The purpose of the BFCC-QIO Program is to improve health care services for Medicare beneficiaries through performing statutory review functions. CMS and the BFCC-QIOs ensure that care provided by the Medicare Program is medically necessary, reasonable, meets professionally recognized standards of care, is provided in the appropriate setting, and complies with certain standards under the Emergency Medical Treatment and Labor Act. Two BFCC-QIOs, Livanta and Kepro, serve all 50 states and three territories.