IRO Services

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The services of an Independent Review Organization (IRO) are integral to most Corporate Integrity Agreements (CIA).  Healthcare and other organizations that enter into a CIA with the government are required to retain an IRO, usually to review a sample of the claims the organization is submitting to Federal healthcare programs.  IRO audits may also include an operational review of the organization’s process for compiling and submitting ...

IRO Services

The services of an Independent Review Organization (IRO) are integral to most Corporate Integrity Agreements (CIA).  Healthcare and other organizations that enter into a CIA with the government are required to…

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Who can function as an IRO?

For the most part, an Independent Review Organization (IRO) is usually a consulting firm, a CPA firm, or a law firm.  Contrary to what some people believe, the Office of the Inspector…

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What does an IRO do?

Most Corporate Integrity Agreements (CIA) require that a claims review be conducted by an Independent Review Organization (IRO) or in some cases, the provider may perform the claims review and the IRO…

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Where does the IRO do its work?

There are usually both onsite and offsite components to an Independent Review Organization’s (IRO) work.  In cases where the required documents can be appropriately and effectively provided to the IRO without…

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When do I need to engage an IRO?

The specific terms are outlined in the Corporate Integrity Agreement (CIA) but generally, within 60-90 days of the effective date of the CIA, a provider is required to engage an Independent Review…

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Why do I need an IRO?

An Independent Review Organization (IRO) is often required by the Office of the Inspector General (OIG) under the terms of a Corporate Integrity Agreement (CIA).  Additionally, beyond the requirement of the CIA, a…

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How do I select an IRO?

The Office of the Inspector General (OIG) wants the provider to select a firm that is qualified and independent.  The Corporate Integrity Agreement (CIA) will contain language which provides direction to the…

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Got an IRO, CIA, or OIG question? We can help…

The Fox Group serves clientele nationwide, is well versed in working with healthcare providers of all sorts, and is experienced in helping those organizations who are actively seeking the services…

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