Comprehensive Reimbursement Intelligence
Most denial reporting stops at outcomes, showing what was denied, downgraded, or written off after the fact. It doesn’t explain why revenue was lost, which decisions introduced risk, or where intervention would have changed the result.
RevProtect Insight Reports expose the root causes of reimbursement loss—by payer, DRG, and clinical context—so leaders can see where revenue is leaking and take action.
Payer intelligence,
not just denial reporting
RevProtect reverse-engineers each payer’s adjudication logic by analyzing their payment patterns. This payer intelligence goes beyond surface-level categories to uncover the specific rules, edits, thresholds, and policies each payer applies.
RevProtect reveals
- How different payers interpret similar clinical scenarios
- Where documentation or coding decisions consistently trigger risk
- Which DRGs are most exposed to payer-specific behavior
This payer intelligence layer becomes the foundation for prediction, prevention, and action across the RevProtect platform.
Pinpoint the Root Causes of Reimbursement Risk
RevProtect provides detailed visibility into reimbursement performance across the full denial and payment lifecycle.
By establishing a clear, data-driven view of payer behavior and reimbursement risk, health systems armed with RevProtect are equipped to proactively prevent adverse payment outcomes.
RevProtect intelligence powers:
- Adverse payment outcome predictions
- Actionable recommendations that guide prevention and recovery
- Validation and learning that measures impact and continuously improves performance
Real, Impactful Savings Start with a Denials Insights Report
The RevProtect Denials Insights Report delivers a comprehensive analysis of your organization’s denial trends, adverse payment outcome patterns, and payer-specific intelligence.
The Insights Report includes:
- Detailed breakdown of reimbursement risk by payer, DRG, and denial type
- Identification of high-risk service lines and clinical areas
- Payer-specific adjudication pattern analysis
- Quantification of revenue at risk and underpayment exposure
- Strategic recommendations for documentation and workflow improvements
The Insights Report provides actionable intelligence to inform UR, CDI, Coding, and PFS strategy—and helps prioritize where revenue cycle efforts will have the greatest impact.
Aligned to Outcomes, Not Promises
RevProtect is available through a performance-based engagement model designed to align incentives and reduce risk. Sift partners directly with health systems to tie success to measured reductions in denials and adverse payment outcomes (not activity, licenses, or usage).
Talk with us about whether a performance-based model makes sense for your organization.
