Everything hospitals ask before partnering with bServed — answered directly.
What is bServed?+
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.
What problem does bServed solve?+
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.
What types of hospitals does bServed work with?+
bServed works with all hospital types, including Critical Access Hospitals, Short-Term Acute Care Hospitals, and large health systems.
Can bServed support multi-hospital systems?+
Yes. bServed standardizes Utilization Management execution across hospital systems, improving consistency, visibility, and financial performance at scale.
Where does bServed operate in the revenue cycle?+
The mid-revenue cycle — where admission decisions, level of care, documentation, and payer communication determine whether the hospital gets real-time concurrent authorizations. bServed works from ED admission through post-discharge appeals.
What is a Medical Necessity Review?+
A Medical Necessity Review evaluates whether a patient meets clinical criteria for admission or continued stay based on payer guidelines.
What criteria does bServed use?+
bServed uses industry-standard criteria, including InterQual and MCG, to ensure decisions are accurate, defensible, and aligned with payer expectations.
How does bServed ensure correct level of care?+
By continuously reviewing each patient against clinical criteria and payer requirements throughout the stay — beginning in the Emergency Department and continuing through discharge.
What is the risk of incorrect admission status?+
Incorrect status can lead to reduced reimbursement or full claim denial. An inpatient case misclassified as observation can result in tens of thousands of dollars in lost reimbursement per case — and the issue cannot be corrected after discharge.
What is concurrent authorization?+
Concurrent authorization is securing payer approval for admission or continued stay while the patient is still in the hospital — before discharge creates a retroactive authorization problem.
Why is concurrent authorization critical?+
Without authorization before discharge, payment becomes uncertain and recovery is significantly more difficult. Retroactive authorization denials are among the hardest to overturn on appeal.
How does bServed manage payer communication?+
bServed handles real-time communication with payers, including clinical submissions, authorization requests, and follow-up — using payor-specific packet formats and continuously maintained payor grids to ensure optimal timing and compliance.
What happens if an authorization is denied?+
bServed escalates immediately, coordinates peer-to-peer reviews with physician advisors, and works to overturn the denial before discharge whenever possible. If the denial is not overturned during the stay, bServed manages the appeal process post-discharge.
Does bServed prevent hospital denials?+
Yes. The primary focus of bServed's program is preventing denials by resolving documentation gaps, authorization lapses, and level-of-care errors during the patient stay — before they become claims.
Does bServed also help with denial recovery?+
Yes. In addition to prevention, bServed supports denial recovery by strengthening documentation, coordinating appeals, and improving overturn success rates for denials that do occur.
Why is denial prevention more effective than appeals?+
Preventing denials ensures full reimbursement and avoids the delays, administrative burden, and uncertainty associated with post-discharge appeals. Appeal success rates are significantly lower than prevention rates, and many denials cannot be overturned at all once the eligibility window closes.
What types of denials does bServed address?+
Medical necessity denials, level of care denials, and authorization-related denials — the three primary categories that account for the majority of preventable hospital revenue loss.
How does bServed generate ROI for hospitals?+
By increasing appropriate admissions, ensuring correct level of care, securing authorizations before discharge, and reducing denials — all of which translate directly into protected and recovered revenue.
Does bServed evaluate ROI before implementation?+
Yes. bServed conducts a pre-engagement analysis to determine if the program will deliver a positive financial return before implementation begins. This is a standard part of every new engagement — not an optional add-on.
What happens if the ROI is not positive?+
bServed does not move forward with implementation unless the program is expected to deliver measurable financial benefit. If the pre-engagement analysis doesn't confirm a clear ROI path, we tell the hospital directly and do not proceed.
How quickly do hospitals see financial impact?+
Impact begins at go-live, with measurable improvements typically visible within 60 to 90 days. Providence Little Company of Mary achieved a verified 10X ROI within the first engagement cycle.
Does bServed reduce hospital overhead?+
Yes. By handling high-burden Utilization Management tasks, bServed reduces workload on internal teams and lowers operational strain — with hospitals reporting in-house UM cost reductions of up to 60%.
Does bServed replace internal staff?+
No. bServed augments existing teams, allowing Case Managers and clinical staff to focus on patient care and coordination. The program is designed to work alongside your team, not replace it.
Does bServed require additional hiring?+
No. bServed reduces the need for additional staffing by providing specialized UM support. Most hospital partners find that bServed allows their existing Case Management team to operate more effectively without adding headcount.
What reporting does bServed provide?+
Real-time and retrospective reporting on admissions, authorizations, denials, and level of care accuracy — designed for CFO, CEO, and operational leadership visibility.
Can bServed work with any EMR system?+
Yes. bServed integrates with any EMR — including Epic, Cerner, Meditech, CPSI, and others — and aligns with existing hospital workflows without requiring major changes to clinical systems or documentation practices.
Does implementation require major system changes?+
No. bServed operates within current systems and processes without requiring major infrastructure changes. The integration is designed to be invisible to your clinical team.
How long does implementation take?+
Typically around 30 days, including setup, integration, and workflow alignment. bServed is fully operational and generating results within that window in most engagements.
Does bServed require long-term contracts?+
No. bServed earns partnerships through performance and does not rely on long-term contractual lock-in to maintain hospital relationships.
Because the value is demonstrated through measurable results, not contract structure. bServed's model holds us accountable for performance in a way that multi-year agreements do not.
How is bServed different from traditional vendors?+
Most vendors rely on long-term agreements regardless of performance. bServed focuses on delivering consistent ROI to maintain partnerships — which means we're always working to justify the relationship through results, not paperwork.
Still Have Questions?
Book a call with our Chief Revenue Officer. We'll answer everything specific to your hospital's situation.
