What occurs when the OIG waives its exclusion authority concurrent with resolution of monetary liability?

When the Office of Inspector General (OIG) waives its exclusion authority concurrent with the resolution of monetary liability, it typically leads to the establishment of a Corporate Integrity Agreement (CIA). A CIA is a mechanism used by the OIG to promote compliance with federal healthcare program requirements and to help organizations rectify issues that could lead to future misconduct.

A CIA sets forth the conditions under which the organization must operate, outlines compliance obligations, and often includes monitoring and reporting requirements. The waiver of the exclusion authority suggests that the OIG recognizes the organization's efforts to address compliance issues and allows it to continue participating in federal health care programs, conditional upon adherence to the CIA.

Charitably, the other options do not adequately capture the relationship between the waiver of exclusion authority and the accompanying compliance measures that follow the resolution of monetary liability. While exclusion from future contracts, settlement negotiation, and immediate restitution may be parts of broader compliance and legal discussions, they do not directly correspond to the specific action of establishing a CIA as a result of a concurrent waiver, which is the key focus in this context.