Corporate Compliance

Avoid violating CIAs: Allocate necessary resources

Health Care Auditing Strategies, February 1, 2006

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The OIG notified Miami's South Shore Hospitals and Medical Center in December 2005 that it intends to take steps to exclude the hospital from federal healthcare programs. The hospital failed to abide by the terms of a 2002 Corporate Integrity Agreement (CIA), according to a press release issued by the OIG.

This case marks the first time that the OIG has taken such action related to a CIA.

The hospital and medical center agreed to follow the CIA in 2002, when it paid a $937,000 settlement for allegedly overcharging Medicare by submitting cost reports for unallowable costs.

Since then, South Shore failed to submit complete, accurate annual reports and did not comply with CIA recommendations, which called for specific "cost report reviews" and "engagement procedures," according to the OIG.

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