Quality Peer Solutions (QPS) is an independent peer review organization that partners with healthcare organizations, independent practitioners, insurance companies, and legal professionals to deliver objective, evidence-based clinical evaluations. Our purpose is to strengthen the quality and safety of care, support fair and defensible decision-making, and provide actionable insights that drive better outcomes, while ensuring compliance, enhancing provider performance, and promoting trust and transparency across healthcare, legal, and payer organizations.
With a national network of more than 400 trained, independent, board-certified, and actively practicing providers, we deliver timely, specialty-matched reviews across all areas of medicine. Each case is carefully assigned to the appropriate expert to ensure accuracy, credibility, and meaningful results. Our services are designed to accommodate a wide range of clinical, administrative, and legal needs across multiple care settings.
Founded by physicians for physicians, QPS is dedicated to providing unbiased, evidence- and metric-based evaluations that support quality improvement, patient safety, credentialing, and risk management programs. We work closely with each client to determine the most effective review approach, offering clear guidance and seamless coordination throughout the process.
Peer review is a cornerstone of accountable healthcare. It balances the independence of physicians’ clinical judgment with the responsibility to ensure care is delivered wisely, safely, and in alignment with evidence-based standards. More than a compliance requirement, peer review serves as both an educational and quality improvement process—identifying potential issues early, guiding re-education, and fostering a culture of continuous improvement.
When conducted effectively, peer review strengthens patient safety, validates clinical decisions, and ensures that the care delivered is appropriate, necessary, and consistent with established best practices. It provides organizations with an objective mechanism to evaluate physician performance, identify systemic challenges, and uncover opportunities to improve documentation, care coordination, and overall quality of services.
Peer review also supports sound decision-making beyond the point of care. Health plans benefit from objective evaluations that ensure medical necessity determinations are fair, defensible, and cost-conscious. Legal professionals gain unbiased insights into standards of care, treatment decisions, and outcomes, providing clarity in complex medical-legal matters. For healthcare organizations, peer review reinforces compliance with accreditation and regulatory requirements while protecting against liability and risk exposure.
Ultimately, the value of peer review lies in its ability to strengthen trust—among patients, providers, payers, and regulators. By embedding peer review into routine operations, organizations not only reduce risk but also demonstrate a visible commitment to quality, accountability, and better outcomes.
