# sifthealthcare.com > AI-optimized mirror of sifthealthcare.com containing 192 pages totalling 83,392 words of clean markdown content, structured data, and semantic HTML. Original source: https://sifthealthcare.com. Last updated: 2026-07-26T06:44:56.457Z. Each page is available as HTML (with JSON-LD structured data) and Markdown (text-only, ideal for LLMs and RAG). ## Homepage - [AI-Driven Payments Intelligence | Sift Healthcare](/content/site-root.html): Sift's RevProtect platform predicts and prevents claim denials, dynamically prioritizes AR follow-up, and delivers actionable root-cause denial analytics. (651 words) ## Articles & Blog Posts - [Perspectives on AI, Denial Prevention, Revenue Cycle | Sift Healthcare](/content/sift-perspectives/page/5/index.html): Innovative thinking on payer trends, technologies, AI shifts and health system responses shaping revenue cycle management. (556 words) - [Perspectives on AI, Denial Prevention, Revenue Cycle | Sift Healthcare](/content/sift-perspectives/page/6/index.html): Innovative thinking on payer trends, technologies, AI shifts and health system responses shaping revenue cycle management. (465 words) - [Perspectives on AI, Denial Prevention, Revenue Cycle | Sift Healthcare](/content/sift-perspectives/page/4/index.html): Innovative thinking on payer trends, technologies, AI shifts and health system responses shaping revenue cycle management. (433 words) - [Perspectives on AI, Denial Prevention, Revenue Cycle | Sift Healthcare](/content/sift-perspectives/page/3/index.html): Innovative thinking on payer trends, technologies, AI shifts and health system responses shaping revenue cycle management. (420 words) - [Perspectives on AI, Denial Prevention, Revenue Cycle | Sift Healthcare](/content/sift-perspectives/page/7/index.html): Innovative thinking on payer trends, technologies, AI shifts and health system responses shaping revenue cycle management. (355 words) - [wp-content/uploads/2026/03/5bf205f1486e7f403ed74d7b_sift-biztimes-funding-15nov18-pdf.html](/content/wp-content/uploads/2026/03/5bf205f1486e7f403ed74d7b_sift-biztimes-funding-15nov18-pdf.html) (439 words) - [wp-content/uploads/2026/03/5dd841ca780f4d0ca476eecb_nr_sift_denials_dashboard_june2019-pdf.html](/content/wp-content/uploads/2026/03/5dd841ca780f4d0ca476eecb_nr_sift_denials_dashboard_june2019-pdf.html) (398 words) - [wp-content/uploads/2026/03/5bf205b111bde260eb549c7e_sift-milwaukeebizjournal-funding-15nov18-pdf.html](/content/wp-content/uploads/2026/03/5bf205b111bde260eb549c7e_sift-milwaukeebizjournal-funding-15nov18-pdf.html) (226 words) - [wp-content/uploads/2026/03/5dd83e09098300c6c4d5f8dd_nr_sift_wi_innovation_award-pdf.html](/content/wp-content/uploads/2026/03/5dd83e09098300c6c4d5f8dd_nr_sift_wi_innovation_award-pdf.html) (284 words) - [Perspectives on AI, Denial Prevention, Revenue Cycle | Sift Healthcare](/content/sift-perspectives/page/8/index.html): Innovative thinking on payer trends, technologies, AI shifts and health system responses shaping revenue cycle management. (381 words) - [Perspectives on AI, Denial Prevention, Revenue Cycle | Sift Healthcare](/content/sift-perspectives/page/2/index.html): Innovative thinking on payer trends, technologies, AI shifts and health system responses shaping revenue cycle management. (588 words) - [Denial Insights Report | Sift Healthcare](/content/denial-insights/index.html): 4th Annual Denials Insights Report, examining key payer behavior trends with denial prevention recommendations for revenue cycle leaders. (289 words) - [Perspectives on AI, Denial Prevention, Revenue Cycle | Sift Healthcare](/content/sift-perspectives/page/9/index.html): Innovative thinking on payer trends, technologies, AI shifts and health system responses shaping revenue cycle management. (141 words) - [News and Notes | Sift Healthcare](/content/news/index.html): News about Sift Healthcare RCM product launches, AI leadership, innovative denials management solutions, RCM industry partnerships and more. (458 words) - [Reimbursement Risk Prediction, Denial Prevention | Sift Healthcare](/content/reimbursement-risk-prediction/index.html): Sift's RevProtect predicts reimbursement risk across pre-bill, post-bill and concurrent workflows and enables providers to prevent denials with workflow-integrated recommendations. (538 words) - [Full Cycle Denials Solution | RevProtect From Sift Healthcare](/content/full-cycle-denials-solution/index.html): Xsolis is a point solution for mid cycle denials. RevProtect is a full cycle denials solution for health systems. See the difference. (594 words) - [Beyond Denial Management | Prevent Denials With Sift Healthcare](/content/beyond-denial-management/index.html): Sift's RevProtect goes beyond denial management to predict and prevent adverse payment outcomes upstream. See the difference — book a demo. (519 words) - [AI and RCM Expertise | Sift Healthcare](/content/meet-sift/index.html): Meet Sift Healthcare's team of AI and Data Science Experts, Revenue Cycle Leaders, Customer Success Managers and Healthcare Operators. (252 words) - [Denial Management Prioritization and Prioritization | Sift Healthcare](/content/recovery/index.html): Sift optimizes denial management with AI-based, dynamic denial prioritization, denial root cause intelligence