Revenue Cycle Analytics Archives

A Lower Denial Rate Is Not the Same as DRG Downgrade Prevention

DRG downgrade prevention is the use of clinical, claim and payment data to identify documentation and reimbursement risk before a claim is submitted. Its effectiveness should be measured by revenue retained and the cost of intervention, not denial rate alone....

September 16, 2026

Denial Management Software Features That Actually Reduce Denials

Revenue Cycle Analytics

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

Payer Takebacks: The AR You Reported Too Soon

Denials Healthcare Payments

Payer Takebacks: The AR You Reported Too Soon

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.

August 18, 2026

Payer Policy Changes Show Up in Your Payments Before They Show Up in Your Contracts

Healthcare Payments

Payer Policy Changes Show Up in Your Payments Before They Show Up in Your Contracts

6 Places Where Payer Policy Changes Actually Show Up First. A new survey from HFMA highlights that 68% of provider leaders named payer policy changes that aren’t reflected in contracts as their top source of revenue leakage. Inconsistent payment practices...

August 5, 2026

AI Prompt Guide For Copilot: Using LLMs to Dig Into Your Hospital’s Denial Data

AI in the Reveue Cycle Denials

AI Prompt Guide For Copilot: Using LLMs to Dig Into Your Hospital’s Denial Data

Your revenue cycle team's Copilot licenses are sitting idle. Sift's AI Prompt Guide for Copilot has 20 prompts to use with your denials data.

August 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

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

Denials

Top 8 Denials Management Metrics Every Hospital Should Track

The Denials Management Metrics That Actually Matter in 2026 For years, the denials scorecard was settled and denials management metrics were simple. Initial denial rate, denials by CARC code, overturn rate and days in AR. If those numbers looked good,...

July 6, 2026

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Tag: Revenue Cycle Analytics

A Lower Denial Rate Is Not the Same as DRG Downgrade Prevention

Denial Management Software Features That Actually Reduce Denials

The Revenue Cycle Performance Metrics That Actually Prove ROI

Payer Takebacks: The AR You Reported Too Soon

Payer Policy Changes Show Up in Your Payments Before They Show Up in Your Contracts

AI Prompt Guide For Copilot: Using LLMs to Dig Into Your Hospital’s Denial Data

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

Top 8 Denials Management Metrics Every Hospital Should Track

A Lower Denial Rate Is Not the Same as DRG Downgrade Prevention

Denial Management Software Features That Actually Reduce Denials

The Revenue Cycle Performance Metrics That Actually Prove ROI

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