ORANGE, COUNTY OF (55) - 2016 - Laserfiche WebLink

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I federal or state health care programs, and to further represent to CONTRACTOR that they do not have 2 any Ineligible Person in their employ or under contract. 3 5. Covered Individuals shall be required to disclose to CONTRACTOR immediately any 4 debarment, exclusion or other event that makes the Covered Individual an Ineligible Person. 5 CONTRACTOR shall notify ADMINISTRATOR immediately if a Covered Individual providing 6 services directly relative to this Agreement becomes debarred, excluded or otherwise becomes an 7 Ineligible Person. g 6. CONTRACTOR acknowledges that Ineligible Persons are precluded from providing federal 9 and state funded health care services by contract with COUNTY in the event that they are currently 10 sanctioned or excluded by a federal or state law enforcement regulatory or licensing agency. If 11 CONTRACTOR becomes aware that a Covered Individual has become an Ineligible Person, 12 CONTRACTOR shall remove such individual from responsibility for, or involvement with, COUNTY 13 business operations related to this Agreement. 14 7. CONTRACTOR shall notify ADMINISTRATOR immediately if a Covered Individual or 15 entity is currently excluded, suspended or debarred, or is identified as such after being sanction screened. 16 Such individual or entity shall be immediately removed from participating in any activity associated 17 with this Agreement. ADMINISTRATOR will determine appropriate repayment from, or sanction(s) to lg CONTRACTOR for services provided by ineligible person or individual. CONTRACTOR shall 19 promptly return any overpayments within forty-five (45) business days after the overpayment is verified 20 by the ADMINISTRATOR. 21 C. COMPLIANCE TRAINING — ADMINISTRATOR shall make General Compliance Training 22 and Provider Compliance Training, where appropriate, available to Covered Individuals. 23 1. CONTRACTOR shall use its best efforts to encourage completion by Covered Individuals; 24 provided, however, that at a minimum CONTRACTOR shall assign at least one (1) designated 25 representative to complete all Compliance Trainings when offered. 26 2. Such training will be made available to Covered Individuals within thirty (30) calendar days 27 of employment or engagement. 28 3. Such training will be made available to each Covered Individual annually. 29 4. Each Covered Individual attending training shall certify, in writing, attendance at 30 compliance training. CONTRACTOR shall retain the certifications. Upon written request by 31 ADMINISTRATOR, CONTRACTOR shall provide copies of the certifications. 32 D. MEDICAL BILLING, CODING, AND DOCUMENTATION COMPLIANCE STANDARDS 33 1. CONTRACTOR shall take reasonable precaution to ensure that the coding of health care 34 claims, billings and/or invoices for same are prepared and submitted in an accurate and timely manner 35 and are consistent with federal, state and county laws and regulations. 36 2. CONTRACTOR shall not submit any false, fraudulent, inaccurate and/or fictitious claims 37 for payment or reimbursement of any kind. 8 of 25 X +CONTRACTS -2015-2015-n IO PH FIT Cr[ IPS MINI Oa wNTS, SANTA ANA FY 1 A I6 CA.uoC SAN i SPHKK I6