Enclosure_2_Sample_Exhibit_E_-_Corporate_Compliance_Code_of_Conduct_(Third_Parties).pdf
PDF 33 KB Posted
- Attached to
- Overpayment Resolution Services
- Solicitation number
- 66000-2526-225
- Issued by
- San Mateo County, San Francisco City, California
About this file
Corporate Compliance Code of Conduct Summary
This document is a Corporate Compliance Code of Conduct exhibit required by San Mateo Medical Center (SMMC), a public hospital and clinic system in San Mateo County, California, for third-party contractors engaged in overpayment resolution services. The code of conduct establishes mandatory compliance requirements for all contractors performing work under the Overpayment Resolution Services contract (RFP No. 66000-2526-225). Contractors must comply with all Federal, State, and other governmental health care program requirements and submit accurate information for Federal health care cost reports, including Disproportionate Share Hospital (DSH) payment documentation. The code requires contractors to report suspected violations of Federal health care program requirements to the SMMC Compliance Officer within fifteen (15) days of discovery through either the Compliance Hotline at (800) 965-9775 or direct reporting to the Compliance Officer. The contract term is five years from the award date, with evaluations based on Project Approach (30 points), Firm Qualifications (25 points), Team Qualifications (20 points), Price (25 points), and Preferential Points (10 points).
The code of conduct prohibits contractors from offering, giving, or accepting kickbacks, bribes, payments, gifts, or anything of value in relation to business or regulatory relationships, and requires prompt reporting of any such offerings or receipts to the Compliance Officer. Contractors must avoid engaging in financial, business, or other activities that may interfere with or appear to interfere with their contractual duties or involve the use of SMMC or County property, facilities, or resources. All contractors must cooperate fully and honestly during any audits conducted by SMMC, the County, or outside agencies, including compliance audits regarding Federal and State regulations, accreditation standards, and system-wide policies. SMMC maintains a commitment to non-retaliation and will maintain confidentiality and anonymity with respect to compliance disclosures. Contractors certify upon execution of the agreement that an authorized representative has received, understands, and commits the contractor to comply with this code of conduct.
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EXHIBIT E
CORPORATE COMPLIANCE SMMC CODE OF CONDUCT (THIRD PARTIES)
Contractor recognizes and is fully dedicated to advancing SMMC’s commitment to full compliance with all Federal, State, and other governmental health care program requirements, including its commitment to prepare and submit accurate claims consistent with such requirements.
Contractor will comply with all Federal, State or other governmental health care program requirements.
Contractor, to the extent its contractual duties require it to submit the reports covered in this paragraph, will promptly submit accurate information for Federal health care cost reports including, but not limited to, the requirement to submit accurate information regarding acute available bed count for Disproportionate Share Hospital (DSH) payment.
Contractor will report to the SMMC Compliance Officer any suspected violation of any Federal health care program requirements within fifteen (15) days of discovery of the violation.
Contractor has the right to use the SMMC Disclosure Program by calling the Compliance Hotline at (800) 965-9775 or reporting incidents directly to the Compliance Officer. SMMC is committed to non-retaliation and will maintain, as appropriate, confidentiality and anonymity with respect to such disclosures.
Contractor understands that non-compliance with Federal and State health care program requirements, and failing to report any such violations, could result in termination of the Agreement and/or any other penalties as permitted by law.
Contractor is responsible for acquiring sufficient knowledge to recognize potential compliance issues applicable to the duties outlined in the Agreement and for appropriately seeking advice regarding such issues.
Contractor will not offer, give, or accept any “kickback,” bribe, payment, gift, or thing of value to any person or entity with whom SMMC has or is seeking any business or regulatory relationship in relation to said business or regulatory relationship (other than payments authorized by law under such relationships). Contractor will promptly report the offering or receipt of such gifts to the SMMC Compliance Officer.
Contractor will not engage in any financial, business, or other activity which may interfere or appear to interfere with the performance of the duties under the Agreement or that involve the use of SMMC/County property, facilities, or resources.
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Contractor will cooperate fully and honestly in the event that SMMC and/or County is audited by an outside agency including, but not limited to, compliance audits regarding enforcement of Federal and State regulations, any applicable accreditation standards, and/or SMMC system-wide policies.
TO REPORT VIOLATIONS,
CALL THE COMPLIANCE HOT LINE: (800) 965-9775
Contractor, in executing this Agreement, certifies that an authorized representative has received this Code of Conduct, understands it, has authority to commit Contractor to this Code of Conduct, and has committed Contractor to comply with this Code of Conduct.
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