Independent Review Organization (IRO) Services
Healthcare organizations doing business with the federal government can sometimes find themselves negotiating or operating under a Corporate Integrity Agreement (CIA), which requires hiring an Independent Review Organization (IRO). SunHawk’s professionals understand this can be a difficult and stressful process.
We help organizations evaluate and respond to audit issues, as well as prepare for the rigorous oversight and reporting requirements associated with a CIA. From coordinating on-site claims review visits, offsite audits, then assisting in the implementation and reporting of the standards set forth within any negotiated settlement agreement or serving as the selected IRO, our experts will meet your individualized needs and those of the Department of Health and Human Services Office of Inspector General (OIG).
Some of our services include:
- Claims testing reviews
- Compliance effectiveness reviews
- Unallowable cost reviews
- Arrangement reviews
- Medical Necessity audits
Reviews performed in accordance with Generally Accepted Government Audit Standards, also referred to as “The Yellow Book”
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SunHawk Consulting
2550 E Rose Garden Ln.
Unit 72016
Phoenix, AZ 85050
info@sunhawkconsulting.com
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