Hospital Authorization Management

Authorization is not paperwork. It is the financial foundation of every inpatient claim. bServed secures authorizations concurrently, before discharge, using payor-specific clinical packets and real-time communication workflows that reduce the risk of retroactive denial.

Payor grids are maintained continuously so every submission is delivered at the optimal moment, in the format each payor requires.

What's Included

• Payor-specific clinical packet preparation for every admission
• Notification submitted at optimal timing per maintained payor grid
• Same-day authorization follow-up when decisions are pending
• Immediate escalation when authorization is delayed or at risk
• Real-time alignment between authorization status and clinical orders

Prior Authorization Management Services

For inpatient admissions, prior authorization management starts at the point of entry. bServed prepares the payor-specific clinical packet for every admission and submits notification at the right time for each payor, so authorization is in place and aligned with the patient's real-time clinical status.

Prior authorization for scheduled or outpatient services typically begins with the ordering physician's office or clinic, which supplies the clinical information the payor needs. bServed's role is the hospital-side authorization that follows the patient through the stay. See Concurrent Review vs. Prior Authorization vs. Retrospective Review.

Inpatient Authorization Follow-Up

Authorization decisions don't always arrive on the first submission. bServed follows up the same day when decisions are pending, escalates immediately when an authorization is delayed or at risk, and tracks expiration dates across all active authorizations so coverage never lapses mid-stay. Daily concurrent review picks up from there.

Results

Related Services

Related reading: Concurrent Review vs. Prior Authorization vs. Retrospective Review