Welcome to SFUR
SFUR is a Medical Cost Containment and URAC Certified Medical Independent Review Organization
SFUR is a physician driven organization offering services of every medical specialty through a panel of 600 board certified physicians.
On the medical cost containment end of our business, we have reviewed and negotiated thousands of medical bills resulting in savings 70% of the time to our payer customers. Our results speak for themselves. Typically, if our payer customers pay a fixed fee for our services, they will generate a 400% return on investment because of the savings we generate. If our payer customers opt for percent of savings model, where SFUR only gets paid if savings are generated, the return on investment is over 1,500% to our payer customers.
On the UR/UM and Peer Review end of our business, we have handled thousands of cases for both the healthcare provider and payer community.
Its all about
Service
PROFESSIONAL TIMELY CUSTOMER SERVICE
It’s been our privilege supporting customers across the US for over 25 years. We continually strive to improve and innovate our services to best meet our customers’ ongoing challenges.
ACCURATE 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.
BEST 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.
Medical Cost Containment
With Results
LEVERAGING MEDICAL KNOWLEDGE
Our goals are to 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 are a leader in providing 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 HOSPITALS
Our team of Certified Physician Specialists are an extension of our customers’ quality assurance and compliance requirements to help to continuously improve medical outcomes.
Medical Cost Containment
Payer Services
Medical Knowledge
Our goals are to 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 are a leader in providing 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 HOSPITALS
Our team of Certified Physician Specialists are an extension of our customers’ quality assurance and compliance requirements to help to continuously improve medical outcomes.
Cost Containment & Improved Outcomes
Provider Services
PRACTICING PHYSICIANS ACROSS ALL MEDICAL SPECIALTIES
SFUR has been providing high quality Utilization and Peer Review Services for 30 years and is a member of the National Association of Independent Review Organizations (NAIRO). Our Panel includes all specialties in all States.
URAC CERTIFIED TEAM AND REVIEW PROCESS
SFUR’s board certified, URAC compliant Physicians provide any kind of form driven second read, including radiology, pathology, interventional cardiology, and other special studies. Third read tie-breaker available for discrepant findings.
BEST IRO REVIEW SERVICES AT THE BEST PRICE
SFUR is a proven and affordable source of 3rd party over-reads with ten years of history servicing hospitals nationwide. We are confident that we provide our customers the best price with the highest quality results of all Certified Utilization Review Companies.
Who We Serve
Utilization Review, Fraud Waste & Abuse, Physician Review Services
Healthcare Providers
We provide URAC certified review services through our physician panel of over 600 highest quality of practicing Physician Reviewers. Our physicians cover all medical specialties throughout the country.
Utilization Review, Medical Cost Containment, Fraud Waste & Abuse, Utilization Review
Workers Comp Insurance
Medical Cost Containment, Fraud Waste & Abuse
Insurance Companies
With our medical necessary based reviews, SFUR has negotiated Millions in savings in payments of medical bills for Payers across the country.
Cost Containment, Bill Review & Negotiation, MSPA & DRG Reviews
Health Insurance
Medical utilization reviews, medical necessity and cost containment
Legal Firms
SFUR’s physician panel is the perfect complement to for these accounting, consulting and law firms to assist in reviews of Cost Containment and Fraud, Compliance and Abuse.
Medical utilization reviews, medical necessity and cost containment
Industry Partners
What We Do
What We Do
Compliance Fraud Waste Abuse Services
What We Do
Medical Cost Containment Services
This includes reviews and medical based analysis on Separation of Charges, Coding Validation, Medical Necessity, State & Payer Specific Rules, Reasonable Charge Analysis.
What We Do
Insurance Utilization Review
What We Do
SFUR Physician Services
This process address discrepancies between hospital coders and attending physicians. The reviewing physicians will review hospital charts before hospital bills are generated. The result is an increase in documentation accuracy and specificity. There isn’t any software to install since this is a chart reviewing process
What We Do
Workers Compensation Utilization Review
Over utilization of medical treatment is a driving factor in the overall cost of a Workers’ Compensation claim. SFUR, through the use of licensed nurses, board certified physicians and application of data driven evidence-based guidelines, addresses costs through a proactive approach.
What We Do
Healthcare Provider Utilization Review
As value-based reimbursement models become more prevalent, hospital utilization management will take on a more important role. SFUR provides prospective, concurrent, and retrospective utilization review in the provider community.
Our Happy Clients
What Our clients Say
SFUR Team reviews have resulted in “Amazing Savings” for our company.
SFUR has an impressive team on their Physician Reviewer Panel, basically any specialty knowledge is available as needed. “Its an Answer to my Prayers”
As a Self Insured Employer SFUR is a valued member of our Workers Compensation Cost Containment strategy. “Nobody is applying clinical and Negotiation skills like SFUR”
SFUR has been a key strategic partner in our Medicare Cost Containment business. With the recommendations of our Risk Management group, we engaged SFUR to augment our Medical Cost Containment as well as Compliance, Fraud, Waste & Abuse Programs, with really great outcomes.