oig.hhs.gov/compliance/corporate-integrity-agreements/index.asp A Corporate Integrity Agreement (CIA) is a document that describes the obligations that a company working in the health sector in the United States performs with a federal authority or a state government under a civil scheme. At the federal level, the office of the Inspector General of the Department of Health and Justice Services and the Department of Justice are generally involved and, at the state level, the attorney general and state offices participating in Medicaid or Medicare are involved. [1] This article contains public domain material from the U.S. Department of Health and Health Services document: Corporate Integrity Agreements Snapshots (PDF). Called April 14, 2018. CIA can be used to address issues of quality of care[2] or corporate integrity. [1] Some CLAs require an independent organization to verify and monitor compliance with CIA conditions. Most CLAs require harm checks to identify errors and their underlying causes. [1] The government authority can verify compliance through on-site visits.
[1] If a company violates the agreement, the Agency can fine it and, if the problems cannot be resolved, the supplier may be excluded. [6] OIG negotiates Corporate Integrity Agreements (CIA) with health care providers and other agencies as part of the settlement of federal health program investigations arising from a large number of civil demented claims laws. In return, OIG agrees not to apply for their exclusion from medicare, Medicaid or other state health programs. Strategic management helps compliance officers implement CIA elements and commitments and helps manage significant timelines to ensure compliance with the CIA. These include the development and implementation of compliance policies and procedures, the implementation of necessary training plans and the development of training materials, the implementation of an information program and other necessary measures within the prescribed time frame. Since its inception in 1976, the U.S. Department of Health and Human Services (HHS) Office of Inspector General has been at the forefront of national efforts to combat waste, fraud and abuse in Medicare, Medicaid and more than 100 other HHS programs. If your organization is negotiating, implementing or managing a Corporate Integrity Agreement (CIA), strategic management can provide expertise that will help you meet CIA commitments. We have extensive experience in the CIA`s compliance with federal health regulations and we can help health organizations meet the important requirements and requirements of the CIA.
The CLAs usually last five years. During this period, the supplier is generally required to implement or expand a comprehensive staff training program, a confidential disclosure program, written standards and guidelines, and to appoint a compliance officer and a committee if this has not yet been done. [5] The CIA is also responsible for setting up procedures for the management and reporting of “events to be reported”. Events to be reported include ongoing overpayments, investigations or court proceedings, possible violations of criminal, civil or administrative laws applicable to a federal health program that may be sanctioned or excluded, and employment or contract with an ineligible person. [1] Strategic Management`s expertise as a healthcare compliance consulting firm allows us to be a compliance expert for the board of directors.