Keystone Peer Review Organization
Keystone Peer Review Organization, founded in 1985, partners with healthcare payers to enhance service quality and efficiency, serving over 300 clients with technology-enabled solutions for healthcare management.
Services
Keystone Peer Review Organization provides technology-enabled services that cater to priority populations, enabling them to stay in their preferred community settings. The organization offers a comprehensive suite of assessment and administrative services, including Level of Care Assessments, Preadmission Screening & Resident Review (PASRR), Behavioral Health Needs Assessment, and Application Processing Center services. Through its proprietary, integrated platforms and data analytics, the company focuses on optimizing care outcomes and reducing costs.
History
Keystone Peer Review Organization was founded in 1985 by physicians from the Commonwealth of Pennsylvania Medical Society. The founding was initiated at the request of the Centers for Medicare & Medicaid Services (CMS) to serve as the state’s Quality Improvement Organization (QIO). Over the years, the company has expanded its service offerings and client base to include over 300 clients, ranging from Federal, state, and local governments, to private healthcare payers.
Client Partnerships
Keystone Peer Review Organization collaborates extensively with government and private healthcare payers to enhance healthcare quality, improve accuracy, and increase efficiency. The organization serves more than 300 clients, including key Federal, state, and local government bodies. Certified by CMS, the company also operates as an independent dispute resolution entity (IDRE) under the No Surprises Act, reflecting its broad influence and trusted partnerships within the healthcare sector.
Operational Scale
Keystone Peer Review Organization operates with 18 offices and employs over 1,500 individuals across the United States. This extensive operational scale enables the company to impact and improve the lives of more than 77 million beneficiaries nationwide. The company’s specialized services and innovative solutions contribute significantly to the healthcare landscape, focusing on maximizing healthcare quality and efficiency.
Healthcare Solutions
Keystone Peer Review Organization offers health-focused solutions designed to optimize care outcomes and reduce costs. These solutions encompass quality oversight, care management, and assessments and eligibility. The company's services leverage proprietary, integrated platforms and data analytics alongside clinically driven methodologies to deliver comprehensive, effective healthcare solutions to their broad client base.