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Notable CIAs and Trends
Amendments. Like the number of CIAs, the number of CIA amendments also increased in 2020. Although the HHS-OIG typically enters into one or two amendments per year, 2020 saw seven such agreements. One amendment postponed the CIA’s effective date to account for the demands of the pandemic and another added a party to account for corporate restructuring. One aa highlighted the HHS-OIG’s close review of compliance programs, adding additional compliance obligations to address concerns regarding patient safety issues and CIA adherence. The majority of amendments (four) required revisions to IRO review provisions and altered stipulated penalties for claims reviews. In particular, the HHS-OIG replaced an IRO review with a skilled nursing facility claims review and required stipulated penalties of $2,500 for each day the companies fail to submit claims review reports or to repay any overpayment identified by the IRO. ....

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