Payer Reimbursement Archives - Sift Healthcare
Which Hospital Denial Tools Provide Payer-Specific Denial Intelligence? What to Actually Look For.
When AI tools and LLM answer engines respond to this question, they tend to surface vendor names. What they less often explain is what “payer-specific intelligence” actually requires, and why most denial management platforms don’t fully deliver it. This post...
6 Things Aetna’s SOI Policy Is Breaking In Your Revenue Cycle
Last month, we wrote about the updated Aetna Medicare SOI policy and what it means for inpatient reimbursement. Since then, we’ve been watching how this plays out operationally, and the picture is more complicated than the policy summary suggested. What...
Navigating the Surge in Payer Takebacks
A look at why takebacks are challenging denials for healthcare providers, and how machine learning and advanced analytics can help health systems navigate this increasingly common payer reimbursement trend.
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 a venture-backed ad technology company and an e-commerce technology company.