Quality Peer Solutions (QPS) provides independent external peer review services that support healthcare providers, health plans, and legal teams in making informed, defensible, and patient-centered decisions. Our reviews are conducted by a national network of board-certified physicians and licensed allied health professionals across all major specialties, ensuring clinical credibility, objectivity, and regulatory alignment.
For healthcare organizations, our evidence-based reviews assess the quality and safety of care, strengthen internal performance improvement programs, and support compliance with regulatory and accreditation requirements. We also assist with credentialing and privileging by providing Ongoing Professional Practice Evaluations (OPPE) and Focused Professional Practice Evaluations (FPPE) that validate provider competence, identify risk trends, and ensure alignment with organizational standards.
For health plans, our objective evaluations clarify medical necessity, appropriateness of care, and adherence to evidence-based best practices, helping ensure fair determinations, risk mitigation, and cost-effective care delivery.
For legal professionals, we deliver clear, well-documented, and defensible reviews that provide unbiased insights into standards of care, potential deviations, and contributing factors in complex cases.
QPS specializes in reviewing complex and high-risk cases, including those involving misdiagnosis, oversight, documentation deficiencies, treatment complications, or gaps in follow-up care. Our thorough analyses uncover root causes and deliver practical, actionable recommendations designed to prevent recurrence, enhance patient safety, and strengthen overall quality of care.
Our reviewers apply specialty-specific tools, national society guidelines, evidence-based protocols, accreditation standards, and credentialing best practices to ensure every evaluation is clinically sound, objective, and directly relevant to client needs. Whether supporting hospital quality programs, payer medical review processes, credentialing and privileging, or legal case assessments, QPS delivers trusted insights that improve decision-making, reduce risk, and promote better patient outcomes.