and cash forecasting. (563 words) - [Prevent Denials | Sift Healthcare](/content/actionable-recommendations/index.html): RevProtect helps hospitals prevent denials with role-specific, workflow-integrated, and actionable recommendations for denial prevention. (544 words) - [Privacy Policy | Sift Healthcare Data Protection](/content/privacy-policy/index.html): Review the Sift Healthcare Privacy Policy to understand how we handle patient data and maintain HIPAA compliance. Read our full data security standards here. (940 words) - [AI-Driven Denial Analytics & Payments Intelligence | Sift Healthcare](/content/sift-analytics-insights/index.html): Full-cycle Payments Intelligence. Advanced RCM and denial analytics that identify the root causes of denials and track payer behavior. (512 words) - [Revenue Cycle Optimization | Sift Healthcare](/content/where-revprotect-fits-in-the-revenue-cycle/index.html): Denial predictions, integrated denial prevention and AI-driven denial prioritization to optimize the hospital revenue cycle. (471 words) - [Data Validation and AI Accuracy | Sift Healthcare](/content/validation-learning/index.html): Sift Healthcare helps health systems optimize payer reimbursement and reduce denials using precise, industry-first AI-driven data models. (411 words) - [Perspectives on AI, Denial Prevention, Revenue Cycle | Sift Healthcare](/content/sift-perspectives/index.html): Innovative thinking on payer trends, technologies, AI shifts and health system responses shaping revenue cycle management. (542 words) - [Careers | Sift Healthcare](/content/sift-careers/index.html): Open roles at Sift Healthcare, including data scientists, AI engineers, product leaders, customer success managers and revenue cycle SMEs (518 words) - [About Sift Healthcare | AI-Driven Payments Intelligence](/content/about-us/index.html): Sift Healthcare provides advanced data science and AI tools to maximize revenue cycle efficiency for health systems. (383 words) - [Contact Us | Sift Healthcare Revenue Cycle Solutions](/content/contact-us/index.html): Contact Us at Sift Healthcare for revenue cycle management and patient payment solutions. Speak with our specialists to improve financial performance today. (90 words) - [Hidden Denials Your Reports Miss: Aetna Underpayments](/content/sift-perspectives/hidden-denials-aetna-underpayments/index.html): Underpayments erode hospital revenue, but don't show as denials in standard reports. How to track payer patterns that create hidden denials. (609 words, Jul 23, 2026) - [The Best AI In Your Revenue Cycle Is The AI You Don't Notice](/content/sift-perspectives/ai-in-your-revenue-cycle-should-be-invisible/index.html): Bad AI in your revenue cycle announces itself, like bad CGI. The AI that you never notices is the good stuff. Here's the difference. (669 words, Jul 20, 2026) - [The Revenue Hospitals Capture vs What Payers Let Them Keep](/content/sift-perspectives/capture-versus-keep-revenue-durability/index.html): A CDI program tracks revenue captured, not what the payer lets you keep. The measurement gap that erases net revenue and why vendors don't flag it. (833 words, Jul 17, 2026) - [Denials Dashboard vs. Predictive Denial Prevention](/content/sift-perspectives/bi-dashboard-vs-denial-prevention/index.html): A hospital's denials dashboard tells you what already happened, but not which claims will deny. Here's what BI reporting misses. (683 words, Jul 14, 2026) - [Denials Management Metrics That Matter in 2026](/content/sift-perspectives/top-denials-management-metrics/index.html): The 8 denials management metrics that actually matter to revenue cycle leaders now, covering clinical denials, DRG downgrades and more. (991 words, Jul 6, 2026) - [Hospital Cash Flow: Claims Gaps That Slow Payer Reimbursement](/content/sift-perspectives/claims-lifecycle-gaps-that-slow-hospital-cash-flow/index.html): 7 gaps in the healthcare claims lifecycle that slow hospital cash flow and put reimbursement dollars at risk. (911 words, Jul 1, 2026) - [Prioritizing Denials by Financial Impact](/content/sift-perspectives/prioritizing-denials-by-financial-impact/index.html): Prioritizing denials with ML scoring reduces wasted touches, accelerates cash and increases total revenue recovery. Here's why and how. (757 words, Jun 23, 2026) - [What Payer-Specific Denial Intelligence Actually Requires](/content/sift-perspectives/payer-specific-denial-intelligence-requirements/index.html): Payer-specific denial intelligence identifies how each payer behaves and why, and provides hospitals with recommendations for action. (708 words, Jun 16, 2026) - [Does Your AI Denial Prevention Tool Actually Change Outcomes?](/content/sift-perspectives/ai-denial-prevention-payment-intelligence/index.html): AI denial scores don't prevent denials. The intelligence layer connecting model output to workflows is what drives AI denial prevention (658 words, Jun 10, 2026) - [Proactive Denial Management, What the SaaS Repricing Tells Us](/content/sift-perspectives/proactive-denial-management-saas-parallel/index.html): AI makes proactive denial management possible today. The RCM market isn't built to pursue it. Here's the SaaS parallel that explains why. (818 words, Jun 4, 2026) - [AI in the Revenue Cycle: Why Health Systems