bServed

bServed provides a full-service Utilization Management program, and much more. Hospitals, Independent Physician Associations, and Health Plans all benefit from bServed’s quality health care advantages.

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How can we help you?

Releasing Hospitals’ Case Managers from the responsibility of performing time-consuming Medical Necessity Reviews in both Inpatient and Emergency Department settings, bServed allows over-burdened staff to focus on patient Care Coordination and Discharge Planning.

Cost savings resulting from fewer payer denials and improved Lengths of Stay measurably contribute to better patient outcomes.

Edwin LeonMSIHCM, RN Chief Operating Officer

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Benefits of Utilization Management
Focusing on key areas of Utilization Management for hospitals and Health Plans, bServed offers a full-service program tailored to your business.

LOS IMPROVEMENT 0.5-1 Days Reduction in Length of Stay

Cost Savings of 45-60% Our Utilization Management program has been shown to lower in-house costs by 45-60%

DENIALS REDUCTION 10-25% Reduction in denial rates

ADMISSIONS IMPROVEMENTS 10-23% on admission rates

How bServed Can Improve Your Business

Highly trained professional personnel

Our staff are all skilled Case Managers, Utilization Managers, Clinical Documentation Improvement specialists, and proficient Denials Managers. These highly trained professionals redistribute Case Managers’ time and transform their efficiency.

Case
Managers

Case Managers are free to coordinate patient care, leading to effective discharge planning.

bServed’s
system

bServed’s system will improve Length of Stay and lower Claims Denials through quality and timely Medical Necessity Reviews, real-time Utilization Management.

How it works

Highly proficient in InterQual and MCG Guidelines

Highly proficient in InterQual and MCG Guidelines, bServed’s Case Managers can help improve any Hospital’s overall financials through fewer Payer Denials and improved reimbursements. All leading to a higher quality of care.

Hospitals can decrease Denials Rates by up to 25%

It’s been proven that Hospitals using bServed can decrease Denials Rates by up to 25%. bServed’s model of more consistent processing of Medical Necessity Reviews lowers in-house costs.

bServed works efficiently with clients and saves them millions annually.

Improved Case Management ultimately leads to better Patient outcomes.

Many facilities see an improvement in Length of Stay by a minimum of one day.

Utilization Management

Our UM integrates all appropriate care monitoring, transforming a facilities’ resource use and vastly improving its quality of care. Once bServed takes over the time-consuming tasks required for Medical Necessity Reviews, Case Managers can dedicate their time to patients not paperwork.

Using a system that monitors and analyzes clinical information in real time, bServed tracks patients Level of Care (Inpatient vs Observation and ICU/Telemetry/MedSurg), delays in patients’ Progression of Care and Care Coordination.

Medical Necessity Reviews

Medical Necessity reviews made on continued stay criteria as well as for real time recommendations to discharge. 1/3

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. 2/3

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. 3/3

Hospital’s Leaders receive daily analytics and recommendations for each patient. The payers receive Medical Necessity reviews by 10 a.m. and these reviews can then be used by Hospital Case Managers in their daily Multidisciplinary Rounds.

Our clients

When denials rates can be as high as 50%, there’s every incentive to work with bServed’s system. We correct overlooked opportunities, such as the dramatic 65% of denied claims that are never resubmitted. Payer’s denials rates go down as bServed utilizes an efficient system designed to never miss a claim opportunity. Download presentation

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 is your best choice Why bServed is your best choice for UM Service

Costs are lowered by as much as 45-60%

You can lower your in-house costs up to 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.

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

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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.

Chief Operating Officer Edwin Leon, MSIHCM, RN