A corporate integrity agreement obligates a provider to maintain a compliance program, conduct training, engage an independent review organization, report reportable events, and submit annual reports to the Office of Inspector General.
Terms typically run five years.
Alternative Names:
CIA, Integrity Agreement
Why it Matters?
These agreements are the practical alternative to exclusion from federal healthcare programs, which is generally fatal to a provider's business. The obligations are substantial and expensive, including independent review organization audits and board-level compliance certifications. Breach can trigger stipulated penalties or exclusion, so the agreement's reporting obligations become an ongoing compliance program rather than a settlement term that concludes.
Frequently Confused with
Related terms
Frequently asked questions
Why do providers accept these agreements?
What obligations do they impose?