Stall](/content/sift-perspectives/ai-in-the-revenue-cycle-sticking-point/index.html): Health systems need AI in the revenue cycle, but most are stuck. Why revenue cycle leaders freeze, and 5 practical steps to move forward. (902 words, May 26, 2026) - [What EHR Denial Reporting Misses: Sift's 5-Level Framework](/content/sift-perspectives/denial-reporting-maturity-five-levels/index.html): EHR denial reporting tools show activity through Level 3. Levels 4 and 5 — behavior-to-outcome attribution — require a different data model. (947 words, May 21, 2026) - [Payments Intelligence - ROI Example $13M Recovered From $43M](/content/sift-perspectives/payments-intelligence-aged-denials-roi-example/index.html): How one health system deployed Sift's RevProtect Payments Intelligence across their aged denial population. (476 words, May 19, 2026) - [The Revenue Cycle Industry Can't Fix the Revenue Cycle](/content/sift-perspectives/revenue-cycle-industry-not-designed-to-fix-revenue-cycle.html): RCM vendors are priced to manage denials, not stop them. Here's why the revenue cycle industry was built that way, and how AI is changing it. (545 words, May 15, 2026) - [EHR Denials Management](/content/sift-perspectives/what-your-ehr-cant-do-denial-management/index.html): EHR denials management tools capture denials but don't tell you which ones to fight. Here's what EHR-native denials scoring misses. (942 words, May 13, 2026) - [How The Aetna Medicare SOI Policy Breaks Your Revenue Cycle](/content/sift-perspectives/aetna-medicare-soi-policy-impact/index.html): Understand the impact of the new Aetna Medicare SOI policy on inpatient reimbursement and your revenue cycle workflows. (686 words, May 4, 2026) - [When is a Denial Cluster Worth Automating with an AI Agent?](/content/sift-perspectives/how-to-know-if-a-denial-cluster-is-worth-automating-with-an-ai-agent.html): To truly drive automation ROI, before you deploy an AI agent in your revenue cycle for denials management, pull data to evaluate denial clusters based on overturn rates, root causes and payer behavior trends. (544 words, Apr 30, 2026) - [Health Systems Are Wrong About Their Denial Rates](/content/sift-perspectives/wrong-about-denial-rates/index.html): I don't mean that to be provocative, I mean it literally. The number any given hospital revenue cycle team reports as its denial rate is almost certainly (566 words, Apr 24, 2026) - [Denials Scoring Before Outsourcing: Smarter Vendor ROI](/content/sift-perspectives/denial-scoring-outsourcing/index.html): Dollar thresholds and recovery probability aren't equal. Denials and A/R scoring helps health systems make better outsourcing decisions. (780 words, Apr 22, 2026) - [Segment Loop 2110 | Another Way RCM Teams Miss Denials](/content/sift-perspectives/segment-loop-2110/index.html): In 835 remittance files, the Loop 2110 segment should communicate payer decisions. But now, for a growing share of clinical denial activity, Loop 2110 is empty. (793 words, Apr 15, 2026) - [Aetna SOI Policy: Claims Approved but Reimbursed Differently](/content/sift-perspectives/aetna-soi-reimbursement/index.html): Aetna’s SOI-based inpatient policy is creating gaps between expected and actual reimbursement without triggering traditional denials. (296 words, Apr 8, 2026) - [Most providers aren’t monitoring PLBs. Payers know it.](/content/sift-perspectives/monitoring-provider-level-adjustments/index.html): 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 by payer, it's worth asking what's happening in the data you're not looking at. PLB data can tell you which payers are using takebacks, how often, and in what patterns. But you won't see it in static RCM retrospective reports or standard denial dashboards. (437 words, Mar 31, 2026) - [Sift Healthcare Blog - Your Denials Team Is Under-Informed…](/content/sift-perspectives/your-denials-team-is-under-informed/index.html): Day-in and day-out most denials teams are making high-stakes decisions with low-grade information. (577 words, Mar 16, 2026) - [Sift Healthcare Blog - Sift’s Fourth Annual Denials Insights Report](/content/sift-perspectives/sifts-fourth-annual-denials-insights-report/index.html): 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. (278 words, Mar 9, 2026) - [Beyond Denials Management | Adverse Payment Outcomes](/content/sift-perspectives/adverse-payment-outcomes/index.html): Health systems focus on denials management, but still lose revenue to other adverse payment outcomes like DRG downgrades and payer takebacks. (899 words, Feb 11, 2026) - [Sift Healthcare Blog - An Expanded Partnership With Hartford HealthCare](/content/sift-perspectives/an-expanded-partnership-with-hartford-healthcare/index.html): 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. (676 words, Feb 11, 2026) - [Sift Healthcare Blog - AI Works at Sift: Human Judgment in the Loop](/content/sift-perspectives/ai-works-at-sift-human-judgment-in-the-loop/index.html): Inside Sift Healthcare's AI Works program, thoughtful GenAI adoption, real AI use cases, and the human judgment layer that keeps our work meaningful. (430 words, Nov 4, 2025) - [Sift Healthcare Blog - Welcoming Ralph Perfetto as Sift’s New Chief Operating Officer](/content/sift-perspectives/welcoming-ralph-perfetto-as-sifts-new-chief-operating-officer.html): 