Health tech · United States
Sift Healthcare
AI-driven payments intelligence platform for healthcare revenue cycle management
RevProtect is an AI platform that predicts and prevents claim denials, prioritizes accounts receivable follow-up, and provides denial analytics for health
About Sift Healthcare
Sift Healthcare provides RevProtect, an AI-driven payments intelligence platform designed for health systems and healthcare providers. The platform connects clinical data to payment outcomes to predict and prevent claim denials, dynamically prioritize accounts receivable follow-up, and deliver actionable denial analytics.
RevProtect delivers four integrated capabilities: comprehensive intelligence that connects clinical data to real payment outcomes; real-time reimbursement prediction that models underpayments and DRG downgrades before claims are submitted; actionable prevention and recovery with role-specific recommendations embedded directly into revenue cycle workflows; and validation and learning that continuously refines data models and ROI metrics.
The platform is designed to integrate into existing health system workflows, reducing portal friction and improving adoption. It analyzes over 10,000 data points across the full claims lifecycle and includes 329 proprietary MS-DRG playbooks. Sift has deployed intelligence across 88 health systems and analyzed millions of claims.
What we found
- Real-time reimbursement risk prediction before claims are submitted
- Comprehensive intelligence connecting clinical and payment data
- Actionable, role-specific prevention and recovery recommendations
- Integration with existing revenue cycle workflows
- 329 proprietary MS-DRG playbooks
- Analysis of 10,000+ data points across claims lifecycle
- Continuous model refinement and learning
- Denial appeal prioritization based on overturnability
- Pre-bill, concurrent, and post-bill denial prevention
- Clinical root cause identification by payer and documentation pattern
Pricing
Pricing model: Contact for pricing
Common questions
- What reimbursement outcomes can RevProtect predict?
- RevProtect models underpayments, DRG downgrades, and clinical takeback probability in real-time as care is documented, before claims are submitted. It also predicts denial probability and identifies which appeals are most likely to be overturned.
- What is the basis of RevProtect's intelligence?
- RevProtect analyzes over 10,000 data points across the full claims lifecycle and includes 692 normalized clinical and financial data elements, powered by 329 proprietary MS-DRG playbooks built from analysis of millions of claims across 88 health systems.
- What is Sift's background and expertise?
- Sift's team has 150+ years of combined experience in data science and revenue cycle management, with roots at LexisNexis, Epic, Huron, and GE Healthcare. The company is based in Milwaukee and was founded by data science leaders with experience in predictive analytics and enterprise platforms.
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