Enclosure_2_Sample_Exhibit_E_-_Corporate_Compliance_Code_of_Conduct_(Third_Parties).pdf
PDF 33 KB Posted
- Attached to
- Hosptial and Professional Coding Audits
- Solicitation number
- 66000-2526-219
- Issued by
- San Mateo County, San Francisco City, California
About this file
This document is a Corporate Compliance Code of Conduct template for third-party contractors working with San Mateo Medical Center (SMMC), a public hospital and clinic system in San Mateo County, California. The code of conduct establishes mandatory compliance requirements for contractors engaged to perform hospital and professional coding audits. Contractors must comply with all Federal, State, and other governmental health care program requirements, including the accurate submission of Federal health care cost reports and information regarding acute available bed count for Disproportionate Share Hospital (DSH) payments. The RFP was released on October 10, 2025, with proposals due on November 14, 2025, at 1:00 pm, and the contract term is five years. Site visits and bidder's meetings are not specifically mentioned in this compliance document.
The code of conduct requires contractors to report suspected violations of Federal health care program requirements within fifteen (15) days of discovery to the SMMC Compliance Officer, with an available confidential reporting option through the Compliance Hotline at (800) 965-9775. Contractors are prohibited from offering, giving, or accepting kickbacks, bribes, payments, gifts, or things of value in relation to SMMC's business or regulatory relationships, and must cooperate fully in any audits conducted by outside agencies. Non-compliance with these requirements could result in contract termination and other penalties as permitted by law. The document requires that an authorized representative of the contractor certify receipt and understanding of the code of conduct and commit the contractor to full compliance as a condition of executing the agreement.
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Text version
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.
Template Version December 2, 2016 1
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.
Template Version December 2, 2016 2
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