What type of agreement may be imposed by the OIG when fraud is detected?

The correct choice, Corporate Integrity Agreement, is a significant contractual arrangement often imposed by the Office of Inspector General (OIG) when fraud or non-compliance with healthcare regulations is identified within an organization. This type of agreement is designed to promote compliance with applicable laws and regulations as well as to prevent future misconduct in the healthcare setting.

When a healthcare organization has been found to have committed fraudulent acts or violations, a Corporate Integrity Agreement mandates a series of obligations and compliance measures that the organization must adhere to in order to retain its ability to participate in federal healthcare programs, such as Medicare and Medicaid. This includes regular audits, compliance training for staff, and the appointment of a compliance officer to oversee adherence to the stipulated terms of the agreement.

The other options serve different purposes. For example, a Compliance Agreement is broader and may refer generally to arrangements aimed at ensuring adherence to laws and regulations but does not specifically pertain to fraud detection resolution. The Red Flags Rule relates primarily to identity theft prevention and does not directly address compliance in the healthcare industry. Resource Agreement is not a recognized term in this context and does not relate to OIG actions concerning fraud. Understanding these distinctions is crucial for grasping the compliance mechanisms in healthcare practice and the role of the OIG in