Independent External Peer Review
Objective peer review, when quality matters.
Board-certified physicians and licensed allied health professionals deliver evidence-based, defensible peer review for hospitals, physician groups, ASCs, FQHCs, health plans and legal professionals.
- Board-certified reviewers in our national network
- 400+
- Specialties and subspecialties covered
- 39
- Case manager response to new requests
- 24 hr

Specialty-matched reviewer
Every reviewer attests to no conflict of interest and 2+ years of relevant experience.

Welcome to Quality Peer Solutions
Your trusted partner in external peer review.
Our team of board-certified physicians and licensed allied health professionals provides objective, evidence-based assessments across all major specialties.
We support hospitals, independent physician groups, ambulatory surgery centers and FQHCs — and extend our services to health plans and legal professionals. Our reviews identify opportunities for improvement, bring clarity to complex cases, and deliver actionable recommendations that strengthen patient care and safety.
Excellence
Through our network of board-certified experts, we deliver accurate, timely, and clinically relevant evaluations.
Objectivity
We deliver fair, unbiased assessments that comply with established guidelines and foster confidence in every review.
Collaboration
We partner with healthcare organizations and other professionals to foster solutions that improve care delivery.
Accountability
We provide evidence-based recommendations that support regulatory and legal standards.
Who we serve
Built for every organization that needs a defensible answer.
Independent reviews tailored to the questions your setting asks — from credentialing committees to courtrooms.

Hospitals
Assess physician performance, enhance patient safety, and support continuous quality improvement across the organization.
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Clinics & FQHCs
Evaluate provider performance, support regulatory compliance, and improve the quality and continuity of patient care.
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Health Plans
Independent, evidence-based evaluations of medical necessity, quality of care and clinical decision-making for fair, defensible determinations.
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Legal
Independent, evidence-based clinical opinions that support litigation, claims resolution and legal decision-making.
ExplorePeer review services
Six review types. One standard of rigor.
From a single focused case to an organization-wide OPPE program, every review is specialty-matched, evidence-based and documented to stand up to scrutiny.
Comprehensive Review
An in-depth, same-specialty assessment of clinical judgment, quality of care, medical decision-making, documentation and adherence to evidence-based standards.
Learn moreFocused Review
A targeted evaluation of specific aspects of a provider's practice, initiated by a defined concern, event, complaint or quality indicator.
Learn moreOPPE & FPPE
Objective, specialty-specific evaluations that strengthen provider performance programs and help meet HRSA, Joint Commission, CMS and ASC accreditation requirements.
Learn morePerformance Improvement
Analysis that goes beyond the individual provider to find why outcomes occurred and which system factors contributed.
Learn moreMedical Necessity
Independent determinations of whether a treatment, service or level of care is clinically appropriate and consistent with guidelines and coverage criteria.
Learn moreMedical-Legal Review
Objective evaluations of standard of care, causation and clinical decision-making to support litigation, regulatory and risk management needs.
Learn moreFounded by physicians, for physicians
A national network of 400+ credentialed, actively practicing reviewers.
Each case is carefully assigned to the most appropriate specialist — or team of specialists — to ensure accurate, credible, specialty-specific assessments. For complex cases, we engage cross-specialty collaboration.
- Formal application and full credentialing before joining the network
- Verification of education, training, licensure, board certification and practice history
- Orientation to confidentiality, conflict-of-interest policies, industry standards and peer review procedures
- Re-credentialing before expiration and at least every three years
- Continuous monitoring of licensure and federal program eligibility
- Per-case attestation of no conflict of interest and 2+ years of relevant experience


Quarterly quality monitoring. Senior reviewers audit every reviewer for accuracy, completeness and consistency.
How it works
Guided by a dedicated case manager, start to finish.
A single point of contact coordinates assignments, monitors progress and keeps you informed every step of the way.
- 01
Contact us
Tell us about your case or program. We establish a secure account for confidential, HIPAA-compliant transfer of medical records.
- 02
Review assignment
Your case is assigned to a vetted reviewer with the relevant specialty expertise. A dedicated case manager oversees it from start to finish.
- 03
Secure release
Your final report is delivered through a HIPAA-compliant file transfer system, formatted for clinical, administrative or legal use.
- 04
Completion
You review the report for completeness and clarity. Once it's final and no further action is needed, the case is closed.
Specialties
Board-certified physicians in nearly every field.
Beyond our core specialties, QPS maintains reviewers across nearly every medical and surgical discipline.
Primary Care & General Medicine
Surgical Specialties
Medical Subspecialties
Obstetrics & Gynecology
Behavioral & Mental Health
Diagnostic & Procedural
Other Specialties
Results
Case studies
How independent review has helped organizations reduce risk, prepare for surveys and improve care.
Case StudyAugust 10, 2026 · 6 min read
Surgical Complication vs. Medical Error: A Peer Review Case Study
Case Overview A 67-year-old patient underwent elective laparoscopic abdominal surgery for a condition that had not improved with conservative treatment. The preoperative evaluation supported the need for surgery, and the
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Case StudyJuly 7, 2026 · 6 min read
Case Studies in Evaluating Intraoperative Decision-Making During Surgical Peer Review
Meta Description:Explore case studies in evaluating intraoperative decision-making during surgical peer review. Learn how external peer review improves patient safety and surgical quality
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Case StudyNovember 23, 2025 · 2 min read
Case Study: Acute Care Hospital Avoids Legal Escalation After Peer Review
Discover how a hospital avoided litigation after a surgical complication through an independent external peer review by Quality Peer Solutions, ensuring transparency, validating care, and restoring patient trust.
Read moreInsights
From the QPS blog
Guidance on OPPE, HRSA readiness, surgical peer review and medical-legal questions.
InsightAugust 27, 2026 · 6 min read
OPPE Is More Than a Credentialing Requirement: Turning Peer Review Data Into Quality Improvement
Learn how healthcare organizations can use OPPE and peer review data beyond credentialing to identify trends, improve provider performance, and enhance patient safety.
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InsightAugust 10, 2026 · 8 min read
Surgical Complication or Medical Error? How Peer Review Draws the Line
Learn how peer review distinguishes a surgical complication vs. medical error by evaluating clinical decisions, standard of care, and patient outcomes.
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InsightJuly 12, 2026 · 5 min read
HRSA Readiness: How Community Health Centers Can Prepare for a Successful Operational Site Visit
Learn how Community Health Centers and FQHCs can prepare for a successful HRSA Operational Site Visit through year-round readiness, external peer review, OPPE, FPPE, credentialing, and quality improvement.
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Talk to a case manager
Have an urgent case?
Contact us today to discuss how QPS can support your organization. A case manager will respond within 24 hours.
