Some CIAs require an independent organization to verify and monitor compliance with the CIA`s terms and conditions. Most ASCI require damage checks to identify errors and their underlying causes.  The government authority may verify compliance through on-site visits.  If a company violates the agreement, the Agency can sanction it and if the problems cannot be resolved, the supplier can be excluded.  A corporate integrity agreement (CIA) is a document describing the obligations that a company operating in the U.S. health sector incurs vis-à-vis a federal authority or national government in connection with a civil transaction. At the federal level, the Office of the Inspector General of the Department of Health and Human Services and the Department of Justice are usually involved, and at the state level, the Attorney General and government agencies involved in Medicaid or Medicare are involved.  This article contains the U.S. Department of Health and Human Services Public Service Material: « Corporate Integrity Agreements Snapshot » (PDF). Called on April 14, 2018, the CIA can be used to solve problems with the quality of supply or corporate integrity.
 If your company is negotiating, implementing, or managing a Corporate Integrity Agreement (CIA), strategic management can provide expertise to help you meet cia obligations. We have extensive experience in cia compliance with federal rules and can help organizations across the healthcare industry meet important CIA deadlines and requirements. The expertise in strategic management as a compliance consulting firm in the healthcare sector makes us perfectly qualified to be a compliance expert for the Board of Directors. Our health consultants have served as independent experts in compliance with the boards of directors of health organizations under the CIA. We support boards of directors in their duty to monitor compliance programs and in fulfilling CIA obligations. ASCI create a framework within which the company must operate so as not to be excluded from participation in public health programs.  States use ASCI as part of their enforcement efforts.  :9 CIAs usually last 5 years.
During this period, the supplier is generally required to implement or expand a comprehensive staff training program, a confidential disclosure program, written standards and guidelines and to designate a compliance officer and committee if these matters are not already done.  The SAAs also require the establishment of procedures for the management and notification of « reported events ». Reportable events include overcounts, ongoing investigations or legal proceedings, potential violations of criminal, civil, or administrative laws applicable to any federal health program that may be authorized for sanctions or exclusions, and employment or contract with an unauthorized person.  Strategic direction assists compliance officers in implementing CIA elements and obligations and helps manage significant timelines to ensure compliance with CIA rules. This includes the development and execution of compliance policies and procedures, the execution of necessary training plans and the development of training materials, the establishment of an advertising program and other necessary measures in accordance with prescribed schedules. . . .