The CIA clearly identifies areas of the company`s compliance program that need to be improved. While these are tailored to the specific compliance challenges discovered by the specialized company, the CIA often requires the company to make business integration agreements one of the main methods used by the OIG to promote health compliance. While managing the requirements of a CIA is never an easy task and requires considerable human and financial resources to fulfill all of its commitments successfully, health organizations should never overlook the effects of CIA activity. Even for organizations that do not participate in a study of the federal health program, understanding the elements and duties of a CIA can help them better understand what the OIG expects from its compliance programs. i”Corporate Integrity Agreements. Work plan Reports and publications Inspector General U.S. Department of Health and Human Services. Available at: oig.hhs.gov/compliance/corporate-integrity-agreements/index.asp. The annual report will keep the OIG informed of the supplier`s compliance activities for the duration of the agreement. It includes health compliance activities and the results of the IRO audit of the organization`s compliance with the provisions of the OIG Corporate Integrity Agreement. The annual report contains, among other things, a description of all audits, audits or analyses of the Organization`s compliance program, the Organization`s response to such audits, audits or analyses, and a summary report on any overpayments made during the period. In addition, an official must certify that the organization is complying with its obligations under the CIA IGO`s corporate integrity provisions.
As the goal of the HHS Office of Inspector General is to investigate fraud and abuse of the Medicare and Medicaid programs, it has the power to initiate settlement negotiations to prevent health care providers from being prosecuted for fraud and abuse. For health care providers involved in an investigation into health fraud, reaching an Enterprise Integrity Agreement (CIA) with the Office of Inspector General (OIG) is often a necessary condition for resolving the problem. In accordance with the provisions of the OIG Corporate Integrity Agreement, health care providers must accept a number of detailed compliance obligations. In exchange, they will have the opportunity to avoid the exclusion of Medicare, Medicaid or other federal health programs, which is a financially devastating outcome for any health organization. The Office of the Inspector General (OIG) is requesting the selection of a qualified company that meets the General Accounting Office`s Recognized State Audit Standards (GAGAS) for Independence and Objectivity in the Execution of Operational Controls.