(800) 294-0508
Tel : (305) 667-4890Fax : (305) 667-6242
About Us

SFUR is a Medical Cost Containment and URAC Certified Medical Independent Review Organization

We are a URAC accredited Independent Review Organization (IRO) providing Utilization Review/Management (UR/UM), Peer Review, Medical Cost Containment, Expert Medical Witness, Physician Reads, and Compliance, Fraud Waste & Abuse services to various members of the healthcare ecosystem.

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.

Who We Are

Leveraging Medical Knowledge

Its all about Customer Service

PROFESSIONAL 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.

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

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.

Who We Serve

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.

Peer Reviews

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.

Our Medical Knowledge Professional Team

Leveraging Medical Knowledge

SFUR Cost Containment Team

Our team of Physicians, Certified Medical Audit Specialist and Professional Coders have successfully saved our healthcare payers customers millions in costs for reimbursements of hospital, ambulatory surgery centers and surgeon bills.

South Florida Utilization Review (SFUR) has been providing Medical Utilization Services for 30 years. We are an URAC accredited Independent Review Organization in good standing.

Medical Cost Containment

Solutions Experts

SFUR provides medical necessity based review services to healthcare payers for Cost Containment

For the past 12 years SFUR has negotiated Millions in savings in payments of medical bills for our payers across the country.

SFUR Cost Containment Services

IRO Services for providers under a CIA with the OIG
Hierarchical condition category (HCC) Coding Reviews
Expert Medical Witness
Compliance Fraud, Waste & Abuse
Workers Comp Utilization Review
Medical Cost Containment
Compliance, Fraud, Waste & Abuse
Insurance Utilization Review

Pre-Authorization & Utilization Management
Peer Review (Telephonic)
Peer Review (Retrospective)
Clinical Chart Review & Validation (DRG Validation)
DRG Claims Auditing
Medical Bill Review
Reasonable Charge Analysis
Medical Cost Containment
Medical Bill Negotiation
Medicare Secondary Payer Services (MSPS)

SFUR Cost Containment Solutions

Our medical cost containment solutions benefit our self insured customers,  Workers Compensation Insurance, Group Health Insurance, Legal & Audit firms and Industry Partners.

  • Workers Comp Utilization Review
  • Medical Cost Containment
  • Compliance, Fraud, Waste & Abuse
  • Insurance Utilization Review
Positions @ SFUR

SFUR Peer Review Physician Panel

SFUR employs over 600 board certified Physician Specialists under the comprehensive URAC certification standards. Our clients partner with us to extend or outsource their internal quality assurance, utilization review & audits, compliance and legal proceedings. South Florida Utilization Review (SFUR) has been providing Medical Utilization Services for 30 years. We are an URAC accredited Independent Review Organization in good standing.
Leveraging Medical Knowledge

Join Our Physician Panel

If you are a Medical Board Licenced Physician interested in becoming a SFUR URAC Certified Peer Review partner we would like to work with you. .

OUR CURRENT PHYSICIAN SPECIALTIES

  • Anesthesia
  • Bariatric Surgery
  • Cardiology
  • Cardiothoracic Surgery
  • Colon Rectal Surgery
  • Emergency Medicine
  • Family Practice
  • Gastroenterology
  • General Surgery
  • Hematology
  • Infectious Disease
  • Internal Medicine
  • Interventional Cardiology
  • Neonatology
  • Nephrology
  • Neurology
  • Neurosurgery
  • OBGYN
  • Ophthalmology
  • Orthopedic Surgery
  • Otolaryngology
  • Pediatrics
  • Plastic Surgery
  • Psychiatry
  • Pulmonology
  • Polysomnography Radiation Oncology
  • Radiation Oncology
  • Thoracic Surgery
  • Urology
  • Vascular Surgery

Join Now

BENEFITS OF JOINING THE SFUR PEER REVIEW PHYSICIAN PANEL

  • Improve your professional standing and provide an important contribution to the quality of healthcare.
  • All certification for your speciality is handled by our professional staff who assist in simplifying the certification process.
  • As an URAC Certified Independent Review Organization we do not charge any fees to the Physician for certification.
  • SFUR carries Peer Review errors and omissions insurance that covers the work done by our certified physician peer reviewers.
  • SFUR provides management, administration, billing and payments between Peer Review hospitals/insurance customer and the physicians.
  • No billing is required by the Physician. Payment for Peer Review services are promptly reimbursed within the month of service. Reimbursement is based on a competitive fee amount per peer reviewed case file.
  • We work with Physicians in all States across America.

Our business continues to grow as we continue to grow our network of quality Physician Peer Review Specialists.

Our Happy Clients

What Our clients Say

SFUR Customer

SFUR Customer

Chief Financial Officer

SFUR Team reviews have resulted in  “Amazing Savings”  for our company.

SFUR Customer

SFUR Customer

Chief Quality Officer

SFUR has an impressive team on their Physician Reviewer Panel, basically any specialty knowledge is available as needed. “Its an Answer to my Prayers”

SFUR Customer

SFUR Customer

SVP Cost Containment

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 Customers

SFUR Customers

SVP Risk Management

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.

Contact us today

What can we do for you today?

Phone: 1-800-294-0508

Location: 2002 Macy Drive, Roswell, GA, 30076

Email: information@sfur.com

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