What is an Independent Review Organization (IRO) responsible for in Corporate Integrity Agreements?

An Independent Review Organization (IRO) plays a crucial role in Corporate Integrity Agreements (CIAs) by conducting audits as specified in the agreement. These audits are essential for ensuring compliance with healthcare regulations and the specific terms set forth in the CIA. The findings from these audits help to assess whether the organization is adhering to required standards and practices, thereby fostering accountability and transparency within the healthcare entity.

The responsibilities of the IRO include not only undertaking the audits but also preparing reports based on their findings, which are then submitted to the Office of Inspector General (OIG). This process is vital in maintaining the integrity of the healthcare system, as it ensures that organizations are following the required compliance protocols to avoid fraudulent activities and to promote ethical conduct in healthcare practices.

While the OIG may appoint IROs, the primary responsibility of the IRO centers around performing audits rather than providing legal counsel or establishing compliance programs directly.