Sift Healthcare

Sift Healthcare develops AI-driven payments intelligence for healthcare organizations, with a focus on helping health systems understand and address reimbursement risk. Its RevProtect platform combines clinical information with payment outcomes to identify risks associated with denials, underpayments, diagnosis-related group downgrades, and post-payment takebacks. The company describes its goal as making reimbursement more predictable and protecting health systems’ revenue.

RevProtect is designed to surface potential problems before a claim is submitted. It analyzes reimbursement risk as care is documented and identifies factors such as payer, DRG, service line, and process. Sift says the platform turns those insights into role-specific recommendations for revenue cycle teams, including utilization review (UR), clinical documentation improvement (CDI), coding, and patient financial services (PFS).

The platform supports both prevention and recovery. Its recommendations can help teams act on risk before billing, while its recovery capabilities help prioritize cases when prevention is not possible. Sift says its models are refined as payment outcomes are observed, allowing predictions and recommendations to evolve over time. The company also describes tools for reviewing denial and overturnability workflows.

Sift serves health systems and organizations managing complex reimbursement workflows. It presents RevProtect as a solution for teams seeking payer-specific insight and recommendations integrated into their existing work. Deployment options described on its website include using Sift’s interface, embedding insights in existing electronic health record or third-party worklists, and working through a strategic partner.

The company traces its origins to a team with experience in data science and revenue cycle management. Sift says its founders saw a gap between the healthcare data available to providers and the decision support being used in practice, and built a payments intelligence platform to connect clinical and financial information with real reimbursement outcomes. The company was founded in 2017 and is based in Milwaukee, Wisconsin.

Sift’s stated approach emphasizes earlier action, integration with existing processes, and measurable financial impact. Its public materials describe a team with experience in healthcare analytics, revenue cycles, and AI, and a product intended to reduce friction for operational teams by delivering recommendations within established workflows. The company’s careers page also describes a flexible work environment and an equal-opportunity workplace that values employee diversity and perspectives.