What is an IRO
An Independent Review Organization (IRO) provides oversite to ensure compliance of government issued Corporate Integrity Agreements (CIA). IROs are required by the Office of the Inspector General (OIG) to evaluate medical necessity and appropriateness of procedures and a provider’s care delivery.
What’s involved with CIA compliance?
CIAs address the specific facts in question and typically attempts to accommodate and recognize many of the elements of preexisting voluntary compliance programs. A CIA includes requirements to:
- hire a compliance officer/appoint a compliance committee;
- develop written standards and policies;
- implement a comprehensive employee training program;
- retain an independent review organization to conduct annual reviews;
- establish a confidential disclosure program;
- restrict employment of ineligible persons;
- report overpayments, reportable events, and ongoing investigations/legal proceedings; and
- provide an implementation report and annual reports to OIG on the status of the entity's compliance activities.
When is it necessary to work with an IRO?
Corporate Integrity Agreements require the use of an independent review organization.
Is the information secure and confidential?
CPR employs Image Server, a digital host for secure patient and/or case file transfer. All engagements meet specific client requests and needs.
How do you select reviewers?
CPR engages physician reviewers who are experts in the field of cardiovascular medicine including interventional and diagnostic cardiology and electrophysiology. Reviewers must have many years of experience in their field. We seek individuals who have lead a department and are published.
What is the length of engagement?
Most CIA’s require a five year engagement. Our programs are designed to meet our clients’ specific needs.