Perspectives on AI, Denial Prevention, Revenue Cycle | Sift Healthcare
Sift Perspectives
Aetna’s SOI policy is changing inpatient reimbursement without showing up as a denial.
Last week, we wrote about PLBs and how revenue is being pulled back after payment in ways most teams aren’t actively monitoring. We’re also seeing a similar dynamic show up earlier in the process. Aetna’s SOI-based inpatient policy approves stays...
Most providers aren’t monitoring PLBs. Payers know it.
PLB data is rich in information, telling you which payers are recouping, how often, and in what patterns. But you won't see it in static retrospective RCM reports or standard denial dashboards. If your team isn't actively monitoring PLB activity...
Your Denials Team Is Under-Informed…
Day-in and day-out most denials teams are making high-stakes decisions with low-grade information.
Sift’s Fourth Annual Denials Insights Report
Sift Healthcare's Fourth Annual Denials Insights Report analyzes 2025 payer behavior trends and how they are reshaping the way health systems measure reimbursement risk.
Beyond Denials Management – Adverse Payment Outcomes
Revenue cycle teams spend enormous energy managing denials, yet health systems still lose revenue. Here’s the case for a broader approach.
An Expanded Partnership With Hartford HealthCare
Sift Healthcare’s expanded partnership with Hartford HealthCare reflects a shared conviction that healthcare’s denial problem is the result of a clinical-financial intelligence problem.
AI Works at Sift: Human Judgment in the Loop
Inside Sift Healthcare's AI Works program, thoughtful GenAI adoption, real AI use cases, and the human judgment layer that keeps our work meaningful.
Welcoming Ralph Perfetto as Sift’s New Chief Operating Officer
Sift Healthcare adds health tech veteran Ralph Perfetto as COO to lead product, technology, and data science, bringing over 25 years of experience in healthcare innovation, data science and AI.
Autonomous CDI: The Future of Healthcare Documentation
Autonomous CDI transforms the healthcare revenue cycle by automating documentation, reducing burnout, preventing denials, and enhancing clinical and financial outcomes.
Solving Revenue Cycle Bottlenecks with AI Copilots
AI copilots enhance CDI by connecting clinical and financial data, improving claim accuracy, reducing denials, and optimizing automation in revenue cycle management.
Justin Nicols
Founder & CEO
A leading industry expert in data analytics technology and has an extensive background in corporate finance and investment banking. Prior to founding Sift, Justin served on the executive team of venture backed ad technology company, and an e-commerce technology company.