The Department of Health and Human Services (HHS) has allocated significant resources to the identification and prosecution of Medicare and Medicaid fraud and abuse. When these allegations occur, healthcare entities often are required to enter into a Corporate Integrity Agreement (CIA) with the Office the Inspector General (OIG).
As part of this agreement, healthcare entities need to retain a third-party Independent Review Organization (IRO) with deep healthcare experience and an efficient, proven model for performing annual reviews. Bennett Thrasher has served as an IRO for healthcare entities nationwide. As a result of this experience, we have a keen understanding of government requirements, as well as the operational challenges you face in maintaining compliance.