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Claim Denials
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.
2022 Healthcare Denials Insights
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.
4 Key Areas To Focus On To Recover Missed Receivables Or Accelerate Cash
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.
Sift Denials Insight: Non-Covered Emergency Department Denials
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.
Sift Denials Insight: NGS Medicare Denials
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.
Inappropriate Denials By Medicare Advantage Organizations Is Widespread
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.
It's Time To Move Past These 3 Common Revenue Cycle Management Mistakes
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.
3 Ways Data Can Fix Denials
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.
The 25% Challenge
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.
What Dirt Do You Move First?
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.
High Dollar Denials Are Often The Least Likely To Be Paid.
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.
What's Going On In Your Payments Data
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.
7 Crazy Stats About Healthcare Claims Denials
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.
