bServed
for Hospitals

bServed is a professional Utilization Management Program with 50-plus years combined experience in enhancing patient care, leading to significant cost savings for hospitals. Our Utilization Management team, proficient in InterQual and MCG Guidelines, perform time-consuming Medical Necessity Reviews, relieving the burden for Hospital’s Case Management staff who can then focus on patient Care Coordination and Discharge Planning. Our UM analyzes the appropriateness and medical necessity of healthcare services streamlining care coordination in Emergency Departments and Inpatient areas.

When over-burdened Hospital’s Case Management staff are laden with time-consuming Medical Necessity Reviews, patient Care Coordination and Discharge Planning suffer, and hospitals lose revenue.

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Our executive team has 50-plus years of combined experience in the medical profession.

Our care monitoring teams, proficient in InterQual and MCG Guidelines, perform time-consuming Medical Necessity Reviews, relieving the burden for Case Management staff who can then focus on patient Care Coordination and Discharge Planning.

Our UM analyzes the appropriateness and medical necessity of healthcare services, procedures, equipment, and facilities, streamlining care coordination in Emergency Departments and Inpatient areas.

First, we can help increase hospitals’ revenue by $4MM. Secondly, we prevent and appeal denials by ensuring proper coding and making sure all diagnosis are supported by clinical data. And third, we provide statistics to backup all claims.

Optimization of medical services

Our UM analyzes the appropriateness and medical relevancy of healthcare services

Not over-burdened medical staff

Over-burdened Case Management staff are laden with reporting requirements, patient care suffers, and hospitals lose revenue through inaccurately processed paperwork.

Ensuring proper coordination

bServed works closely with Hospital Coding Teams to ensure that all diagnoses are coded and billed properly.

Challenges Hospitals face

InterQual and MCG Guidelines

bServed’s care monitoring teams, all trained experts in InterQual and MCG Guidelines

bServed provides monthly reports

Additional clarification, if needed, is sought from consulting or attending physicians, and bServed provides monthly reports on financial effectiveness using such tools as analytics per physician.

bServed provides physician education

bServed provides physician education on Clinical Documentation Improvement, working with hospital leadership, such as the Chief Medical Officer. 

Proficient in InterQual and MCG Guidelines

Our managers are proficient in InterQual and MCG Guidelines and can produce cost savings while delivering high-quality care. In support of the course of treatment, all proper documentation adheres to a strategy designed to reduce claims.

With bServed’s tools, efficiency is the guiding principle

How we enhance your efficiency

  • With our tools hospitals can quickly analyze trends, pinpoint problems, and take corrective action.

We provide monthly reports on financial effectiveness and analytics

  •  CMI
  • Physician Query Response Rate
  • Physician Query Response Time Rate
  • Missed opportunities eliminated through improved documentation.
Results bServed delivers to Hospitals

Focusing on key areas of Utilization Management for hospitals and independent physicians’ associations, bServed offers a full-service program tailored to your business.

up to 60%

Using bServed’s Medical Necessity Reviews can lower in-house costs by 45-60%.

+30%

Revenues increase through improved admission rates.

+ $1.7 million

A typical 100 patient daily census hospital can save $1.7 million annually.


0,5-1 Day Improved Length of Stay

Many facilities see Length of Stay improve by a minimum of one day.

-50%

Lower Claims Denials achieved with proper documentation.

Our Sevices

Why bServed is your best choice

Utilization Management

Leave the burden of Medical Necessity Reviews and Utilization Management to us. bServed’s care monitoring system improves the use of resources and the quality of care when our highly skilled and trained teams assume time-consuming Case Managers’ tasks.

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Clinical Documentation Improvement

Hospitals that implemented bServed’s Clinical Documentation Improvement program see, on average, a $4 million annual additional reimbursement per 100 average daily patient census.

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Denials Management

Never again write off denied revenues. Our Claims Denial Management solutions improve patient care across the board while helping bring down operating costs.

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Transitional Care Management

Just 24 hours from discharge, our highly trained clinical staff assess and assist patients with a smooth transition back to the community, ensuring their health and safety. As a result, the contracted hospitals experience immediate decreases in 30-days readmission rates and improved patient satisfaction.

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Remote Patient Monitoring

At no cost to the clients or patients this portion of our service, utilizing an RPM device, gives Hospital and Primary Care Physicians a 24/7 real-time view of patients’ health. bServed strives to work seamlessly with our clients.

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Experienced
team About us

As a physician and experienced Medical Director my years’ experience in HMO, Hospitalists, and Acute Care have given me a unique perspective on the challenges hospitals face today.

A graduate degree from the Marshall School of Business in Medical Management helps me evaluate how a hospitals’ financial health can lead to improved patient health. Dual goals accomplished in harmony.

Working with bServed allows me to apply my knowledge toward improving efficiency and value for our participating hospital partners.

Our foremost goal is your company’s success. Argo Babakhanyan MSN, RN, PHN Chief Operational Officer

Our cases

Culver City Hospital, Acute Care HospitalSouthern California

43% drop in the hospital’s denials 1 day decrease in the average length of stay

Home to the Southern California Hospital Heart Institute, this Acute Care Hospital serving West Los Angeles provides 24-hour medical service and expanded from 82 beds to the current 420.

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Taylor Regional Hospital (TRH), in CampbellsvilleKentucky

30% increase in admission rate 40% drop in payor denials

A 90-bed facility which includes services from an ED to obstetrics, orthopedics, and cancer treatment.

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Eastland Memorial HospitalTexas

36% denials by payors decreased 23% hospital readmissions decreased

Eastland Memorial Hospital, located in the county seat of Eastland, Texas, is the only hospital servicing the more than 18,000 area residents. The hospital provides a variety of care including acute care, a cardiac rehabilitation center, surgical and medical services, specialty clinics, and a Level IV Trauma Center Emergency Department.

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Team bServed

bServed. For maximum efficiency,
better patient care, more cost savings.

Chief Nursing Officer Argo Babakhanyan, MSN, RN, PHN

Argo has worked in all facets of nursing, from home health to Cardiothoracic ICU Nurse, and his 10-year background experience in health care includes management expertise in such diverse programs as patients' throughput, value-based programs, and Readmission Reduction.

Chief Operating Officer Edwin Leon, MSIHCM, RN

Who we work with

Hospitals

Utilizing data capture, denial analysis and reporting, bServed directly addresses the reasons for rejections, providing the tools to quickly pinpoint problems, and take corrective action. bServed successfully appeals Medical Necessity and DRG Validation payers’ denials.

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Health Plans and Independent Physician Associations

Working with bServed, Health Plans and Independent Physician Associations fortify their relationship with their associated hospitals and physicians, increasing leverage and efficiency.

bServed helps them cut costs by more efficiently processing their clients’ Medical Necessity Reviews, Admission Notifications, DRG Validation, and Prior Authorizations. As a complete service option, bServed offers peer-to-peer calls with attending physicians, as well as peer-to-peer calls with payers and the medical directors. Turnaround time is efficient. And ROI is vastly improved. The company runs more effectively, the patients see improved processing of their health insurance claims, and overall costs are lowered.

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bServed. For maximum efficiency, better patient care, more cost savings.

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