A corporate integrity agreement (CIA) is a document outlining the obligations that a company involved in health care in the United States makes with a federal government agency or a state government as part of a civil settlement.
[1] CIAs create a framework within which the company must operate in order to avoid being barred from participation in federal health care programs.
[5] CIAs also mandate establishing processes for managing and reporting “reportable events.” Reportable events include overpayments, ongoing investigations or legal proceedings, potential violation of criminal, civil, or administrative laws applicable to any Federal health care program for which penalties or exclusion may be authorized, and employing or contracting with an ineligible person.
[1] If a company breaks the agreement, the agency can fine them and if issues cannot be resolved the provider may be barred.
[6] This article incorporates public domain material from Corporate Integrity Agreements Snapshot (PDF).