Hennepin Healthcare Recovered Lost Revenue Through bServed Utilization Management and Real Time Authorization Stabilization
Hennepin Healthcare partnered with bServed to fix rising denials, unstable authorizations, and incorrect level of care placement. Prior to bServed, large portions of payable cases were being denied due to missed authorizations, poor documentation alignment, and delayed payer communication.
Within the first review cycle, over 85% of all recovered cash existed because bServed corrected the process. These accounts would have remained unpaid under the previous workflow.
This result positioned Hennepin Healthcare to immediately reduce financial exposure and protect revenue in real time.
How bServed Improved Utilization Management Performance
bServed delivered a full Utilization Management structure that strengthened admission integrity, clinical documentation, real time communication, and payer responsiveness. The impact was direct: cash was recovered, avoidable denials dropped, and level of care accuracy became reliable.
1. Level of Care Decisions Corrected at the Point of Entry
Incorrect IP and OBS placement was one of Hennepin’s largest financial risks. bServed resolved this by:
• Validating medical necessity before payer review
• Engaging physician advisors within minutes
• Correcting misassigned status in real time
• Ensuring criteria alignment for every admission
This prevented avoidable denials that previously resulted in guaranteed losses.
2. Real Time Payer Communication Replaced Delayed Workflows
Before bServed, authorizations were inconsistent and often delayed. Payers used timing gaps to deny cases. bServed corrected this through:
• Immediate submission of clinical documentation
• Same day continued stay communication
• Tight expiration tracking
• Rapid clinical updates when missing information was identified
This stabilized authorization capture and eliminated preventable denials.
3. Medical Necessity Reviews Strengthened Clinical Documentation
bServed improved documentation clarity by:
• Aligning the clinical picture with payer criteria
• Correcting gaps, timelines, and severity indicators
• Supporting providers in real time
• Ensuring defensible language for every admission
Cases that previously failed review now passed due to improved clarity and accuracy.
4. Faster and More Accurate Appeals and Retro Reviews
bServed reorganized the denial and appeal routing process:
• Immediate categorization of denial types
• Fast preparation of clean clinical packets
• Proper alignment with payer requirements
• Submission within eligibility windows
This allowed cases to be recovered that otherwise would have expired or remained unpaid.
The Real Result: Revenue Recovered and Exposure Eliminated
With bServed:
• Authorizations were secured reliably
• Denials were reversed
• Level of care errors were corrected in real time
• Communication with payers stayed active
• Revenue leakage was stopped
• Cash flow improved quickly and measurably
Without bServed, Hennepin would have collected only a small fraction of what was recovered.
With bServed, over 85% of recovered revenue existed because the process was corrected, clinical accuracy increased, and execution was real time.