Compliance, Fraud, Waste & AbuseExpert Medical Witness Expert Medical Witness SFUR’s 600 plus physician panel provides an excellent source of physician specialists to pull from to service the Expert Medical Witness market place. SFUR’s physician panelists have provide expert medical witness services to many of the nation’s largest health and insurance companies. Over SFUR’s 30 plus year history, thousands of…

Hierarchical condition category (HCC) ) relies on ICD-10 coding to assign risk scores to patients. HCC is becoming increasingly prevalent as the healthcare reimbursement environment shifts to value-based payment models. Along with demographic factors (such as age and gender), health plans use HCC coding to assign patients a risk adjustment factor (RAF) score. A patient’s RAF score predict costs.

SFUR has the qualifications and experience to provide Independent Review Organization (IRO) Services to health care providers Corporate Integrity Agreements (CIAs) with the Office of Inspector General of the United States Department of Health and Human Services (OIG) and the related Settlement Agreements entered into with the United States.