Sift Healthcare is a healthcare payments intelligence company leveraging data science and AI to optimize revenue cycle performance for healthcare providers. Founded in 2017 and based in Milwaukee, Wisconsin, Sift's flagship product RevProtect delivers payment intelligence that predicts, prevents, and resolves reimbursement risk for health systems. The platform connects clinical context and payer response patterns to predict reimbursement risk in real time, then delivers that intelligence as clear, role-specific actions embedded directly into existing workflows across Utilization Review, Clinical Documentation Improvement, Coding, and Patient Financial Services.
Health systems face mounting challenges as payers increasingly use AI to scrutinize documentation and downgrade claims, with denials persisting around 15% despite waves of supposed AI solutions. Sift addresses this gap by providing real-time predictions that tell revenue cycle teams what will happen before claims go out the door and what to do about it. The company has analyzed millions of claims, built 329 proprietary MS-DRG playbooks, and delivered measurable impact for health systems managing complex payer mixes. Their intelligence is deployed across 88 health systems, with real-world results including $77M in avoidable writeoffs identified for a $9B health system, $7.6M in additional revenue captured at a $5B regional health system, and $80M midcycle prevention opportunity flagged at a $9B health system.
