Alphabet Soup of Compliance: IRO, OIG, and CIAs
Being excluded from participation in Medicare, Medicaid, or other Federal health care programs cripples any provider organization. A Corporate Integrity Agreement (CIA) with the Office of Investigator General (OIG) paves the way into compliance for at risk providers.
BHM Healthcare services specializes in IRO services and holds the industry’s highly recognized URAC Credential for Comprehensive Review (Internal and External).
Helping Providers Meet Important
CIA Deadlines and Requirements
BHM’s experience with…
 | Medicaid and Medicare Requirements |
| CIA auditing processes |
| Meeting the highest standards for turnaround times, accuracy, and case monitoring |
…means your organization can rest easier about meeting CIA processing and reporting requirements.
To our client providers, BHM will…
| Assign the needed experts in Medicare and state Medicaid requirements |
| Use reviewers with nationally recognized, current coding certifications. |
| Design and select the review samples with the appropriate statistical sampling techniques. |
| Meet case review timetables. |
| Perform each Claims Review in accordance with the specific requirements of the CIA. |
| Respond to all OIG inquires in a prompt, objective, and factual manner. |
| Prepare timely, clear, well-written reports, including all the information required by the CIA. |
BHM supports you during the life of your Corporate Integrity Agreement.
Contact our director specializing in CIA clients at
rklanderud@bhmpc.com