Oig Corporate Integrity Agreements

The scope of work is defined by the Corporate Integrity Agreement and depends on the substantive issues contained in the original agreement with the U.S. government. Most agreements cover one or more areas, the agreements of . B electronic with reference sources, marketing practices, claims processes and cost reporting. ICA can be used to address quality of care[2] or business integrity issues. [1] The Business Integrity Agreement (CIA) specifies the time allowed for the selection and reporting of the IRO to the Office of the Inspector General. Most agreements provide for this to happen within 60 to 90 days of the DATE the CIA goes into effect. This article contains public domain documents from the Corporate Integrity Agreements Snapshot (PDF). Retrieved 14 April 2018. A Corporate Integrity Agreement (CIA) is a document that describes the obligations that a company operating in the U.S. health care sector enters into with a federal agency or state government as part of a civil settlement. At the federal level, the Office of the Inspector General of the Department of Health and Human Services and the Department of Justice are usually involved, and at the state level, the Attorney General and state offices involved in Medicaid or Medicare are involved. [1] Strategic Management is a pioneer in supporting the healthcare industry with timely and innovative regulatory compliance solutions.

It was founded 20 years ago by the former Inspector General of the Department of Health and Human Services (HHS). It was the first consulting firm to focus on compliance and ethics initiatives for healthcare companies – even before the government published formal compliance program guides for the industry. It is one of the few consulting firms that focuses exclusively on the healthcare compliance industry and stands out for its unique expertise, qualifications and people. Over the past 20 years, the company has helped thousands of healthcare organizations comply with regulatory requirements, including acting as an IRO for a number of clients. If you can`t find the answer you`re looking for, please call the IRO team at (703) 683-9600 ext. 419 or click here to contact us online. Corporate integrity agreements have many elements in common, but each addresses specific facts and often seeks to consider and recognize many elements of already existing voluntary compliance programs, including but not limited to: The Office of the Inspector General (OIG) requires the selection of a qualified company and the General Office of Accountability for Independence`s Generally Accepted Government Auditing Standards (GAGAS). and objectivity in conducting operational reviews.

Corporate Integrity Agreements (ICAs) provide language on the qualifications of an Independent Review Body (IRO). All potential IRs under THE CIA must meet the standards set by the General Accountability Office (GAO). When determining which company should be its IRO, the company must obtain a written certificate from potential companies attesting that they meet these standards. Strategic management meets these standards. The OIG reviews and challenges reports submitted to it on the work of THE IOOs, but often verifies the company`s compliance with the terms of its corporate integrity agreement by conducting its own site visit. This gives them the opportunity to observe a company`s compliance program in practice. First-hand observations in the field provide the OIG with a more accurate and comprehensive assessment of a company`s compliance program. The on-site visit also provides the company with a unique opportunity to inform us about the company`s operations.

The OIG also found that site visits help promote more effective communication between the company and the OIG. An Independent Review Body (IRO) is typically required by the Office of the Inspector General (OIG) under a Corporate Integrity Agreement (ICA). However, it should be noted that a qualified and independent entity can provide expertise and objective assessment of your internal systems, as well as provide solid consulting services that can improve and improve operational efficiency. .