Leveraging Medical Knowledge for Utilization Reviews
Hospital Peer Review
Best Prices, Highest Quality
Physician Peer Over-Reads
Supporting Hospital Physicians
Workers' Comp Payers
Hospital Bill Negotiation
Insurance Peer Review
Workers' Comp Review
Our
objectives
- 1Professional Timely Customer Service
It's been our privilege supporting customers across the US for over 30 years. We continually strive to improve and innovate our services to best meet our customers' ongoing challenges. - 2Accurate and Consistent Work Product Delivery
We are committed to the highest quality work product and aspire to exceed our industry's URAC and CPC Certification requirements. - 3Best Price, Highest Value
We are confident that we provide our customers the best price with the highest quality results of all Certified Utilization Review Companies.
OUR
Goals
We provide Medical Utilization Professional Services, applying medical practice and financial knowledge to improve our customers' process, outcomes and financial results.
Reduce Costs for Workers' Compensation Carriers
We specialize in Workers Compensation Claims Review, Bill Negotiation and Insurance Peer Review, applying medical knowledge and financial best practices to benefit our customers.
Improve Patient Treatment Outcomes for Hosiptals
Our team of Certified Physician Specialists assist our customers to exceed their quality assurance mandates and compliance requirements, continuously improving medical outcomes.
Solutions for Workers' Compensation Carriers, TPAs and Self Insured
As a leading Workers' Compensation Medical Bill Review and Bill Negotiation company we service the group health, self insured and litigation markets. We offer medical specialists in orthopaedics, neurology, spine surgery, neurosurgery, pain management, anaesthesiology, physical medicine, rehabilitation, psychiatry, chiropractic, and other work-related and group health specialities. We've successfully reviewed and negotiated tens of thousands of Workers' Compensation Hospital Bills with consistent savings outcomes.
Our staff experts support customers in obtaining fair review of complex medical billing as well as supporting payers in Peer Reviews of the necessity of procedures.
Our Workers Compensation Bill Negotiation and Review Services support:
- Workers' Compensation insurance companies
- Third party administrators
- Self insured employers
- Other independent review organizations
- Law firms
Solutions for Hospitals - URAC Certified Medical Peer Review Services
As a leading Medical Peer Review company we service Hospitals throughout the United States providing board-certified specialists in every American Board of Medical Specialities. Our Physicians have handled tens of thousands of pre-certification telephonic back surgery, orthopaedic surgery and imaging study utilization review requests as well as retrospective reviews for ongoing testing and management of back and joint cases. We meet regularly in telephone conference to discuss issues related to hospital external Peer Reviews, workers compensation claims and group health claims. We are prepared to see these cases through litigation as necessary. SFUR will manage and guarantee availability of the physician advisor at attorney conference, deposition and trial.
Our URAC Accredited Peer Review services include:
- Admission and continued stay telephonic review services
- External Peer Review including second reads of radiology and pathology studies and of hospital medical and surgical cases.
- Hospital, surgical, and ambulatory surgery center bill analysis and negotiation.
- Support on legal matters providing independent review experts
Why
choose us
- Delivering Review Services for 30 years
- Accreditation by URACas an Independent Review Organization IRO
- Member of NAIRO National Association of Independent Review Organizations
- Member of AAMAS the The American Association of Medical Audit Specialists
- Workers Compensation Claim Experts
- 600+ Board Certified URAC Compliant Physician Specialists
- Consistent High Quality at the Lowest Prices of the Independent Review Organizations
Our
services
Bill Negotiation .... Performance is Guaranteed.
Bill Negotiation services are pay for performance based: no savings achieved .... no fee charged.