Who currently performs utilization and quality control review of health care furnished or to be furnished to Medicare beneficiaries?

The Centers for Medicare & Medicaid Services (CMS) is responsible for performing utilization and quality control reviews of health care services provided to Medicare beneficiaries. Additionally, Medicare Administrative Contractors (MACs) and Quality Improvement Organizations (QiOS) also play significant roles in monitoring and reviewing the quality and appropriateness of care delivered to beneficiaries. These entities work together to ensure that Medicare services meet established standards and guidelines.