bServed for Independent Physicians Associations

There are numerous advantages when Independent Physicians Groups use bServed’s professional Utilization Management Program, chief among them are cost savings and enhanced patient care.

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

When we take charge of the complicated Medical Necessary Reviews on behalf of our Physicians Groups clients, their staff can concentrate on patient care and not paperwork.

As a partnership we work together with our clients to improve efficiency in every area of their practice, from procedures to diagnosis, admissions, Emergency Department and Inpatient area coordination.

Our service stands out for our follow-up, which includes Transition Care Management and Remote Patient Monitoring systems.

Cost savings

Cost savings and enhanced patient care

Properly coded and billed

Eliminate that challenge by ensuring properly coded and billed diagnoses every time.

Identify potential problems

We help Physicians Groups’ staff to identify potential problems ahead of time and ensure that proper corrective action is taken.

Challenges Hospitals Independent Physicians Groups face

One of the biggest challenges to Independent Physicians Groups is dealing with inaccurately processed paperwork.

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.

Monthly reports per 
physician on

  • Financial effectiveness
  • Analytics done per physician.

bServed delivers important tracking information such as

  • Physician query response rates.
  • Physician response time rates.
  • Missed billing or coding opportunities are flagged 
and corrected.
Results bServed delivers to Independent Physicians Groups

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

1/2 a day

Length of Stay can decrease by half a day.

-60%

bServed can help lower costs by as much as 60%.

+30%

Patient outcomes improve through better Case Management.

-50%

Proper documentation lowers Claims Denials.

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

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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Our clients

bServed can help dramatically bring down the rates of preventable denials, which can be as high as 50%. Missed opportunities are corrected, such as the 65% of denied claims that are never resubmitted. Hospitals consequently see substantial decreases in payers’ denials rates and underpayments. Download

Hospitals

Utilizing data capture, denial analysis and reporting, bServed directly addresses the reasons for rejections, providing the tools to quickly pinpoint problems, and take corrective action. bServed successfully appeals Medical Necessity and DRG Validation payers’ denials.

Ultimately your company will have the tools to quickly analyze trends, pinpoint problems, and take corrective action.

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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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