Quality Peer Solutions (QPS) provides independent external peer review services that support healthcare organizations, health plans, and legal professionals 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 virtually all specialties and subspecialties, ensuring clinical expertise, objectivity, and regulatory alignment.
For healthcare organizations, QPS delivers evidence-based evaluations that assess the quality, safety, and appropriateness of care, support performance improvement initiatives, and strengthen compliance with regulatory and accreditation standards. We also support credentialing and privileging processes through Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) services that help validate provider competence, identify performance trends, and promote continuous quality improvement.
For health plans and managed care organizations, our independent reviews evaluate medical necessity, appropriateness of care, utilization management decisions, and adherence to evidence-based guidelines. These objective assessments support fair coverage determinations, regulatory compliance, effective resource utilization, and high-quality patient care.
For attorneys, risk managers, and legal professionals, QPS provides comprehensive medical-legal reviews that offer objective analysis of standards of care, clinical decision-making, causation, and patient outcomes. Our detailed, evidence-based reports help support litigation, risk assessment, regulatory investigations, and expert witness activities.
QPS has extensive experience reviewing complex, high-risk, and high-liability cases involving diagnostic delays, documentation deficiencies, treatment complications, adverse outcomes, care coordination failures, and potential deviations from accepted standards of care. Our reviews identify both provider-specific and system-level opportunities for improvement, helping organizations reduce risk, strengthen patient safety programs, and improve clinical outcomes.
Using specialty-specific review tools, evidence-based guidelines, national society recommendations, accreditation standards, and credentialing best practices, QPS delivers objective, actionable insights tailored to each client’s needs. Whether supporting hospital quality programs, FQHC compliance initiatives, payer review processes, credentialing and privileging activities, or medical-legal case evaluations, QPS provides trusted expertise that enhances decision-making, promotes accountability, and improves patient care.
