When denials do occur, speed and completeness determine whether they get overturned. bServed manages the full appeals process, categorizing denials immediately, building clean clinical packets, and submitting within eligibility windows before recovery becomes impossible.
What's Included
- Immediate denial categorization to triage by type and priority
- Fast preparation of complete, payor-aligned clinical appeal packets
- Submission within all eligibility windows, with no missed deadlines
- Peer-to-peer review coordination with physician advisors
- Retrospective review support for complex or aged denial portfolios
Why So Many Denials Are Never Appealed
In one recent OIG review of long-term acute care and inpatient rehabilitation denials, only about a third of denied patients ever filed an appeal. For hospitals the pattern is usually a capacity problem: the packet isn't ready inside the window. See What Medicare Advantage Denials Really Cost Hospitals.
Peer-to-Peer Support
Many disputed denials are resolved through a conversation between physicians. See Physician Peer-to-Peer Review Coordination.
Related Services
Hospital Denial Prevention
Resolving denial risk before the claim is filed.
Physician Peer-to-Peer Review Coordination
Physician advisors prepared for disputed cases and denials.
Medical Necessity Review Services
Criteria-aligned clinical reviews using InterQual and MCG.
Related reading: How Hospitals Reduce Denial Rates · What Medicare Advantage Denials Really Cost Hospitals