SFUR - Healthcare Disputes Division

SFUR - Healthcare Disputes Division


Atlanta , GA 30342
Office: 305-667-4890
Introduction

SFUR Healthcare Disputes Division features actively practicing, board-certified physician experts who also hold Certified Professional Coder (CPC) credentials. Our MD, CPC experts have extensive experience providing expert analysis and testimony for healthcare coding and billing dispute litigation, fraud and abuse cases, medical necessity of services, and more. Additionally, as a URAC-certified Independent Review Organization, SFUR offers services of every medical specialty through a panel of 600 affiliated board certified physicians.


Areas of Expertise
  • Auditing
  • Fraud Investigation
  • Health Care Economics
  • Insurance Fraud
  • Medical Billing
  • Medical Fraud
  • Medical Insurance
  • Medical Malpractice
  • Medical Records
  • Workers Compensation Insurance

Expert Background
Q: Please list your professional accreditations, degrees, licenses, and certificates granted:
A: URAC accredited Independent Review Organization
AAPC Certified Professional Coder (CPC)
Doctor of Medicine (MD) and Doctor of Osteopathic Medicine (DO)
American Board of Medical Specialties (ABMS)
Milliman Care Guidelines (MCG) Care Guidelines Specialist in Utilization Management
Q: Please list your affiliations or memberships in any professional and/or industry organizations:
A: American Academy of Professional Coders (AAPC)
National Association of Independent Review Organizations (NAIRO)
National Association of Healthcare Quality
Q: Have any of your accreditations ever been investigated, suspended or removed? (if yes, explain)
A: No
Q: For what area(s) of expertise have you been retained as an expert?
A: Coding of Professional and Facility Claims
Health Care Fraud and Abuse
Medical Insurance
Medical Records Reviews
Medical Necessity and Utilization Determinations
Workers Compensation Insurance
Medical Malpractice
Standards of Care
Coding Accuracy
Clinical Documentation Integrity
Q: What services do you offer? (E.g.: consulting, testing, reports, site inspections etc.)
A: Consulting
Medical Record Review
Expert Witness

References

Available Upon Request