VantagePoint’s collaborative approach to IRO services ensures we exceed your expectations while ensuring your organization meets its obligations.

Healthcare Organizations entering into Corporate Integrity Agreements (CIA) with the Office of the Inspector General (OIG) are often required to engage an Independent Review Organization (IRO). Beyond satisfying the specific requirements of the CIA, a qualified and independent entity like VantagePoint HealthCare Advisors can provide an objective assessment of internal processes and actional recommendations for improvement.

VantagePoint understands organizations choose us for our healthcare industry expertise, as well as for the personalized and collaborative approach we deploy to supporting our clients in meeting their obligations. 

Our IRO Services features include:

  • Capacity for handling any compliance-related healthcare CIA requirement, including annual and quarterly claim reviews, arrangements and contract reviews.

  • A dedicated relationship manager responsible for ensuring clients have a single point of contact and reviews stay on schedule.

  • In-house auditing expertise for all specialties and types of medical claim reviews, including hospital, professional, home health, hospice, skilled nursing facility, DME, behavioral health, substance use treatment, laboratory, PT/OT, and other diagnostic services.

  • Auditing team includes AAPC and AHIMA certified coders, nurses, compliance, medical billing, process improvement, and finance professionals.

  • OIG-approved sampling methodology using RAT-STATS statistical software.

  • Flexibility for remote or onsite reviews, including flexibility to accept hardcopy records and secure site for electronically uploading records.

  • Professionally prepared reports meeting OIG specifications.

  • Findings-related education, compliance officer and staff training, policy and procedure development, and process improvement project services available.

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