Revenue Cycle Analytics Archives

Denial Management Software Features That Actually Reduce Denials

Denial rates don’t move because a software platform has a dashboard. They move because specific decisions inside specific workflows change, like which claims get scrubbed before submission, which denials get worked first, and which underpayments get caught before the appeal...

September 8, 2026

The Revenue Cycle Performance Metrics That Actually Prove ROI

Revenue Cycle Analytics

The Revenue Cycle Performance Metrics That Actually Prove ROI

If you’re trying to prove a tool is working, or trying to figure out if the one you have is worth renewing, the revenue cycle performance metrics that matter split into three categories: 1) what $$ came back, 2) what...

September 3, 2026

Hidden Denials Your Reports Miss: Aetna Medicare Underpayments

Claim Denials Denials Healthcare Payments Revenue Cycle Analytics

Hidden Denials Your Reports Miss: Aetna Medicare Underpayments

Underpayments erode hospital revenue, but don't show as denials in standard denial reporting. Aetna Medicare underpayments is a pattern the Sift team is tracking right now. Here's how your hospital can track this payer pattern that creates hidden denials.

July 23, 2026

CEO Perspectives: Hospitals Think They’re Maximizing Revenue. They’re Only Measuring Half Of It.

Healthcare Payments Revenue Cycle Analytics Sift CEO Perspectives

CEO Perspectives: Hospitals Think They’re Maximizing Revenue. They’re Only Measuring Half Of It.

CDI programs track revenue captured, not what the payer actually lets a health system keep. Sift's CEO, Justin Nicols on the measurement gap that erases net revenue and why CDI vendors don't flag it.

July 17, 2026

What Your BI Or Analyst Team Can Tell You About Denials, and What It Can’t

Denials Revenue Cycle Analytics

What Your BI Or Analyst Team Can Tell You About Denials, and What It Can’t

Most revenue cycle leaders we talk to already have a denials dashboard. Someone on the analytics team built it, or it’s the standard EHR solution. This denials dashboard refreshes weekly, and it shows the denial rate by payer, service line,...

July 14, 2026

How to Know if a Denial Cluster is Worth Automating with an AI Agent

Denials Revenue Cycle Analytics

How to Know if a Denial Cluster is Worth Automating with an AI Agent

Agentic AI is being hailed across the revenue cycle right now, for appeals, claim resubmissions, documentation retrieval and a slew of other workflows. For the most part, the use cases make sense on paper. But many health system revenue cycle teams are making deployment decisions based on...

April 30, 2026

Segment Loop 2110: Another Way Your 835 Isn’t Showing Your Denials

Denials Revenue Cycle Analytics

Segment Loop 2110: Another Way Your 835 Isn’t Showing Your Denials

The Loop 2110 segment was designed to communicate payer decisions. But payers have moved on, and health systems still managing denials through the remittance file are working with an incomplete picture. We’ve seen an influx of Google searches for “835...

April 15, 2026

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

Claim Denials Revenue Cycle Analytics

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

Filling The Gap In Revenue Cycle Reporting

Revenue Cycle Analytics

Filling The Gap In Revenue Cycle Reporting

Sift Healthcare's Rev/Track provides revenue cycle leaders with instant access to detailed intelligence that enables them to extract meaningful insights from their healthcare payments data -- information that drives better-informed decisions around revenue cycle operations.

May 12, 2020

Rev/Track Leverages AI To Improve Revenue Cycle Operations

Revenue Cycle Analytics

Rev/Track Leverages AI To Improve Revenue Cycle Operations

Rev/Track leverages Sift Healthcare's AI and machine learning to help healthcare providers and RCMs to optimize revenue cycle operations. Rev/Track delivers detailed intelligence around payments behavior, insurance denials, collection trends, patient segments and revenue cycle work efforts.

May 7, 2020

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Category: Revenue Cycle Analytics

Denial Management Software Features That Actually Reduce Denials

The Revenue Cycle Performance Metrics That Actually Prove ROI

Hidden Denials Your Reports Miss: Aetna Medicare Underpayments

CEO Perspectives: Hospitals Think They’re Maximizing Revenue. They’re Only Measuring Half Of It.

What Your BI Or Analyst Team Can Tell You About Denials, and What It Can’t

How to Know if a Denial Cluster is Worth Automating with an AI Agent

Segment Loop 2110: Another Way Your 835 Isn’t Showing Your Denials

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

Filling The Gap In Revenue Cycle Reporting

Rev/Track Leverages AI To Improve Revenue Cycle Operations

Denial Management Software Features That Actually Reduce Denials

The Revenue Cycle Performance Metrics That Actually Prove ROI

The Capture Gap: The Revenue You Earned and Never Collected

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