Independent Review Organization
Managed care organizations and healthcare providers such as health systems, hospitals, and physician groups must navigate complex billing regulations, the Stark Law, and the federal Anti-kickback law, among others. When there are allegations that one of those laws has been broken, these entities are often required to enter into a Corporate Integrity Agreement (CIA) with the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS). As part of these agreements, the alleged must also engage a third-party Independent Review Organization (IRO) to assist governance with ongoing monitoring and compliance.
Bennett Thrasher routinely assists our clients in evaluating their compliance programs. Our teams have deep healthcare experience and work closely with management to ensure effective and efficient compliance monitoring.