Medical Auditing Practice Exam

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What is the minimum audit requirement conducted by an IRO under a Corporate Integrity Agreement?

Annual audit

The minimum audit requirement conducted by an Independent Review Organization (IRO) under a Corporate Integrity Agreement (CIA) is an annual audit. This requirement is established to ensure that the organization is in compliance with the terms of the CIA and is effectively monitoring its operations to deter fraud and abuse in healthcare.

Annual audits serve as a comprehensive review of the organization's practices over the year, enabling the IRO to identify issues, assess compliance with legal and regulatory standards, and make recommendations for improvements. While more frequent audits, such as monthly or quarterly, can provide additional oversight and immediate feedback, the minimum standard set under a CIA is an annual audit, reflecting the need for a balance between thoroughness and resource allocation in compliance monitoring.

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Monthly audit

Quarterly audit

Bi-annual audit

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