CMS reviews to inspect the quality of health care delivery and to address beneficiaries' concerns about the health care provider care are completed by:

Question

Quizplus · Accepted Answer

CMS reviews to inspect the quality of health care delivery and to address beneficiaries' concerns about the health care provider care are completed by QIOs (Quality Improvement Organizations). QIOs work under contract with CMS to improve the quality of health care for Medicare beneficiaries by reviewing medical records, conducting on-site visits, and collecting and analyzing data. NCQA (National Committee for Quality Assurance) and TJC (The Joint Commission) also conduct accreditation reviews, but they are not specifically responsible for addressing beneficiaries' concerns or conducting CMS reviews. DHHS (Department of Health and Human Services) is a government agency that oversees CMS, but it does not conduct CMS reviews directly.

CMS Reviews to Inspect the Quality of Health Care Delivery