Behavioral Health presents unique challenges that general UM programs are not equipped to handle: rapid patient status shifts, stricter payor documentation requirements, involuntary hold transitions, and heightened criteria sensitivity. bServed deploys a dedicated Behavioral Health UM team with specialized clinical expertise and payor-specific documentation workflows.
What's Included
- Dedicated BH clinical team separate from general UM operations
- Real-time tracking of voluntary and involuntary hold status transitions
- Payor-specific documentation packets built for BH review criteria
- Physician advisor involvement for high-acuity and complex BH cases
- Concurrent BH deployment alongside ED UM, with no phased delays
A Dedicated Team, Deployed Alongside ED UM
bServed's behavioral health team works concurrently with its Emergency Department utilization review rather than in a later phase, so behavioral health cases get specialist attention from the first review.
Results
At Hospital 1, a parallel Behavioral Health UM deployment, delivered without disruption to existing clinical workflows, took behavioral health denials from 18% to under 1%.