Sift Healthcare

Predictable Reimbursement.
Protected Revenue.

Payer rules are constantly changing. RevProtect applies advanced AI to ensure health systems capture every dollar they’ve earned.

Prevent Revenue Loss

RevProtect delivers payment intelligence that predicts, prevents, and resolves reimbursement risk for health systems turning clinical and payments data into next-best actions across UR, CDI, Coding, and PFS.

Why Reimbursement Has Become Harder

  • Payers use AI to scrutinize documentation and downgrade claims, including retrospective audits on claims that were paid 12+ months ago
  • Revenue loss now happens through various adverse payment outcomes: level-of-care downgrades, denials, clinical validation or DRG reductions and takebacks
  • Revenue risk is introduced before billing, not just at denial
  • Teams are understaffed and overworked

RevProtect addresses these challenges through four integrated capabilities:

Comprehensive Intelligence
Comprehensive Intelligence
RevProtect connects clinical data to real payment outcomes, exposing where revenue risk is introduced — by payer, DRG, service line, and process.
Real-time Reimbursement Prediction
Real-time Reimbursement Prediction
RevProtect predicts reimbursement risk as care is documented, modeling underpayments, DRG downgrades, and clinical takeback probability in pre-bill, not weeks after the claim is submitted.
Actionable Prevention & Recovery
Actionable Prevention & Recovery
RevProtect turns reimbursement risk into clear, role-specific recommendations and actions, embedded directly into revenue cycle workflows.
Validation & Learning
Validation & Learning
RevProtect continuously refines data models, predictions, recommendations, and updates ROI metrics.
RevProtect makes reimbursement predictable and adverse payment outcomes preventable — before claims go out the door.

Real, Impactful Savings.

For a representative $1B health system:

Annual denial reduction opportunity
$ 0 M
In protected revenue for every 0.1% reduction in denial rate
~$ 0 M
ROI for denial prevention
0 x

Enterprise-Grade Data Foundation

0 +
Scale +
coverage
10,000+ data points analyzed across the full claims lifecycle
0
RCM depth + domain expertise
329 Proprietary MS-DRG playbooks powering actionability
0
Data quality and integration
692 normalized clinical + financial data elements
0
Real-world
adoption
Sift intelligence deployed across 88 health systems

How Health Systems Deploy RevProtect

RevProtect is designed to fit into existing revenue cycle workflows, reducing portal friction, improving adoption, and making lift measurable from day one. Choose the deployment path that matches your environment:

Use Sift’s UI

Get value fast with a purpose-built experience for denials, overturnability, and prevention workflows.

Embed in existing tools (EHR or third-party)

Bring predictions, recommendations, and rationale directly into the worklists and queues teams already live in, with adoption and throughput lift tracked at the user and workflow level.

Work through a partner

Deploy through one of Sift’s strategic partners to accelerate integration and scale across your footprint.

Real-World Results

*Illustrative; varies by payer mix, denial rates, and workflow adoption.

Sift Intelligence

Get in Touch

Prevent costly denials while making your CDI, coding, and UR workflows more efficient and connected.

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RevProtect Interest