bServed FAQ

bServed is a real-time Utilization Management partner that ensures admission status, level of care, documentation, and payer authorization decisions are correct before the patient is discharged.

Hospitals lose revenue during the patient stay when clinical decisions, documentation, and payer requirements are not aligned. bServed corrects these issues in real time before they become denials or lost reimbursement.

bServed works with all hospital types, including Critical Access Hospitals, Short-Term Acute Care Hospitals, and large health systems.

Yes. bServed standardizes Utilization Management execution across hospital systems, improving consistency, visibility, and financial performance at scale.

The mid-revenue cycle, where admission decisions, level of care, documentation, and payer communication determine whether the hospital gets paid.

A Medical Necessity Review evaluates whether a patient meets clinical criteria for admission or continued stay based on payerguidelines.

bServed uses industry-standard criteria, including InterQual and MCG, to ensure decisions are accurate, defensible, and aligned with payer expectations.

By continuously reviewing each patient against clinical criteria and payer requirements throughout the stay.

Incorrect status can lead to reduced reimbursement or full claim denial.

Concurrent authorization is securing payer approval for admission or continued stay while the patient is still in the hospital.

Without authorization before discharge, payment becomes uncertain and recovery is significantly more difficult.

bServed handles real-time communication with payers, including clinical submissions, authorization requests, and follow-up.

bServed escalates immediately, coordinates peer-to-peer reviews, and works to overturn the denial before discharge whenever possible.

Yes. The primary focus is preventing denials by resolving issues during the patient stay.

Yes. In addition to prevention, bServed supports denial recovery efforts by strengthening documentation, coordinating appeals, and improving overturn success rates.

Preventing denials ensures full reimbursement and avoids delays, administrative burden, and uncertainty associated with post-discharge appeals.

Medical necessity denials, level of care denials, and authorization-related denials.

By increasing appropriate admissions, ensuring correct level of care, securing authorizations, and reducing denials.

Yes. bServed conducts a pre-engagement analysis to determine if the program will deliver a positive financial return before implementation begins.

bServed does not move forward with implementation unless the program is expected to deliver measurable financial benefit.

Impact begins at go-live, with measurable improvements typically within 60 to 90 days.

Yes. By handling high-burden Utilization Management tasks, bServed reduces workload on internal teams and lowers operational strain.

No. bServed augments existing teams, allowing Case Managers and clinical staff to focus on patient care and coordination.

No. It reduces the need for additional staffing by providing specialized support.

Yes. bServed integrates with any EMR and aligns with existing hospital workflows.

No. bServed operates within current systems and processes without requiring major infrastructure changes.

Typically around 30 days, including setup, integration, and workflow alignment.

No. bServed earns partnerships through performance and does not rely on long-term contractual lock-in.

Because the value is demonstrated through measurable results, not contract structure.

Most vendors rely on long-term agreements regardless of performance. bServed focuses on delivering consistent ROI to maintain partnerships.

Real-time and retrospective reporting on admissions, authorizations, denials, and level of care accuracy.

Yes. Reporting is designed for CFO, CEO, and operational leadership visibility.

Yes. Real-time insight allows hospitals to proactively manage financial performance.