SOLICITATION NOTICE
R -- Electonic Billing System
- Notice Date
- 11/21/2013
- Notice Type
- Combined Synopsis/Solicitation
- NAICS
- 511210
— Software Publishers
- Contracting Office
- N00259 Naval Medical Center San Diego Material Management 34800 Bob Wilson Drive San Diego, CA
- ZIP Code
- 00000
- Solicitation Number
- N0025914T0028
- Response Due
- 12/19/2013
- Archive Date
- 12/31/2013
- Point of Contact
- Joseph Bancod 619-532-6165
- E-Mail Address
-
CONTRACT SPECIALIST
(joseph.bancod@med.navy.mil)
- Small Business Set-Aside
- Total Small Business
- Description
- The proposed contract action is for Service and commercial items for Third Party Collection system and Third Party Collection Services prepared in accordance with FAR12-6 as supplemented with additional information included in this notice. This announcement constitutes the only solicitation, quotations are being requested and a written solicitation will not be issued. PAPER COPIES OF THIS SOLICITATION WILL NOT BE AVAILABLE. Furthermore, this solicitation is 100% Small business set-aside ONLY. This solicitation number N00259-14-T-0028 is issued as a request for quotation (RFQ). The closing date is, 19th December 2013 @ 08:00a.m All interested bidders shall submit quotations electronically by email to Joseph.Bancod@med.navy.mil or by facsimile at 619-532-5596, attention Joseph Bancod. E-mail submissions are limited to 2MB. The submitter should confirm receipt of facsimile and email submissions. Quotations are due on or before 19th December 2013, 08:00AM Pacific Standard Time to be considered responsive The government will only consider firm fixed-price quotations. Offeror must complete and submit with the quotation FAR provision 52.212-3 Offeror Representations and Certifications-Commercial Items(MAR 2012) Offeror must be registered on the System for Award Management Registration(SAM) prior to award. The website address is www.sam.gov. A Data Universal Number System (DUNS) number is required to register.. CLIN 0001: Implementation Cost Quantity 01 Unit of Issue Each Price $_______________________. Implementation cost for Billing System in accordance with the Performance Work Statement. Period of Performance 01 January 2014-31 December 2014. CLIN 0002: Service Maintenance Quantity 01 Unit of Issue Each Price $_______________________. System Maintenance for Billing System in accordance with the Performance Work Statement. Period of Performance 01 January 2014-31 December 2014. CLIN 0003: Hosting Service Quantity 01 Unit of Issue Each Price $_____________________________. Hosting cost for Billing System in accordance with the Performance Work Statement. Period of Performance 01 January 2014-31 December 2014. CLIN 0004: Claim Processing Fees Quantity 01 Unit of Issue Each Price $_____________________________. Claim Processing Fees for Billing System in accordance with the Performance Work Statement. Period of Performance 01 January 2014-31 December 2014. CLIN 0005: Third Party Collection System(TPOCS) Data Conversion Quantity 01 Unit of Issue Each Price $_____________________________. Third Party Collection System(TPOCS) Data Conversion for Billing System in accordance with the Performance Work Statement. Period of Performance 01 January 2014-31 December 2014. CLIN 0006: Servers Quantity 02 Unit of Issue Each Price $_____________________________. Servers for Billing System in accordance with the Performance Work Statement. Period of Performance 01 January 2014-31 December 2014. CLIN 0007: Training Quantity 01 Unit of Issue Each Price $_____________________________. Training for Billing System in accordance with the Performance Work Statement. Period of Performance 01 January 2014-31 December 2014. All responsible sources may submit a quotation, which shall be considered by the agency. The government will only consider firm, fixed price quotation. Contractor must be registered to the SAM prior to award. The website address for SAM registration is www.sam.gov. Contractor MUST complete FAR 52.212-3, Offeror Representations and Certifications Commercial Items, when submitting a proposal. The website address is http://www.Acquisition.gov. DELIVERY ADDRESS: Naval Medical Center, 34800 Bob Wilson Drive, San Diego, CA. 92134 The attached solicitation document and incorporated provisions and clauses are those in effect through FAC 2005-70. It is the contractor s responsibility to be familiar with the applicable clauses and provisions. The clauses may be accessed in full text at www.acquisitions.gov and or www.asq.osd.mil. 52.204-13 System for Award Management(SAM) Maintenance 52.209-6 Protecting the Government s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. 52.212-1 Instruction to Offerors-Commercial Item (FEB 2012) 52.212-2, Evaluation Commercial Items (JAN 1999), (i) Technical capability of the item offered to meet the Government requirement; (ii) past performance; (iii) Price (must provide past performance within the last three years) Technical and past performance when combined are more important than price. The following factors shall be used to evaluate offers in descending order of importance: FACTOR 1: Technical Capability defined as the contractor s ability to have the basic knowledge of Third Party Outpatient Collection system(TPOCS), experience working with billing functions, collection functions and understanding of ALL requirements stated on the Performance Work Statement for the government s requirements as stated in the PWS. FACTOR 2: Past Performance Provide three (3) references with the Point of contact, telephone number, address, contract numbers, addressing that you have provided the same services within the last 3 years. FACTOR 3: Price The government shall conduct a price evaluation of all technically acceptable offers with satisfactory past performance. Contractors who do not meet the first 2 factors will not undergo a price evaluation. 