SFUR is committed to improving the healthcare ecosystem. Both healthcare delivery participants and those entities that pay for healthcare, leverage the knowledge of the SFUR’s physician panelists. Monitoring compliance, fraud, waste and abuse starts with the SFUR physician panelists that can be impartial, objective and current in the knowledge and practice of their respective specialty.
SFUR defines medical cost containment as the process of leveraging medical and business knowledge to potentially lower the cost of medical bills.
We provide review, assessment and negotiation of medical cost, using a variety of methods which include, Separation of Charges, Coding Validation, Medical Necessity, State & Payer Specific Rules and Reasonable Charge Analysis.
Peer Review is used to make final judgement about quality of care in many quality assurance activities. To overcome the low reliability of Peer Review, input from several reviewers is often recommended to point out overlooked information or allow for reconsideration of opinions and thus improve reliability.
SFUR is a proven and affordable source of 3rd party medical Peer Reviews with fifteen years of history servicing hospitals, healthcare delivery systems and physicians nationwide. SFUR’s Board certified specialists will testify at fair hearing on request. SFUR is URAC Accredited Independent Review Organization which means client benefits from standards.
Even though payers deploy strategies to control physician office and hospital services, hospitals utilize utilization review and management to ensure the optimum use of the facility’s resources and high-quality care.
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.