The OIG indicated that it would continue to include specific provisions in the ciAs to address the risks associated with the misconduct that led to a company agreement with the federal government to reduce future exposure to federal health programs and beneficiaries. 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 CIA can be used to address issues of quality of care[2] or corporate integrity. [1] Business Integrity Agreements (CiA) negotiated and concluded by the Office of Inspector General (OIG) have standard compliance requirements. In accordance with the United States Sentencing Commission`s Federal Guides Manual, the CIA generally handles the seven key elements of an effective compliance program. Typically, each CIA begins with a statement outlining the reason for the health sector`s conclusion of the agreement. The statement confirms the supplier`s desire to uphold high standards of business ethics and to require the same from all employees, managers, agents, contractors, etc. It also reaffirms the provider`s commitment to meet the requirements to participate in Medicare, Medicaid and all other federal health programs. Then we define the term and scope of the CIA, usually five years. The scope provides detailed instructions on who and entities are subject to CIA conditions. These are usually executives, directors, staff, contractors and representatives of the organization.

During the life of the CIA, the organization must comply with CIA conditions or risk violating the contract and being responsible for detailed fines in the CIA, as well as an extension of the period of exclusion from participation in public health and public health programs. THE CIA becomes written and executed agreements between the OIG and a health care provider or provider after an investigation by the DOJ and/or the OIG revealed that the health care provider or provider provided incorrect information under the False Claims Act (FCA). While cumbersome and often costly to complete, cement organizations lead to the implementation of an effective compliance program that will ultimately lead to appropriate billing practices, including the submission of accurate and comprehensive payment rights to federal health programs, appropriate agreements with physicians, and improved quality of care for program recipients.