52.212-3 Offeror Representations and Certification--Commercial Items (MAR 2012) 52.212-4 Contract Terms and Conditions--Commercial Items (FEB 2012) 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders--Commercial Items (MAR 2012) 52.204-10 Reporting Executive Compensation and First-tier Subcontract Awards(FEB 2012) 52.219-6, Notice of Total Small Business Set-Aside(NOV 2011) 52-219-8 Utilization of Small Business Concerns(JAN 2011) 52-219-28 Post Award Small Business Program Representation(APR 2009). 52.222-3 Convict Labor (JUN 2003) 52.222-19 Child Labor -- Cooperation with Authorities and Remedies (MAR 2012) 52.222-21 Prohibition of Segregated Facilities(FEB 1999) 52.222-26 Equal Opportunity (MAR 2007) 52.222-36 Affirmative Action for Workers with Disabilities (OCT 2010) 52.225-13 Restrictions on Certain Foreign Purchases (JUN 2008) 52.232-33 Payment by Electronic Funds Transfer-Central Contractor Registration (OCT 2003) 52.252-1 Solicitation Provisions Incorporated by Reference (FEB 1998) 52.252-2 Clauses Incorporated By Reference (FEB 1998) 252.204-7004 Alternate A, Central Contractor Registration (SEP 2007) 252.212-7001 Contract Terms and Conditions Required to Implement Statutes or Executive Orders Applicable to Defense Acquisitions of Commercial Items (MAR 2012) 252.225-7001 Buy American Act and Balance of Payments Program (OCT 2011) 252.225-7002 Qualifying Country Sources As Subcontractors (APR 2003) 252.232-7003 Electronic Submission of Payment Requests (OCT 2012) PERFORMANCE WORK STATEMENT BILLING, COLLECTIONS AND ACCOUNTING SYSTEM (BCAS) FOR TPOCs CONVERSION SYSTEM FOR THIRD PARTY COLLECTION SERVICES NAVAL MEDICAL CENTER SAN DIEGO 1.0 Introduction/Background 1.1 Background: Various portions of U.S. Code (USC), the Code of Federal Regulations (CFR) and Department of Defense (DoD) directives require the Services to bill certain payers for the cost of healthcare delivered to persons who are seen in fixed Military Treatment Facilities (MTFs). Specifics of the statutory and regulatory requirements can be found in 32 CFR 728 (requires that designated non-DoD beneficiaries be billed for healthcare delivered in Naval MTFs referred to as Medical Services Accounts (MSA)), 10 USC 1095 (requires DoD MTFs to bill third party payers for the costs of healthcare delivered to DoD beneficiaries with other health insurance (OHI) referred to as Third Party Collections (TPC)), 42 USC 2651-2653 (which requires DoD MTFs to bill entities for the cost of healthcare incurred as a result of a tort liability referred to as Medical Affirmative Claims (MAC), and DoD 6010.15-M Military Treatment Facility Uniform Business Office (Uniform Business Office Manual). 1.2 These billing functions have been performed by Naval Medical Center, San Diego Uniform Business Office personnel using the patient encounter data recording, billing, and collection functions resident in the Composite Healthcare System (CHCS) and the Third Party Outpatient Collection System (TPOCS). However, as per the Assistant Secretary of Defense (Health Affairs) memo of 13 Dec 2010, the Office of the Secretary of Defense (OSD) will sunset support for Third Party Outpatient Collection System on 1 Oct 2014, while Third Party Outpatient Collection System will be unusable for new claims with service dates after 1 Dec 2013. Additionally, ASD(HA) has advised the Services that their replacement system should not just support Third Party Collections (outpatient) billing/collections, but should also replace the functionality provided by CHCS for Third Party Collections (inpatient), Medical Service Account and Medical Affirmative Claims billing/collections. 2.0 OBJECTIVE THIRD PARTY OUTPATIENT COLLECTION SYSTEM CONVERSION 2.1 The scope of this requirement is to procure and maintain a Government billing, collection and accounting system that will replace the medical billing, collections and accounting functionality provided in the current Third Party Outpatient Collection System billing system and to include Third Party Collections, Medical Affirmative Claim, and Medical Service Account transactions. This system must meet all audit, and Account Receivable reporting requirements of the Department of Defense as currently established in all written regulations, instructions, standard operating procedures, and must be able to meet any future audit, and account receivable reporting requirements as established. These include but are not limited to: Department of Defense Financial Management Regulations Volume 1 through Volume 15 and the Resource Managers Desktop Guide. There will not be supplemental systems to support entries with additional documentation. This system must provide all information needed to pass an audit (in other words, this must be a financial system of record). 2.2 The contractor shall also provide other functions recorded offline (on paper or in a data spreadsheet); it will also replace the ability of the Navy Medicine Allowance Calculation Tools (NMACT) to generate net realizable values (NRVs) for all generated invoices/claims. The billing and collection system will be employed by the Uniform Business Office at Naval Medical Center, San Diego, and be the single source of financial information for the accounting of Uniform Business Office receivables. The requirement is to seek a current and immediate replacement which shall be completely independent of the Third Party Outpatient Collection System. 