The services of an Independent Review Organization (IRO) are integral to most Corporate Integrity Agreements (CIA) or Integrity Agreements (IA). Medical practitioners and health care entities entering into a CIA or IA with the Office of the Inspector General are required to engage an IRO to perform a review of a scientific random sample of claims that were reimbursed by federal payers. MCA professionals are uniquely qualified to function as an IRO for Corporate Integrity Agreements or Integrity Agreements. MCA also has experience as an IRO for Focus Arrangement Integrity Agreements. The IRO is required to perform an annual Arrangements Review, which consists of a Systems Review and a Transactions Review. The focus of these Arrangements Reviews is to make certain the entities are adhering to the provisions of the Anti-Kickback Statute and Stark Law.