What agreement is a provider placed under when found guilty under civil false claims statutes?

Prepare for the RHIA Reimbursement Test with multiple choice questions, each accompanied by hints and explanations. Ace your exam with confidence!

When a provider is found guilty under civil false claims statutes, they are placed under a Corporate Integrity Agreement (CIA). This agreement is a tool used by the Office of Inspector General (OIG) to ensure that healthcare providers adhere to compliance measures and ethical practices after being found in violation of laws regarding false claims.

The essence of the CIA is to promote transparency and accountability while establishing frameworks that help prevent future violations. The agreement often includes a requirement for the provider to create or improve compliance programs, conduct regular audits, and submit to monitoring by an independent review organization. By doing so, it aims to rectify past misconduct and reinforce a culture of compliance within the organization.

Other options do not align with the specific post-guilty scenario related to civil false claims. The Fraud Prevention Memorandum and Noncompliance Agreement do not exist as formal agreements in this context, while Recovery Audit Contracts pertain to reclaiming improper payments rather than imposing compliance oversight on guilty parties.

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