Perspectives on AI, Denial Prevention, Revenue Cycle

CEO Perspectives: Proactive Denial Management, What the SaaS Repricing Tells Us

The Market that Rewards Managing Problems The dominant revenue cycle business models have a structural incentive not to solve the most fundamental problems in the revenue cycle (denials). That’s not a criticism of execution. The people building these businesses are...

June 4, 2026

AI in the Revenue Cycle: A Priority, But…

AI in the Reveue Cycle Revenue Cycle Optimization

AI in the Revenue Cycle: A Priority, But…

AI in the revenue cycle isn’t at a tipping point; it’s a sticking point. Revenue cycle leaders at health systems across the country are being given AI mandates. At Sift, we’ve heard from multiple revenue cycle leaders that their CEOs...

May 26, 2026

5 Levels of Denial Reporting — And Why Most Health Systems Stop at 3

Denials

5 Levels of Denial Reporting — And Why Most Health Systems Stop at 3

Your EHR denial reporting probably answers these questions well: How many accounts did each rep touch? Which queues are aging? What’s your denial rate by payer? Those are legitimate operational questions. But they’re activity questions, and activity isn’t outcome. The...

May 21, 2026

Denials

Payments Intelligence Impact Point: $13M Recovered From $43M in Aged Denials.

A large regional health system had a problem familiar to most revenue cycle leaders, a sizable book of denied, aged accounts that their internal prioritization logic had effectively written off. These accounts were buried under a rules-based workqueue that couldn’t...

May 19, 2026

CEO Perspectives: Why the Revenue Cycle Industry Isn’t Designed to Fix the Revenue Cycle

Sift CEO Perspectives

CEO Perspectives: Why the Revenue Cycle Industry Isn’t Designed to Fix the Revenue Cycle

Denials are unequivocally one of the biggest problems for US health systems. But across the revenue cycle industry, most technology companies and outsourcing firms are not economically incentivized to solve the denial problem. They’re incentivized to make it manageable. The...

May 15, 2026

Claim Denials Denials

EHR Denials Management Limitations

Your EHR vendor probably told you it covers denials management, maybe even using AI. In a narrow sense, it does. EHRs capture and queue denials, and, if you’ve got the right module configured and an analyst who knows how to build the reports, it’ll show you denial trends by payer. But what EHR denials management tools won’t...

May 13, 2026

6 Things Aetna’s SOI Policy Is Breaking In Your Revenue Cycle

Claim Denials Denials

6 Things Aetna’s SOI Policy Is Breaking In Your Revenue Cycle

Last month, we wrote about the updated Aetna Medicare SOI policy and what it means for inpatient reimbursement. Since then, we’ve been watching how this plays out operationally, and the picture is more complicated than the policy summary suggested. What...

May 4, 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

CEO Perspectives: Health Systems Are Wrong About Their Denial Rates

Denials Sift CEO Perspectives

CEO Perspectives: Health Systems Are Wrong About Their Denial Rates

I don’t mean that to be provocative, I mean it literally. The number any given hospital revenue cycle team reports as its denial rate is almost certainly not its denial rate. Upstream Revenue Loss Most health systems measure denials through...

April 24, 2026

Score First, Outsource Second: Why A/R Scoring is the Smarter Path to RCM Vendor ROI

Claim Denials Denials Revenue Cycle Optimization

Score First, Outsource Second: Why A/R Scoring is the Smarter Path to RCM Vendor ROI

Dollar value and recovery probability are not the same thing. Health systems that outsource without scoring first are paying contingency fees on claims they could have kept. For most health systems, accounts receivable outsourcing feels like a necessary hedge against...

April 22, 2026

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Sift Perspectives

Recent Articles

CEO Perspectives: Proactive Denial Management, What the SaaS Repricing Tells Us

AI in the Revenue Cycle: A Priority, But…

5 Levels of Denial Reporting — And Why Most Health Systems Stop at 3

Payments Intelligence Impact Point: $13M Recovered From $43M in Aged Denials.

CEO Perspectives: Why the Revenue Cycle Industry Isn’t Designed to Fix the Revenue Cycle

EHR Denials Management Limitations

6 Things Aetna’s SOI Policy Is Breaking In Your Revenue Cycle

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

CEO Perspectives: Health Systems Are Wrong About Their Denial Rates

Score First, Outsource Second: Why A/R Scoring is the Smarter Path to RCM Vendor ROI

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CEO Perspectives: Proactive Denial Management, What the SaaS Repricing Tells Us

AI in the Revenue Cycle: A Priority, But…

5 Levels of Denial Reporting — And Why Most Health Systems Stop at 3

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CEO Perspectives: Proactive Denial Management, What the SaaS Repricing Tells Us

AI in the Revenue Cycle: A Priority, But…

5 Levels of Denial Reporting — And Why Most Health Systems Stop at 3

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