Who typically selects the IRO for an audit related to a CIA?

In the context of a Corporate Integrity Agreement (CIA), the Independent Review Organization (IRO) plays a crucial role in ensuring compliance with the conditions laid out in the agreement. Typically, it is the auditee's legal counsel who selects the IRO. This selection is based on the legal counsel's expertise and understanding of the regulatory requirements and guidelines established by the Office of Inspector General (OIG). The involvement of legal counsel ensures that the selection process aligns with the legal and compliance obligations of the entity, which is essential for maintaining the integrity of the audit process and the overall compliance framework.

While other options may seem viable, they do not carry the same level of relevance or authority in the selection process. For instance, a financial advisor or the compliance officer may provide input, but their roles typically do not encompass the final decision-making aspect of selecting the IRO. The OIG, while it oversees the process and sets forth the requirements for compliance, does not directly select the IRO; this responsibility lies with the auditee's legal counsel, reflecting the need for a defense of legal standards and compliance in the audit process.