Federal Hearings & Appeals Services is a premier provider of specialized legal and medical review solutions for healthcare organizations and government entities, distinguished by its dual URAC accreditations and technology-forward approach. The firm stands out as America’s trusted medical review authority, offering data-driven, clinically sound services that reduce improper payments, enhance compliance, and streamline complex dispute processes for a national client base.
Leveraging a blend of automation, advanced analytics, and deep human expertise, FHAS delivers scalable, efficient, and impartial review and adjudication services. Its experienced team—including physicians, nurses, coders, and legal experts—ensures decisions are grounded in clinical evidence and regulatory standards. The organization primarily serves health plans, federal and state governments, and government contractors, focusing on reducing fraud, waste, and abuse while improving operational outcomes through a fixed-price, value-based fee structure.
Services Offered
- Medical Review
- Appeals Management
- Independent Dispute Resolution (IDR)
- Hearings and Adjudication Services
- Provider Outreach and Education
- Utilization Management
- Claims Review
- Coding Accuracy Reviews
- Eligibility Reviews
- Legal Adjudication
FHAS supports clients nationwide, including commercial payors, providers, and government agencies, with services available in English. The company holds notable accreditations from URAC in Independent Review Organization (IRO) and Health Utilization Management (HUM), and was the first organization to receive a URAC designation in Independent Dispute Resolution.
