Claim Denials Archives

Aetna’s SOI policy is changing inpatient reimbursement without showing up as a denial.

Last week, we wrote about PLBs and how revenue is being pulled back after payment in ways most teams aren’t actively monitoring. We’re also seeing a similar dynamic show up earlier in the process. Aetna’s SOI-based inpatient policy approves stays...

April 8, 2026

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Your Denials Team Is Under-Informed…

Day-in and day-out most denials teams are making high-stakes decisions with low-grade information.

March 16, 2026

Solving Revenue Cycle Bottlenecks with AI Copilots

Claim Denials

Solving Revenue Cycle Bottlenecks with AI Copilots

AI copilots enhance CDI by connecting clinical and financial data, improving claim accuracy, reducing denials, and optimizing automation in revenue cycle management.

March 3, 2025

Claim Denials

Introducing the Solventum Revenue Integrity System

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.

June 24, 2024

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.

January 30, 2024

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,...

March 1, 2023

4 Key Areas To Focus On To Recover Missed Receivables Or Accelerate Cash

Claim Denials

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.

February 3, 2023

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.

August 25, 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.

August 25, 2022

Inappropriate Denials By Medicare Advantage Organizations Is Widespread

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.

May 12, 2022

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Category: Claim Denials

Aetna’s SOI policy is changing inpatient reimbursement without showing up as a denial.

Your Denials Team Is Under-Informed…

Solving Revenue Cycle Bottlenecks with AI Copilots

Introducing the Solventum Revenue Integrity System

Navigating the Surge in Payer Takebacks

2022 Healthcare Denials Insights

4 Key Areas To Focus On To Recover Missed Receivables Or Accelerate Cash

Sift Denials Insight: Non-Covered Emergency Department Denials

Sift Denials Insight: NGS Medicare Denials

Inappropriate Denials By Medicare Advantage Organizations Is Widespread

Another way your 835 isn’t showing your denials.

Aetna’s SOI policy is changing inpatient reimbursement without showing up as a denial.

Most providers aren’t monitoring PLBs. Payers know it.

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Explore

Support

Category: Claim Denials

Another way your 835 isn’t showing your denials.

Aetna’s SOI policy is changing inpatient reimbursement without showing up as a denial.

Most providers aren’t monitoring PLBs. Payers know it.

Quick Links

Explore

Support

Justin Nicols