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Gain confidenceIndependent Review Organization

Independent expertise for comprehensive IRO compliance and unmatched integrity

Healthcare organizations entering into Corporate Integrity Agreements (CIA) with the US Department of Health and Human Services (HHS) Office of Inspector General (OIG) are often required to engage an Independent Review Organization (IRO). The hallmark of BerryDunn’s IRO service delivery model is our “no surprises” approach and the philosophy that being independent isn’t in conflict with being collaborative.

As an experienced IRO, we utilize the OIG-approved RAT-STATS statistical sampling software. We also have in-house expertise, including certified medical coders, compliance professionals, and nurses with wide-ranging experience across the continuum of care to competently conduct annual or quarterly claims reviews, so you can rest assured all of your needs will be met.

BerryDunn also has a deep bench of professionals with Anti-Kickback Statutes (AKS) and Stark compliance expertise, as well as physician compensation and valuation experts who contribute to focus arrangement transaction and system reviews. We assign a dedicated relationship manager to each IRO services client and we provide well-written, timely reports that meet the HHS OIG requirements and exceed your expectations. Beyond satisfying the specific CIA requirements, a qualified and independent entity like BerryDunn also adds value by identifying potential compliance gaps associated with our findings and observations, while providing you with actionable recommendations for improvement. Our IRO services include:

  • Claims reviews
  • Arrangements systems reviews
  • Arrangements transactions reviews
  • Software reviews
  • CIA implementation and compliance consulting (for clients not engaging BerryDunn as IRO)

We meet the typical CIA Appendix A requirements to serve in the role of IRO for a diverse array of healthcare provider and service organization types, including:

BerryDunn has joined forces with the VantagePoint Healthcare Compliance and Credentialing team to expand the services we provide to healthcare organizations. Contact us to learn more about our IRO services.

Related Professionals


BerryDunn experts and consultants

  • Cheryl Krusch
    Director of Clinical Documentation Improvement
    T 203.288.6860

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