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. (240 words, May 1, 2025) - [Sift Healthcare Blog - Autonomous CDI: The Future of Healthcare Documentation](/content/sift-perspectives/autonomous-cdi-the-future-of-healthcare-documentation.html): Autonomous CDI transforms the healthcare revenue cycle by automating documentation, reducing burnout, preventing denials, and enhancing clinical and financial outcomes. (852 words, Apr 15, 2025) - [Sift Healthcare Blog - Solving Revenue Cycle Bottlenecks with AI Copilots](/content/sift-perspectives/solving-revenue-cycle-bottlenecks-with-ai-copilots/index.html): AI copilots enhance CDI by connecting clinical and financial data, improving claim accuracy, reducing denials, and optimizing automation in revenue cycle management. (627 words, Mar 3, 2025) - [Sift Healthcare Blog - How Real-Time Clinical Data Is Revolutionizing Payer Reimbursement](/content/sift-perspectives/real-time-clinical-data-revolutionizing-payer-reimbursement.html): How real-time clinical data is transforming insurance payer reimbursement, reducing claim denials, and streamlining healthcare revenue cycle management. (827 words, Jan 28, 2025) - [Sift Healthcare Blog - The $265 Billion Problem: How Unified Data Unlocks Revenue Intelligence in Healthcare](/content/sift-perspectives/the-265-billion-problem-how-unified-data-unlocks-revenue-intelligence-in-healthcare.html): Discover how unified clinical and financial data can solve healthcare’s $265B revenue cycle inefficiency problem with actionable AI-driven insights. (882 words, Jan 7, 2025) - [Sift Healthcare Blog - Introducing the Solventum Revenue Integrity System](/content/sift-perspectives/introducing-the-solventum-revenue-integrity-system/index.html): 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. (397 words, Jun 24, 2024) - [Sift Healthcare Blog - Navigating the Surge in Payer Takebacks](/content/sift-perspectives/navigating-the-surge-in-payer-takebacks/index.html): 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. (430 words, Jan 30, 2024) - [Sift Healthcare Blog - IKS Health Invests in Sift Healthcare](/content/sift-perspectives/iks-health-invests-in-sift-healthcare/index.html): Sift Healthcare is honored to announce the addition of IKS Health as a strategic investor. IKS' footprint in the ambulatory care market and its dedication to improving the healthcare reimbursement journey make them an ideal partner in furthering Sift's work to bring data intelligence and Machine Learning optimizations to healthcare payments. (246 words, Mar 10, 2023) - [Sift Healthcare Blog - Sift Named to AVIA Connect’s Top Patient Billing and Payment Companies](/content/sift-perspectives/sift-named-to-avia-connects-top-patient-billing-and-payment-companies.html): Health systems are taking action in the Patient Billing & Payment space with renewed momentum. Learn how Sift Healthcare transforms patient financial engagement in AVIA Connect’s Top Patient Billing & Payment Companies Report. (329 words, Mar 1, 2023) - [Sift Healthcare Blog - 2022 Healthcare Denials Insights](/content/sift-perspectives/2022-healthcare-denials-insights/index.html): Denials are a significant and persistent obstacle for health systems and hospitals. They slow down receivables and add unnecessary administrative burdens. Sift Healthcare’s 2022 Denials Insight Report contains granular denials insights and action items to track root causes, prevent denials, and prioritize follow-up work. (237 words, Mar 1, 2023) - [Sift Healthcare Blog - 4 Key Areas To Focus On To Recover Missed Receivables Or Accelerate Cash](/content/sift-perspectives/4-key-areas-you-can-focus-on-to-recover-missed-receivables-or-accelerate-cash.html): Sift's VP of Product & Client Success, Blake Sollenberger, talks denials management, covering 4 key areas health systems and hospitals can focus on to recover missed receivables or accelerate cash. (764 words, Feb 3, 2023) - [Sift Healthcare Blog - Sift Denials Insight: Non-Covered Emergency Department Denials](/content/sift-perspectives/non-covered-ed-denials/index.html): A golden nugget of intelligence from the Sift Healthcare Insights Team. How to think about, track and manage non-covered Emergency Department Denials from Medicare. (292 words, Aug 25, 2022) - [Sift Healthcare Blog - Sift Denials Insight: NGS Medicare Denials](/content/sift-perspectives/ngs-medicare-denials/index.html): A golden nugget of intelligence from the Sift Healthcare Insights Team. For health systems that work with NGS Medicare, Lacks Info Needed For Adjudication denials need a special review. (253 words, Aug 25, 2022) - [Sift Healthcare Blog - Announcing Sift's Series A Funding](/content/sift-perspectives/announcing-sifts-series-a-funding/index.html): Today is an exciting milestone for Sift as we’re proud to announce the completion of Sift Healthcare’s $9 million Series A fundraising round, led by Allos Ventures and First Trust Capital Partners. Funding supports the accelerating sales of our denials management and patient payment products and the launch of our mid-cycle denials prevention solution. (422 words, Jul 15, 2022) - [Sift Healthcare Blog - AI, Technology & Compassion. Give it a listen.](/content/sift-perspectives/ai-technology-compassion/index.html): Sift's Blake Sollenberger and Affinity Strategies' Claire Vincent talk about the impact of AI on healthcare payments. They cover the challenges health systems face as they increasingly act as financial lenders, the importance of a positive patient experience in billing, the need for compassionate collections, and the challenges of moving to AI in a risk-averse environment. It’s an enlightening listen and will give you a new perspective on AI and the revenue cycle.  (324 words, Jun 29, 2022) - [Sift Healthcare Blog - Inappropriate Denials By Medicare Advantage Organizations Is Widespread](/content/sift-perspectives/inappropriate-denials-by-medicare-advantage-organizations.html): HHS confirms what all hospital revenue cycle leaders have known for years, the inappropriate denials of services and payment by Medicare Advantage Organizations is widespread and persistent. (468 words, May 12, 2022) - [Sift Healthcare Blog - It's Time To Move Past These 3 Common Revenue Cycle Management Mistakes](/content/sift-perspectives/move-past-these-3-revenue-cycle-management-mistakes.html): It's time for health systems and hospitals to move past these three all-too-common business tactics that have remained constant, despite the ever-changing payer landscape and the mounting pressure for providers to lower costs and provide a more seamless payments experience. (893 words, Feb 18, 2022) - [Sift Healthcare Blog - The Revenue Cycle Is Ready For AI... Are You?](/content/sift-perspectives/the-revenue-cycle-is-ready-for-ai/index.html): AI can drive payments and cut waste, but where do you start? Download our roadmap for healthcare executives, AI for the Healthcare Revenue Cycle, a free and unbiased implementation guide. (366 words, Nov 9, 2021) - [Sift Healthcare Blog - Rules Are Too Rigid For The Revenue Cycle](/content/sift-perspectives/rules-are-too-rigid-for-the-revenue-cycle/index.html): Automation (RPA) makes the revenue cycle more efficient — saving time and decreasing errors. While this is an improvement for health systems and hospitals RPA efficiencies are one-dimensional. Fully optimizing the revenue cycle and getting the most out of AI (including RPA) requires a clear and holistic view of payments, an understanding of the full lifecycle flow of claims. (389 words, Nov 3, 2021) - [Sift Healthcare Blog - Want To Add AI to Your Revenue Cycle? Data Intelligence is the First Step.](/content/sift-perspectives/want-to-add-ai-to-your-revenue-cycle-data-intelligence-is-the-first-step.html): So you want to add AI to your revenue cycle? You have to start by establishing a solid foundation of data intelligence. This comes from normalizing and organizing payments data in a way that provides actionable insights. This works will establish the where/why/how of your AI goals. (629 words, Nov 3, 2021) - [Sift Healthcare Blog - 3 Ways Data Can Fix Denials](/content/sift-perspectives/3-ways-data-can-fix-denials/index.html): The impact of insurance claim denials for healthcare providers in 2021, and how providers' own historical payments data and machine learning provide solutions for both denials prevention and appeals prioritization. (661 words, Jun 28, 2021) - [Sift Healthcare Blog - Machine Learning In Action - 5 Revenue Cycle Examples](/content/sift-perspectives/5-examples-of-machine-learning-in-the-revenue-cycle.html): Integrating Machine Learned adds a decision engine to the revenue cycle, enabling you to determine the next best action that should be taken with a claim, denial, patient account, payer contract or vendor. Can't envision it? Here are five examples of what ML in the revenue cycle looks like, in action... (626 words, Jun 15, 2021) - [Sift Healthcare Blog - 5 Ways Machine Learning and RPA Work Together In The Revenue Cycle](/content/sift-perspectives/5-ways-machine-learning-and-rpa-work-together-in-the-revenue-cycle.html): Machine Learning makes RPA more effective in the revenue cycle. Being able to truly leverage payments data to drive decision-making makes automation efforts meaningful. ML enables RPA efforts to move from automating repetitive human processes to attacking the root causes of inefficiencies and implementing data-driven strategies around revenue cycle work efforts, vendor outsourcing, patient financial engagement and payer reimbursement. (648 words, Jun 3, 2021) - [Sift Healthcare Blog - 3 Reasons Why The Future Of Healthcare Payments Is Not Automation.](/content/sift-perspectives/rpa-is-fast-machine-learning-is-smart/index.html): RPA Follows Rules. Machine Learning Generates Intelligence. Your revenue cycle will benefit from both. Learn about the limitations of RPA and how machine learning provides can have a more meaningful impact on the healthcare revenue cycle. (472 words, May 11, 2021) - [Sift Healthcare Blog - 4 Keys To Improving Self-Pay Collections In 2021](/content/sift-perspectives/4-keys-to-improving-self-pay-collections-in-2021/index.html): Micro-segmentation of patient accounts and machine learning equip healthcare providers to shift to an ROI-focused approach to patient collections -- while maintaining empathy improving patient engagement. (789 words, May 4, 2021) - [Sift Healthcare Blog - Fintech Meets Medtech To Improve Healthcare Payments](/content/sift-perspectives/fintech-meets-medtech-to-improve-healthcare-payments.html): Wonder