Medical Review and Appeals

Effectively Manage Appeals

Medical necessity denials are often the financial stress points for healthcare organizations. Even if your organization has a small percentage of denied claims, the appeal preparation and management process can be cumbersome and an inefficient use of already limited resources. However, recouping even a small percentage of denied dollars can have a significant impact on your bottom line.


Whether your organization is undergoing a revenue cycle management assessment, re-evaluating operations, or just looking to capture every possible dollar, HQSI can work with you to reduce the administrative and financial burden.  HQSI can efficiently and effectively handle your medical necessity denials and appeals – without adding to overhead costs.


HQSI’s U.S.-based network of board-certified physicians and credentialed health professionals will efficiently meet your needs, within your budget. HQSI reviewers use evidence-based criteria and current professional standards to make the right decision the first time, every time and produce a high quality-sound determination in every case.


Our physician network covers a diverse and wide range of specialties. Their decision/determinations are always clear, succinct, and valid. We use a secure, web-based system that makes it easy to submit files, track status, and access decisions/determinations at your convenience.


Our experienced staff, history as a Quality Improvement Organization, and current status as a URAC-accredited IRO and a QIO-like entity demonstrate our reliability and service commitment. With HQSI, you get a trusted partner who will maintain quality and save you time, resources and money.


Get Started

Whether you have an ongoing or just an occasional case need, we can partner with you.

Call 1-800-752-8420 for more information

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