IRO Services

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Choosing the right Independent Review Organization (IRO) is crucial for a healthcare entity entering a Corporate Integrity Agreement (CIA). At The Fox Group, we blend deep healthcare operational expertise with comprehensive compliance auditing to offer tailored IRO services. Our team, comprising former healthcare operators rather than just auditors, understands firsthand the challenges you face. We prioritize efficiency, data security, and ...

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IRO Services Overview

Choosing the right Independent Review Organization (IRO) is crucial for a healthcare entity entering a Corporate Integrity Agreement (CIA).  At The Fox Group, we blend deep healthcare operational expertise with…

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Who can function as an IRO?

An Independent Review Organization (IRO) typically includes consulting, CPA, or law firms. These entities will usually possess the essential knowledge and expertise in healthcare compliance and regulations. It’s crucial to…

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What does an IRO do?

Most Corporate Integrity Agreements (CIA) require that a claims review be conducted by an Independent Review Organization (IRO) or in some cases, the provider may perform the claims review and the IRO…

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Where does the IRO do its work?

Independent Review Organization (IRO) services are adaptable, encompassing both onsite and offsite activities based on the project’s requirements. When documentation can be securely and effectively transferred without the need for…

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When do I need to engage an IRO?

The specific terms are outlined in the Corporate Integrity Agreement (CIA) but generally, within 60-90 days of the effective date of the CIA, a provider is required to engage an Independent Review…

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Why do I need an IRO?

An Independent Review Organization (IRO) is often required by the Office of the Inspector General (OIG) under the terms of a Corporate Integrity Agreement (CIA).  Additionally, beyond the requirement of the CIA, a…

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How do I select an IRO?

The Office of the Inspector General (OIG) wants the provider to select a firm that is qualified and independent.  The Corporate Integrity Agreement (CIA) will contain language which provides direction to the…

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Got an IRO, CIA, or OIG question? We can help…

The Fox Group serves clientele nationwide, is well versed in working with healthcare providers of all sorts, and is experienced in helping those organizations who are actively seeking the services…

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