Peer Review

Peer Review in healthcare has been implemented for hundreds of years and is still commonly utilized to assure both the quality of care being provided and the medical necessity of care being delivered to patients.

Peer Review is completed for credentialing purposes both for granting initial privileges and for continued staff privileges.  Peer Review can also be initiated when questions arise regarding the delivery, appropriateness or necessity of medical services.

Peer Reviews are conducted using national criteria, practice guidelines and standards of care.  There is also focus on clinical expertise and evidence-based medicine.  Our reviews are performed by Allied Healthcare Professionals and Board Certified Physicians in all major specialties. 

OFMQ has been evaluating healthcare and partnering with providers to fulfill our mission to improve healthcare and lives.

We understand the changing regulatory requirements, evolving standards and the advancing complexity of medical procedures.  OFMQ’s expertise in the evaluation of healthcare was founded on clinical credibility and continues to be delivered by experienced professionals today. We provide efficient and reliable review services to help healthcare providers maintain the highest quality standards of care.  Improving the quality of medical care being provided creates a win–win situation for all involved … the provider as well as the patient and their families.

The types of reviews provided by OFMQ include but are not limited to:

  • Quality of Care Review

  • Peer Review

  • IRR Review

  • Coding Validation

  • Utilization Review

Our expert review team includes nurses, coding specialists and board-certified physicians in most all specialty areas that actively practice and represent both rural and urban settings. All physicians that work for OFMQ are reviewed on an annual basis to check for current licensure, verification of Board Certification and for any disciplinary misconduct that might have occurred.