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denials

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.

Justin Nicols
June 19, 2019
Claim Denials

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.

Sift Insights Team
August 16, 2022
Claim Denials

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 Insights Team
August 16, 2022
Claim Denials

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.

Sift Insights Team
August 16, 2022
Claim Denials

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.

Blake Sollenberger
February 18, 2022
Claim Denials

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.

Blake Sollenberger
February 18, 2022
Claim Denials

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.

Justin Nicols
June 19, 2019