion to help us prevent future denials, and it would be nice if they did a bit more proactive prevention.",
"Aspirion has been easy to work with for the most part. Some firms have been challenging to work with but Aspirion is responsive.",
"Aspirion is meeting our expectations because they are getting the accounts further out, and the turnaround has been helpful.",
"I would absolutely recommend Aspirion to a friend. We brought them on, and they exceeded our net recovery expectations.",
"I love Aspirion. They are great. I think the AI-generated appeal letters for DRG downcoding are particularly strong.",
"Aspirion has great reporting and provides assessments for us, though there are areas where reporting could improve.",
"The firm's people are very involved with us. Even one of the firm's executives participates on calls which is valuable.",
"Aspirion brings value. We have seen a good return. The firm is a good partner and they are responsive.",
"For DRG downgrades, the firm lacked some clinical expertise and aggressiveness in pursuing certain appeals.",
"Aspirion sets a high expectation for their overturn rate, and they match the high expectation in many cases.",
"Some key people that were working with us at Aspirion departed, and our overturn rate changed — staffing continuity matters.",
"The collaboration with Aspirion has been positive. The new person working with us is communicative and competent.",
"Aspirion earned our denials business by talking to us about a pain point; they delivered measurable results.",
"The firm's overturn rate isn't a 'wow' factor but is generally in line with expectations and often better than internal efforts.",
"Aspirion does a great job, and I am pleased with the work performed and the professionalism of their team."
],
"ratings": [
"Best in KLAS — Denials Management Services 2024 (KLAS Research)",
"Best in KLAS — Denials Management Services 2025 (KLAS Research)",
"Inc. 5000 Honoree 2024 (Inc.)"
],
"support_channels": [
"email",
"phone",
"account_manager",
"ticketing",
"consulting/onsite support"
],
"training_options": [
"documentation",
"webinars",
"live_online",
"onsite"
],
"release_year": "2012",
"integration_partners": [
"Boost Healthcare (acquired)",
"FIRM RCM (acquired)",
"Continuum Health Solutions (acquired)",
"Specialized Healthcare Partners (combined)",
"Advicare (an Aspirion company)",
"ARx / Accelerated Solutions (combined)",
"Linden Capital Partners (investor/partner)",
"Aquiline Capital Partners (investor)",
"Hospitals & health systems (EHR integrations with major systems — client-specific)"
],
"id": "P0148",
"slug": "aspirion-denials-management",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/aspirion-denials-management.json"
}
}