how Sift impacts healthcare? Watch Sift Healthcare's Founder and CEO, Justin Nicols talk with StartUp Health's Logan Plaster about the impact of Sift's AI and analytics on healthcare payments. (195 words, Apr 13, 2021) - [Sift Healthcare Blog - How a 120-Day Machine Learning Experiment Led to a 6.5% Increase in Patient Collections](/content/sift-perspectives/120-day-machine-learning-experiment/index.html): In late 2019, Sift Healthcare and State Collection joined forces to test AI in the revenue cycle. Together, we conducted a rigorous 120-day live, scientific test (with a control group) for Wake Forest Baptist Health, to determine if machine learning impacted patient financial engagement outcomes. The results were impressive — a 6.5% increase in patient collections. (352 words, Oct 22, 2020) - [Sift Healthcare Blog - Healthcare Providers Have Become Lending Organizations](/content/sift-perspectives/healthcare-providers-have-become-lending-organizations.html): Every day healthcare providers are extending credit in the form of care, and they have little idea whether, how much or when they will be paid. It’s time for healthcare providers to start deploying well-established data science and analytics tools to forecast payments and optimize outcomes. (932 words, Oct 2, 2020) - [Sift Healthcare Blog - The 25% Challenge](/content/sift-perspectives/the-25-challenge/index.html): Sift Healthcare is proud to be participating in AVIA's 25% challenge, aimed at helping US health systems adopt digital technologies that will reduce the notorious administrative waste in healthcare. (547 words, Jul 6, 2020) - [Sift Healthcare Blog - 6 Ways To Use Your Healthcare Payments Data To Improve Collections](/content/sift-perspectives/6-ways-to-use-your-healthcare-payments-data-to-improve-collections.html): AI, machine learning and predictive models are abstract terms in the revenue cycle. How do you actually move past the buzzwords and get value out of your healthcare payments data? Here are six ways healthcare providers and RCMs can truly operationalize healthcare payments data to improve patient collections and revenue cycle operations. (505 words, May 20, 2020) - [Sift Healthcare Blog - Filling The Gap In Revenue Cycle Reporting](/content/sift-perspectives/filling-the-gap-in-revenue-cycle-reporting/index.html): Sift Healthcare's Rev/Track provides revenue cycle leaders with instant access to detailed intelligence that enables them to extract meaningful insights from their healthcare payments data -- information that drives better-informed decisions around revenue cycle operations. (356 words, May 12, 2020) - [Sift Healthcare Blog - Rev/Track Leverages AI To Improve Revenue Cycle Operations](/content/sift-perspectives/introducing-rev-track/index.html): Rev/Track leverages Sift Healthcare's AI and machine learning to help healthcare providers and RCMs to optimize revenue cycle operations. Rev/Track delivers detailed intelligence around payments behavior, insurance denials, collection trends, patient segments and revenue cycle work efforts. (335 words, May 7, 2020) - [Sift Healthcare Blog - Introducing The Sift Quality Score](/content/sift-perspectives/introducing-the-sift-quality-score/index.html): Introducing The Sift Quality Score. For revenue cycle managers, understanding account quality and its impact on patient collections is essential for forecasting revenue, optimizing rcm workflows and ensuring the best strategy is in place for managing resources. Sift’s Quality Score is derived from Sift’s predictive model scores — it tracks account quality over the early-out period, enabling RCMs to more intelligently forecast revenue throughout each billing cycle. (382 words, Apr 6, 2020) - [Sift Healthcare Blog - How Do You Optimize Patient Collections During COVID-19?](/content/sift-perspectives/patient-collections-during-covid-19/index.html): While triage around COVID-19 continues, patient bills are going to pile up, cash on hand is going to dwindle and a more significant number of patients will struggle to pay their medical bills. Now is the time to be strategic and truly commit to being a flexible payment partner for patients. The starting point? Data analytics. Which easily dovetails into machine learning, both providing a powerful advantage for patient collections. (650 words, Mar 31, 2020) - [Sift Healthcare Blog - Thank You For Prioritizing Care](/content/sift-perspectives/thank-you-for-prioritizing-care/index.html): At Sift Healthcare we have seen time and time again that healthcare leaders are clear on care. When we talk to healthcare leaders, from CFOs and VPs of Revenue Cycle to CTOs and Chief Innovation Officers, they always start and end with care. Even the revenue cycle has to advance the mission around patients and care. (264 words, Mar 16, 2020) - [Sift Healthcare Blog - What Dirt Do You Move First?](/content/sift-perspectives/what-dirt-do-you-move-first/index.html): Unless your hospital or health system's denial rate is 0% you're missing earned revenue. Denials management is more than clean claim rate and prevention. How you prioritize insurance denials has a powerful impact on cash flow and revenue. Predictive analytics can tell you which denials your teams should work, in what order, to get the best payment outcomes. (519 words, Mar 10, 2020) - [Sift Healthcare Blog - The Impact Of The Chief Innovation Officer](/content/sift-perspectives/impact-of-the-chief-innovation-officer/index.html): Hats off to the Chief Innovation Officers. 