Denials Management

bServed’s Claims Denials Management has two critical advantages that considerably improve clients’ operational strength.

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90% of denied claims are preventable

An estimated 50% of denied claims are preventable. And up to 65% of denied claims are never resubmitted. These are enormous, missed opportunities. Clients see significant decreases in payers’ denials rates and underpayments using bServed, because our expert reviewers eliminate these too often missed errors.

Clients are better able to cover current costs

Once our system is integrated within a company’s functional units our clients are better able to cover current costs and can use the cash flow to help finance strategic growth and improvements

What is achieved as a result

bServed’s team reinforce strategies

Flagged, returned and denied claims will be a thing of the past. bServed’s team reinforce strategies that support the course of treatment and reduce claims denials. Our consistent and reliable communication among providers helps them recover costs using the most efficient Medical Necessity Reviews available.

How it works

bServed’s Denials Management process

bServed’s Denials Management process directly addresses the reasons behind rejections by integrating three unique solutions: data capture, denial analysis and reporting, and redesigned denial process. We systematically address the reasons behind rejections. And eliminate them.

bServed works efficiently with clients and saves them millions annually

bServed Denials Management specialists successfully follow the denials appeals process

Our CDI program with correct coding, ensures that all diagnoses are supported by clinical data

Our clients

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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.

Health Plans and Independent Physician Associations

Working with bServed, Health Plans 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.

Why bServed is your best choice With an integrated, collaborative approach, bServed’s specialists can identify opportunities for improved documentation.

Increased reimbursements by the payors

Optimization of patient clinical documentation results in increased reimbursements by the payors

+$4 million per year

Companies contracted with bServed can typically achieve an average $4 million in additional annual revenue

Improved hospital quality metrics

Hospitals contracted with bServed experience better CMI, Improved Length of Stay, Lower Mortality rate

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bServed – An indispensable partner in lowering health care costs while providing the best patient care.

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bServed. For maximum efficiency, better patient care, more cost savings.