Utilization management

bServed provides full-service Utilization Management for hospitals, independent physicians associations and health plans, with a goal of increasing our clients’ revenue while at the same time creating a better ROl. We accomplish this through improving admission rates, lowering claims denials, and by using a more efficient medical necessity reporting process.

It couldn’t be quicker or easier to implement our service.

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Find out how much you can increase your revenue

Answer 6 short questions and find out how much you can increase your medical facility's revenue within 30 days of implementing bServed UM services.

Survey time ~5 min Calculate potential revenue

0,5-1 day

There is an improvement of a minimum of 0,5-1 day length of stay.

up to 25%

We’ve seen Denials Rates drop by 10-25% when bServed’s UM is implemented.

up to 60%

The most dramatic effects are seen in in-house costs. With bServed’s Utilization Management system, costs can be down up to 60%

+30%

A standard increase in patient admission rates of 30% has been seen in Hospital using bServed.

Utilization Management Services

Embrace your turn-key option for all areas of Utilization Management.

Helping improve patient care

When our care monitoring team performs complicated Medical Necessity Reviews your medical staff, particularly over-burdened Case Managers, are free to focus on patient care instead of reporting requirements.

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.

Maximum Efficiency, Improved Patient Care About us

Our system produces exemplary communication. This is where we excel.

Our staff are proficient in InterQual and MCG Guidelines. There will be no missed opportunities, no frustrating delays, no overwhelmed staff, or loss of revenue.

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

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bServed – An indispensable partner in lowering health care costs while providing the best patient care.

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Utilization Management Services

Emergency Departments

Producing increased revenue

Admission rates improve with bServed, producing increased revenue. Hospitals with a typical 100 patient daily census have saved $1.7 million yearly.

We provide 24/7 UM functions

We provide 24/7 UM functions, even on weekends and holidays, delivered in any format required by a payor. Real-time pictures of missed admission opportunities, based on clinical criteria, are available to Hospital and/or Physician Group Leadership.

bServed benefits beginning day one

Emergency Departments using bServed have experienced increased admission rates, as well as overall decreases in Length of Stay. Utilizing bServed’s effective, well-organized delivery system provides cost benefits beginning day one.

Inpatient areas

Medical Necessity Reviews

With submission of daily Medical Necessity Reviews to the payors, and consistent processing, bServed eliminates gaps in Admission Necessity Reviews and Concurrent Medical Necessity Reviews to payors.

Greatly lowering the number of claims denials

Clients’ facilities see improved Length of Stay and have maximized revenue by greatly lowering the number of claims denials. Daily feedback with real-time recommendations is provided on length of stay and level of care validations.

Lowered in-house costs

Consistent processing leads to effective Admission Necessity Reviews and Concurrent Medical Necessity Reviews to payors. Using bServed’s MNRs has lowered in-house costs by 60%.

Our clients

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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.

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.

Why bServed Why bServed’s UM Service is the best option:

Costs are lowered by as much as 60%

You can lower your in-house costs by 60% with bServed’s Utilization Management and Case Management programs.

bServed increases revenue

A $1.7 million savings per year has been seen in hospitals with a typical 100 patient daily census.

Managers will be able to focus on patient care

Over-burdened Case Managers will be able to focus on patient Care Coordination and Discharge Planning as bServed specialists manage time-consuming Medical Necessity Reviews.

Our cases

Case 1 Case 2 Case 3

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.