97% of health systems that have Chief Innovation Officers also had positive operating margins. For healthcare providers, a commitment to innovation and strategic change improves the quality of care, patient experience and financial performance. (639 words, Feb 21, 2020) - [Sift Healthcare Blog - Hospital CFO’s & The “Negligible” Use Of Data Analytics](/content/sift-perspectives/hospital-cfos-and-analytics/index.html): 93% of healthcare administrators say that data analytics are “crucial” to future healthcare operations. At the same time, 84% say the usage of advanced analytics at their organization is “negligible”. In healthcare payments, there are three key roadblocks to the utilization of advanced analytics to improve the revenue cycle. (561 words, Feb 11, 2020) - [Sift Healthcare Blog - Want To Control Your Cost To Collect & Utilization? You Need A Holistic View Of Your Healthcare Payments.](/content/sift-perspectives/a-holistic-view-of-your-healthcare-payments/index.html): Every healthcare CFO and revenue cycle leader should be looking at their insurance payer payments in relation to patient payments -- identifying how they relate and influence one another. This is essential intelligence in an ever-complex revenue cycle. (440 words, Feb 3, 2020) - [Sift Healthcare Blog - 6 Ways To Increase Patient Payments](/content/sift-perspectives/6-ways-to-increase-patient-payments/index.html): Providers of all sizes, as well as RCMs, will be challenged in 2020 to drive better results in patient collections. Here are six ways to maximize patient payments. They might require some data science, but Sift makes that accessible. (559 words, Jan 23, 2020) - [Sift Healthcare Blog - Why You Should Be Thinking About Call Cadence](/content/sift-perspectives/why-you-should-be-thinking-about-call-cadence/index.html): For the patient revenue cycle, when, how often, and the method of outreach have a direct impact on dollars collected. But nobody is talking about contact cadence.... (603 words, Dec 17, 2019) - [Sift Healthcare Blog - Automation Does Not Mean Data Science](/content/sift-perspectives/automation-does-not-mean-data-science/index.html): The term “automation” can refer to any number of automatic processes within the revenue cycle workflows. But, it doesn’t necessarily refer to the use of data science. Just because a process is “automated” doesn’t mean predictive analytics or any data science is applied. However, when you do truly use data science to automate your workflow (which you absolutely should do), you pick up a host of efficiencies and improvements. Our breakdown on automation vs rule-based segmentation vs true predictive analytics. (774 words, Dec 10, 2019) - [Sift Healthcare Blog - There Aren't Enough Bodies To Save Healthcare](/content/sift-perspectives/there-arent-enough-bodies-to-save-healthcare/index.html): We're at a tipping point where healthcare providers will *have* to implement automation and AI into the revenue cycle. Not only to recover more dollars but also to keep up with the growing (& massive) administrative burden that is persistent in healthcare payments. (454 words, Nov 22, 2019) - [Sift Healthcare Blog - Every Revenue Cycle Improvement Matters](/content/sift-perspectives/every-revenue-cycle-improvement-matters/index.html): Improving the revenue cycle means minimizing costs and increasing collections, from both patients and payers. Even on a small scale, artificial intelligence has a meaningful impact on healthcare payments and operations. (583 words, Oct 1, 2019) - [Sift Healthcare Blog - 4 Innovative Strategies For Patient Payments](/content/sift-perspectives/4-innovative-strategies-for-patient-payments/index.html): When healthcare providers leverage their patient payments data to drive their collections strategies, they create new and powerful opportunities to increase the revenue they collect, building patient relationships and using payments data to inform business operations. Here are four new and intelligent ways that healthcare providers are using their patient payments data to be more strategic and to drive better payment outcomes. Here are four innovative ways that healthcare providers are leveraging their patient payments data (620 words, Sep 17, 2019) - [Sift Healthcare Blog - Rural & Community Hospitals Need AI The Most](/content/sift-perspectives/rural-community-hospitals-need-ai-the-most/index.html): Unpaid patient medical bills are a growing problem for community hospitals and a downright crippling problem for rural hospitals. These healthcare providers can’t afford not to optimize their revenue cycle, improve their understanding of patient payment behavior and implement collection strategies based on their unique patient populations. (430 words, Sep 17, 2019) - [Sift Healthcare Blog - High Dollar Denials Are Often The Least Likely To Be Paid.](/content/sift-perspectives/high-dollar-denials/index.html): Healthcare providers face an uphill battle when it comes to claim denials. Their denials management strategy should