bServed
for Hospitals

bServed is a professional Utilization Management Program with 50-plus years combined experience in enhancing patient care, leading to significant cost savings for hospitals.

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Our executive team has 50-plus years of combined experience in the medical profession.

Our care monitoring teams, proficient in InterQual and MCG Guidelines, perform time-consuming Medical Necessity Reviews, relieving the burden for Case Management staff who can then focus on patient Care Coordination and Discharge Planning.

Our UM analyzes the appropriateness and medical necessity of healthcare services, procedures, equipment, and facilities, streamlining care coordination in Emergency Departments and Inpatient areas.

First, we can help increase hospitals’ revenue by $4MM. Secondly, we prevent and appeal denials by ensuring proper coding and making sure all diagnosis are supported by clinical data. And third, we provide statistics to backup all claims.

Optimization of medical services

Our UM analyzes the appropriateness and medical relevancy of healthcare services

Not over-burdened medical staff

Over-burdened Case Management staff are laden with reporting requirements, patient care suffers, and hospitals lose revenue through inaccurately processed paperwork.

Ensuring proper coordination

bServed works closely with Hospital Coding Teams to ensure that all diagnoses are coded and billed properly.

Challenges Hospitals face

bServed works closely with Hospital Coding Teams to ensure that all diagnoses are coded and billed properly.

InterQual and MCG Guidelines

bServed’s care monitoring teams, all trained experts in InterQual and MCG Guidelines

With over 50 years of experience

bServed is a professional Utilization Management Program with 50-plus years combined experience in enhancing patient care, leading to significant cost savings for hospitals.

Streamlining care coordination

Our UM analyzes the appropriateness and medical relevancy of healthcare services, procedures, equipment, and facilities, streamlining care coordination in Emergency Departments and Inpatient areas.

With bServed’s tools, efficiency is the guiding principle

When over-burdened nursing staff are laden with reporting requirements, patient care suffers, and hospitals lose revenue through inaccurately processed paperwork. bServed works closely with Hospital Coding Teams to ensure that all diagnoses are coded and billed properly.

How we enhance your efficiency

  • With our tools hospitals can quickly analyze trends, pinpoint problems, and take corrective action.

We provide monthly reports on financial effectiveness and analytics

  •  CMI
  • Physician Query Response Rate
  • Physician Query Response Time Rate
  • Missed opportunities eliminated through improved documentation.
Results bServed delivers to Hospitals

Focusing on key areas of Utilization Management for hospitals and independent physicians’ associations, bServed offers a full-service program tailored to your business.

-60%

Using bServed’s Medical Necessity Reviews can lower in-house costs by 60%.

27% Improved Admissions

Revenues increase through improved admission rates.

24/7 Nursing and Support Teams

A typical 100 patient daily census hospital can save $1.7 million annually.

+30%

Improved Case Management results in better patient outcomes.

1/2 days

Many facilities see Length of Stay improve by a minimum of one day.

25% Reduced denial rates

Lower Claims Denials achieved with proper documentation.

bServed is proactive, aggressive, compliant and efficient

Why bServed is your best choice for UM Service

In the Emergency Room

The Emergency Department is a key financial entry point. Actions taken in the first hours impact reimbursement, denials, and hospital sustainability. Real-time payor notification and timely authorization are critical to protecting revenue.

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Post Stabilization Protocols

Hospitals balance patient safety, compliance, and finances. Post-stabilization care exemplifies this, requiring clear protocols to ensure compliance, prevent payor disputes, and protect revenue.

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Securing Authorizations

Securing payor authorization is a complex but critical process. Without timely approval, hospitals face payment delays, denials, and added strain on patients and staff.

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Concurrent Reviews

Concurrent review — daily evaluation of medical necessity — is a key driver of clinical and financial performance. It ensures each hospital day meets payor criteria, reducing denials, improving reimbursement, managing LOS, and keeping patient flow efficient.

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 Level of Care Optimization

Hospitals are under constant pressure to deliver care efficiently while maintaining financial stability. One of the most overlooked drivers of both cost and revenue is how patients are assigned to the right level of care. Incorrect placement, whether a patient is held in the ICU longer than needed or admitted to inpatient when observation is appropriate, not only affects outcomes but also undermines reimbursement.

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Denials Prevention

Claim denials remain a persistent and costly challenge in hospital revenue cycle management. They cause direct financial losses, overwhelm staff with rework, and delay critical payments. Beyond immediate costs, denials highlight gaps in documentation, authorization, and payor communication, diverting time and resources from patient care. Hospitals with proactive denial prevention and structured recovery programs can better protect revenue and improve financial performance.

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Appeals and Denial Recovery

Despite strong prevention efforts, some denials are inevitable. Successful hospitals recover denied revenue through structured appeals programs that turn potential losses into reclaimed millions.

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Experienced
team About us

As a physician and experienced Medical Director my years’ experience in HMO, Hospitalists, and Acute Care have given me a unique perspective on the challenges hospitals face today.

A graduate degree from the Marshall School of Business in Medical Management helps me evaluate how a hospitals’ financial health can lead to improved patient health. Dual goals accomplished in harmony.

Working with bServed allows me to apply my knowledge toward improving efficiency and value for our participating hospital partners.

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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Who we work with

We work with Hospitals, Independent Physicians Associations, and Insurance Companies to implement Remote Patient Monitoring and create an easy and efficient way for them to track patients’ progress. Download

Healthcare Payors

Working with bServed, Healthcare Payors 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.

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Recent news

Perils of Preauthorization Perils of Preauthorization Analysis 8/9/2023 Read More
Enhancing Hospital Revenue and Care with Utilization Management Enhancing Hospital Revenue and Care with Utilization Management Analysis 8/1/2023 Read More
bServed will be on CMSA Annual conference 2023 bServed will be on CMSA Annual conference 2023 Events 6/26/2023 Read More
Results achieved for Deaconess Union County Hospital Results achieved for Deaconess Union County Hospital Results 6/11/2023 Read More
Our results for Otto Kaiser Memorial Hospital Our results for Otto Kaiser Memorial Hospital Results 6/11/2023 Read More
bServed’s new Utilization Management program for Moore County Hospital bServed’s new Utilization Management program for Moore County Hospital Results 6/11/2023 Read More
bServed started working with MidCoast Medical Center - Bellville bServed started working with MidCoast Medical Center - Bellville Results 6/11/2023 Read More
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