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Quick Answer: What Is Cia In Hospice Care?

What is a CIA in healthcare?

A corporate integrity agreement (CIA) is a document outlining the obligations that a company involved in health care in the United States makes with a federal government agency or a state government as part of a civil settlement. States use CIAs as part of their anti-fraud efforts. CIAs generally last 5 years.

Why would an entity enter into a CIA?

Under a CIA, a health care provider agrees to assume certain compliance obligations in the context of a civil settlement with respect to its future participation in federal health care programs in exchange for the OIG’s agreement not to exclude the provider or supplier from Medicare, Medicaid and other federal health

What is the purpose of corporate integrity agreement?

What is a Corporate Integrity Agreement? A corporate integrity agreement (CIA) is a document that outlines the obligations to which an entity agrees as part of a civil settlement.

What is the OIG self disclosure protocol?

Health care providers, suppliers, or other individuals or entities subject to Civil Monetary Penalties can use the Provider SelfDisclosure Protocol, which was created in 1998, to voluntarily disclose self-discovered evidence of potential fraud.

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What is OIG compliance?

OIG compliance programs provide oversight toward promoting ethical and lawful corporate conduct that focus on encouraging prevention, detection and resolution of occurrences of conduct that do not meet federal and state law, and a hospital or health system’s business policies.

How does someone get on the OIG exclusion list?

Mandatory exclusions are enforced by law and require the OIG to exclude an individual or entity when they are convicted for committing felony crimes — Medicare or Medicaid fraud, or other felony offenses related to state or federal health care programs; felony convictions related to controlled substances; or

Is the Office of the Inspector General is designated as a criminal justice agency?

Office of Inspector General (OIG)

The OIG is designated as a criminal justice agency and is authorized by the Federal Bureau of Investigation and the Arizona Department of Public Safety to access criminal justice information relevant to official investigations.

How do I get rid of OIG exclusion list?

The OIG Exclusion List Reinstatement Process

  1. Draft a written request which contains the following:
  2. Fax or email the request to the OIG at (202) 691-2298 or sanction@oig.hhs.gov.
  3. If eligible, the OIG will send statement and authorization forms.

How does a corporate compliance program differ from a corporate integrity agreement?

A minimum legal requirements approach encourages compliance to avoid or minimize penalties or punishment. Often, corporate integrity agreements are more stringent and expensive for the health-care entity to maintain than a compliance program.

Are the Federal Anti-kickback law and the Stark law exactly the same?

Source of Prohibited Referrals: Whereas the Stark Law only pertains to referrals from physicians, the AntiKickback Statute applies to referrals from anyone. The AntiKickback Statute provides for criminal punishment in addition to civil sanctions.

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Which of the following is prohibited by the Anti-Kickback Statute?

The AntiKickback Statute and Stark Law prohibit medical providers from paying or receiving kickbacks, remuneration, or anything of value in exchange for referrals of patients who will receive treatment paid for by government healthcare programs such as Medicare and Medicaid, and from entering into certain kinds of

What disclosure protocols should be used by providers when disclosing a stark violation?

Stark– only conduct should be disclosed to CMS through its Self-Referral Disclosure Protocol (SRDP), which can be found at: http://www.cms.gov/PhysicianSelfReferral/. OIG reserves the right to determine whether an arrangement is appropriate for resolution in the SDP.

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