be to prioritize the denials that are most likely to be overturned (paid). These denials can be identified using data science -- advanced modeling on denials history, data pulled from 835’s and 837’s. (389 words, Aug 26, 2019) - [Sift Healthcare Blog - 3 Healthcare Payments Processes That Are Still Manual](/content/sift-perspectives/3-healthcare-payments-processes-that-are-still-manual.html): The healthcare payments market is in desperate need of approaches and innovations that reduce manual intensive processes — and save money. Even in today's day and age of big data, artificial intelligence and automation, many healthcare payments processes are painfully manual. Manual typically means cumbersome, prone to error, complicated and expensive. (609 words, Jul 30, 2019) - [Sift Healthcare Blog - Surprise Medical Bills Are Bad For Healthcare Providers](/content/sift-perspectives/surprise-medical-bills-bad-for-healthcare-providers.html): Patient payments are often difficult for healthcare providers. Even more so when the expense is unexpected, as in surprise billing. Surprise bills (or balance billing) increase the odds of underpayment or no payment for provider services. Surprise bills are a problem for the patients who unexpectedly get hit with new expenses as well as the providers who are trying to collect earned revenue. (454 words, Jul 18, 2019) - [Sift Healthcare Blog - Self-Pay Patients & Regulation Around Medical Billing](/content/sift-perspectives/self-pay-patients-regulation-around-medical-billing.html): Healthcare providers must understand federal regulations that apply to payments from self pay-patients, specifically the Fair Debt Collection Practices Act (FDCPA). Litigation around FDCPA is increasing and with surprise medical billing in the crosshairs, healthcare providers and revenue cycle managers need to minimize their risk. (436 words, Jul 11, 2019) - [Sift Healthcare Blog - Your Data Is Too Messy For Data Science](/content/sift-perspectives/too-messy-for-data-science/index.html): In healthcare payments, where data flows from multiple systems and standards are a moving target, data can be pretty filthy. This means mismatched formats, errors and inconsistencies. Having clean data is often the biggest roadblock to being able to reap the benefits of data science. (478 words, Jul 9, 2019) - [Sift Healthcare Blog - Stop Using Credit Scores For Propensity To Pay](/content/sift-perspectives/stop-using-credit-scores-for-propensity-to-pay/index.html): Consumer debt on credit reports is not an indicator of a patient's (or rather, consumer’s) ability or willingness to pay their healthcare bills. Most propensity to pay models rely on credit scores. Healthcare providers need to know how their payments perform — taking into account the uniqueness of their facilities, providers, specialties and regions. (388 words, Jul 9, 2019) - [Sift Healthcare Blog - Is Your Patient Payment Targeting Legal?](/content/sift-perspectives/legal-patient-payment-targeting/index.html): As the volume of patient payments increases, many healthcare providers unknowingly violate regulation around patient targeting (like ECOA). Developing a collections strategy that maximizes patient payments and maintains compliance is critical for healthcare providers of all sizes. (468 words, Jul 2, 2019) - [Sift Healthcare Blog - 7 Crazy Stats About Healthcare Claims Denials](/content/sift-perspectives/2019-healthcare-claims-denials/index.html): 2019 stats demonstrating how vast and costly healthcare insurance claims denials are in America. These stats make a strong case for employing a denials management strategy that prevents denials and make working denied claims more efficient. (395 words, Jun 25, 2019) - [Sift Healthcare Blog - What's Going On In Your Payments Data](/content/sift-perspectives/introducing-denials-dashboards/index.html): Normalized and organized data is a gap in healthcare analytics, even in claim denials management. This is why Sift Healthcare is proud to introduce our Denials Dashboards. Sift scrubs and maps your 835 and 837 data to build a single, normalized data set. This data is organized in an intuitive interface that offers you a new level of oversight for the revenue cycle. (454 words, Jun 25, 2019) ## Listings & Categories - [Revenue Cycle Analytics Archives - Page 2 of 3 - Sift Healthcare](/content/sift-perspectives/tag/revenue-cycle-analytics/page/2/index.html) (506 words) - [Rcm Optimizations Archives - Page 2 of 3 - Sift Healthcare](/content/sift-perspectives/tag/rcm-optimizations/page/2/index.html) (506 words) - [Revenue Cycle Archives - Page 2 of 3 - Sift Healthcare](/content/sift-perspectives/tag/revenue-cycle/page/2/index.html) (501 words) - [Denials Archives - Page 2 of 3 - Sift Healthcare](/content/sift-perspectives/tag/denials/page/2/index.html) (434 words) - [Revenue Cycle Archives - Page 3 of 3 - Sift Healthcare](/content/sift-perspectives/tag/revenue-cycle/page/3/index.html) (308 words) - [Denials Archives - Page 3 of 3 - Sift Healthcare](/content/sift-perspectives/tag/denials/page/3/index.html) (373 words) - [Claim Denials Archives - Page 2 of 3 - Sift Healthcare](/content/sift-perspectives/category/claim-denials/page/2/index.html) (424 words) - 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