CARE AMBULANCE SERVICES, INC. (2)

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stances may a CARE colleague use patient, colleague or any other individu- al's or entity's information for his or her personal benefit (e.g., to perpetrate Identity theft). — CARE bears a great responsibility to the public to accu> rately bill for services. Only those services that are medically necessary and properly authorized, ordered, and performed will be billed. We have implemented policies, procedures and systems to facilitate accurate billing to government payers, commercial insurance payers, and patients. These policies, procedures, and systems conform to pertinent Federal and state laws and regulations. We prohibit any colleague or agent of CARE from knowingly presenting or causing to be presented claims for pay- ment or approval which are false, fictitious, or fraudulent, or from retaining any funds to which the person or CARE is not entitled beyond the refund deadline. For additional information, see the CARE Compliance Policies and Procedures. In support of accurate billing, medical records must provide reliable, accu. rate, and timely documentation of the services we render, it is important that all individuals who contribute to medical records provide accurate infor- mation and do not destroy any information considered part of the official medical record. Any subcontractors engaged to perform billing or coding services are ex- pected xpected to have the necessary skills, quality control processes, systems, and appropriate procedures to ensure all billings for government and commercial insurance programs are accurate and complete. CARE requires such entities M have their own ethics and compliance programs and code of conduct or to adopt CARE's code as their own. In addition, third -party billing entities, con- tractors, and preferred vendors under contract consideration must be approved consistent with CARE's cor- porate policy on this subject. 13