Revenue Cycle Archives - Sift Healthcare
Marketing View: The Best AI in Your Revenue Cycle Should Be Invisible
Bad AI in your revenue cycle announces itself, like bad CGI. The AI that you never notice is the good stuff. Here's the difference.
CEO Perspectives: Hospitals Think They’re Maximizing Revenue. They’re Only Measuring Half Of It.
CDI programs track revenue captured, not what the payer actually lets a health system keep. Sift's CEO, Justin Nicols on the measurement gap that erases net revenue and why CDI vendors don't flag it.
AI in the Revenue Cycle: A Priority, But…
AI in the revenue cycle isn’t at a tipping point; it’s a sticking point. Revenue cycle leaders at health systems across the country are being given AI mandates. At Sift, we’ve heard from multiple revenue cycle leaders that their CEOs...
CEO Perspectives: Why the Revenue Cycle Industry Isn’t Designed to Fix the Revenue Cycle
Denials are unequivocally one of the biggest problems for US health systems. But across the revenue cycle industry, most technology companies and outsourcing firms are not economically incentivized to solve the denial problem. They’re incentivized to make it manageable.
EHR Denials Management Limitations
Your EHR vendor probably told you it covers denials management, maybe even using AI. In a narrow sense, it does. EHRs capture and queue denials, and, if you’ve got the right module configured and an analyst who knows how to build the reports, it’ll show you denial trends by payer. But what EHR denials management tools won’t...
How to Know if a Denial Cluster is Worth Automating with an AI Agent
Agentic AI is being hailed across the revenue cycle right now, for appeals, claim resubmissions, documentation retrieval and a slew of other workflows. For the most part, the use cases make sense on paper. But many health system revenue cycle teams are making deployment decisions based on...
Score First, Outsource Second: Why A/R Scoring is the Smarter Path to RCM Vendor ROI
Dollar value and recovery probability are not the same thing. Health systems that outsource without scoring first are paying contingency fees on claims they could have kept.
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.
How Real-Time Clinical Data Is Revolutionizing Payer Reimbursement
How real-time clinical data is transforming insurance payer reimbursement, reducing claim denials, and streamlining healthcare revenue cycle management.
Introducing the Solventum Revenue Integrity System
Introducing the Solventum Revenue Integrity System from Sift and Solventum. This AI-driven solution unifies clinical and payments data, predicts and prevents clinical denials and optimizes 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.