HQSI (Healthcare Quality Strategies, Inc.) provides independent medical review for private and government insurers, hospitals, third-party administrators and employers. As a URAC-certified review organization, and NAIRO member, HQSI conducts reviews in all key medical specialties — always adhering to the highest ethical and professional standards. 

HQSI quickly and accurately handles reviews in the areas of:

•	medical necessity
•	appropriateness of setting
•	level of care
•	quality of care
•	experimental treatment/procedures
•	coding
•	DRG assignment


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.

Health Care

Insurance

Quality Assurance

HQSI (Healthcare Quality Strategies, Inc)

Mary Jane Brubaker

Valerie Aiello

The Review Team at HQSI performs comprehensive and independent medical reviews for various healthcare entities, ensuring adherence to the highest standards of medical necessity, appropriateness of setting, level of care, quality of care, and accurate coding and DRG assignments. Comprised of specialized professionals like RN Reviewers, Allied Health-professional Reviewers, Independent Reviewers, Physician Reviewers in Neonatology and Pediatrics, and Endodontic Peer Reviewers, the team evaluates and validates treatment plans, experimental procedures, and ensures healthcare quality improvement.

Review Team

About

Team members