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Medical Review Services

With over 30 years experience, we provide top-notch independent medical review services that are timely, cost-effective, and free from conflict of interest. Using the right clinical specialists, our URAC accredited Independent Review Organization (IRO) uses a core group of more than 150 actively practicing board-certified physicians and more than 20 credentialed or licensed allied health care providers. We’re focused on making the right decision -- every time.

Rely on Us

HQSI can save you time and money when we quickly and accurately handle your reviews in the areas of:

  • Medical Necessity
  • Appropriateness of Setting
  • Level of Care
  • Quality of Care
  • Experimental Treatment/Procedures
  • Coding
  • DRG Assignment
  • Conflict Resolution (Appeals)

Get Started

We deliver a totally conflict-free determination/recommendation. Whether you have an ongoing stream of cases, or an occasional case need, we can partner with you to manage your clinical review capacity issues.

CALL 1-732-238-5570 ext. 2039
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Solve clinical review capacity issues & keep costs down

We’re here, with the expertise and experience, to quickly and accurately handle your medical reviews, eliminate capacity issues and help keep your costs down. 

Superior Service

Our team recognizes that each client is unique. And to make sure you experience great service we address your specific client needs efficiently, effectively, and personally. On our annual satisfaction surveys, for the past five consecutive years, 100% of our clients said that our service “Exceeds expectations with a desire to work with HQSI on additional contracts.”

Nancy Mendes
Nancy Mendes, RHIT
Director, Medical Review Services
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Diane Babuin
Diane Babuin, MS, CPHQ
Director, Quality Improvement
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Andrew Miller
Andrew Miller, MD, MPH
Medical Director
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About HQSI

HQSI, a leader in health quality improvement for more than 25 years, works with providers, communities and government agencies, including the Centers for Medicare & Medicaid Services, to make health care safer, more efficient and more effective.

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