R.T. Welter Associates, Inc. is one of a select few organizations in the country that provides CIA reviews as an independent review organization.The number of fraud and abuse allegations relating to unlawful billing and coding practices continues to increase each year among physicians and larger organizations such as hospitals. Medicare RAC audits, CERT letters, and other payer correspondence requesting medical record reviews are hitting mailboxes everywhere and at an alarming rate.

As a result of these audits and allegations, physicians are required to enter into a Corporate Integrity Agreement (CIA) with the Office of Inspector General (OIG) and must engage in significant compliance efforts over a certain period of time. Physicians are required to enter into a CIA must engage an independent review organization (IRO) to review the accuracy of their claims and billing practices.

As your independent review organization, R.T. Welter & Associates, Inc. provides the following:

  • Conducts an independent review specific to the CIA
  • Evaluates CIA compliance
  • Performs specific review procedures listed in physician’s CIA
  • Provide training to physician’s and staff to avoid such problems in the future