Continued stay authorization requires daily clinical review, not weekly check-ins. bServed performs concurrent reviews on all active patients, submitting same-day updates to payors as clinical status changes and ensuring authorization coverage never lapses during a hospitalization.
New to the term? Start with What Is Concurrent Review?.
What's Included
- Daily review of all active inpatient and observation cases
- Same-day continued stay submissions when clinical status changes
- Criteria-aligned documentation updates throughout the stay
- Tight expiration tracking across all active authorizations
- Physician advisor escalation for cases approaching criteria thresholds
Why Daily Review Matters
A patient's clinical status changes daily, and payors expect the documentation supporting a continued stay to keep pace. When it doesn't, the authorization on file stops matching the care being delivered, and that gap is where concurrent denials come from. Weekly review can leave up to six days between a change in condition and the documentation that supports it.
Concurrent review is also different from prior authorization and retrospective review: see how the three compare.
Results
At Hospital 4, daily medical necessity review using evidence-based criteria cut concurrent denials by 40% and recovered $2M+ in three months.
At Hospital 2, a comprehensive inpatient utilization management program delivered a 43% drop in payor denials and cut average length of stay by one day.
Related Services
Hospital Authorization Management
Proactive payor notification before the window closes.
Observation vs. Inpatient Status Review
Correct status from admission, every time.
Physician Peer-to-Peer Review Coordination
Physician advisors prepared for disputed cases and denials.
Related reading: What Is Concurrent Review? · Concurrent Review vs. Prior Authorization vs. Retrospective Review · When Medicare Advantage Denies a Continued Stay, Ask Which Criteria It Used