South Florida Utilization Review (SFUR) has been doing all case physician advisor reviews -- telephonic and retrospective -- as well as quality assurance projects for the past 20 years for the companies noted on our Customer List. We currently perform physician advisor level utilization review for a number of insurance carriers and we do external peer review for a 130 hospital chain. A popular service is the our negotiation of hospital bills, surgeon’s bills and ambulatory surgical center bills.
In 2004 South Florida Utilization Review achieved accreditation by Utilization Review Accreditation Commission (URAC), one of but 23 independent review organizations in the United States to have earned that distinction. THIS accreditation is valid to November 1, 2007. In March 2006 we celebrated our 20th anniversary of existence as one of the first private independent review organizations in Florida. We recently have started the accreditation process for 2007-2010.
We employ over 300 physician advisors in Florida, the southeast United States and Texas who are board certified in their specialties and as workers' compensation providers. All these physician advisors have been credentialed by us so our customers need not worry about undertaking this time-consuming process. We provide admission and continued stay telephonic review services.
A popular service is hospital bill negotiation and surgical claim recoding and re-pricing; on appeal these are sent to the appropriate surgical specialist.
South Florida Utilization Review carries errors and omissions insurance in the amount of $100,000/$300,000. We have reviewed tens of thousands of cases and so far have not been sued. Our turnaround time on a retrospective review is ten working days and on RUSH reviews five working days. South Florida Utilization Review is managed by Dr. Grossman who proofreads all reports that go out.
We have board-certified specialists in orthopedics, neurology, spine surgery, neurosurgery, pain management and anesthesiology, physical medicine and rehabilitation, psychiatry, chiropractic, and all other work-related and group health specialities as well as specialists in every American Board of Medical Specialities (ABMS) listed speciality. Our doctors have handled tens of thousands of pre-certification telephonic back surgery, orthopedic 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 workers' compensation and group health claims. We are prepared to see these cases through litigation if that becomes necessary. South Florida Utilization Review will manage and guarantee availability of the physician advisor at attorney conference, deposition and trial.
South Florida Utilization Review is licensed in the State of Florida as a Private Utilization Review Agent (2007-2008) and in the State of Alabama as a workers' compensation Utilization Review and Bill Screening agent (2006-2008).