3.0 REQUIREMENTS. 3.1 Contractor shall provide and maintain a Government billing, collection and accounting system to replace Third Party Outpatient Collection System. Contractor will include all Third Party Collections (TPC), Medical Affirmative Claim (MAC) and Medical Service Account ( MSA) transactions: one system for the Military Treatment Facility (MTF) lines of business and shall include: 3.1.1 Third Party Collections (TPC), all inpatient and outpatient transactions. 3.1.2 Historical Data Conversion from Third Party Outpatient Collection System (Military Treatment Facility will stop utilizing Third Party Outpatient Collection System upon completion of conversion). Historical data is in Third Party Outpatient Collection System file format and is proprietary information. Contractor is responsible for obtaining access to the historical data and creating the conversion files. 3.1.3 Historical Data conversion from Naval Medical Center, San Diego Denial Management Database to the Billing, Collections and Accounting System (BCAS). Database is in Microsoft Access and all information is in Microsoft Access file formats. 3.1.4 Medical Affirmative Claim All Medical Affirmative Claims will move to a manual queue for approval by Naval Medical Center San Diego billing staff. 3.1.5 Contractor shall provide system training. 3.1.6 The contractors system will provide electronic billing for payers that accept electronic claims. 3.1.7 Contractor shall provide all software and hardware required in the performance of this contract including any required maintenance. 3.1.8 Since this is an electronic billing system accessed through the web, contractor system shall include the management of raw data and the servers (hosting off-site). 3.1.9 Contractor will purchase/provide all servers. 3.1.10 Help Desk with trouble ticket inputs during normal business hours (0730-1600 Pacific Standard Time). The contractor shall establish a helpdesk that can provide training and assistance to Naval Medical Center San Diego Uniform Business Office personnel for any issues regarding the use of the billing system by Government personnel. 3.1.11 The contractor s system shall extract billable data from Composite Healthcare System for Third Party Collections, Medical Service Accounts and Medical Affirmative Claims billable transactions. 3.1.12 Contractor system shall include Navy Medicine Allowance Calculation Tool (NMACT). (See Section 2.2). 3.1.13 The billing and collection system shall be deployed within 30 days of award of contract and shall be the single source of financial information for the accounting of Uniform Business Office receivables. 3.1.14 Revenue collected will be sent directly from the insurance companies to Naval Medical center San Diego 4.0 Scope of Work 4.1 The contractor will provide a stand-alone fully automated enterprise web-based medical billing system to completely integrate the Uniform Business Office (UBO) Billing, Collections and Accounting System (BCAS) to help collect monies from third-party insurance claims (TPC), self-pay patients (MSA) and all tort liability claims (MAC) which shall be purchased in the form of licenses. The contractor s system shall comply with the Privacy Act of 1974, Health Insurance Portability and Accountability Act (HIPAA) provisions that apply to Protected Health Information. The contractor s system shall have the capacity to submit both in electronic and paper format for all claims forms in current use and any new formats required by law. 5.0 DELIVERABLE 5.1 All deliverables will be accepted via electronic media/mail. All requirements and duties described in the Performance Work Statement shall be initiated and completed within the established schedule/guideline. Acceptance of the deliverables shall be the responsibility of the Contracting Officer s Representative. 5.2 Prepare/Process/Submit Invoices/Claims. For all TPC, MSA and MAC transactions, the contractor system shall generate claims and submit those claims to the medical insurance carriers or appropriate payer. The system shall also record payments, write-offs and non-payment reasons; maintain an audit trail by user for claim and invoice actions. 5.3 Manage an accounts receivable (AR)/maintain a record of accounts. The billing system shall maintain an account receivable as follows: 5.3.1 Sales Codes. UBO activities for this contract occur in several lines of business; Third Party Collections (TPC), Medical Service Accounts (MSA) and Medical Affirmative Claims (MAC). 5.3.2 TPC Sales Codes. The system shall assign TPC events a Sales Code of either TPT (TPC (outpatient)) or TPN (TPC (inpatient)). Encounters arising from an inpatient disposition for a DoD beneficiary with OHI are considered TPC (inpatient). All other encounters for DoD beneficiaries with OHI are considered TPC (outpatient). 5.3.3 MAC. The MTF staff shall assign MAC encounters which shall be assigned Sales Codes of TPL and input Sales Codes into system. 5.3.4 MSA. The system shall assign various sales codes dependent upon the Patient Category 5.4 Generate (NRV) Program Performance Metrics. The system shall prepare Third Party Collection (TPC) (outpatient and inpatient), Medical Services Accounts (MSA), (except for MSA IABs) and age all open claims AR and generate a Net Realizable Value (NRV). The system shall age the AR and shall generate a NRV by UBO line of business (TPC out and in). 5.5 Gain/Maintain approval as Government financial system of record. The billing and collection system (and its business rules and methodologies) shall constitute a Government billing system of record and, as such, be available for periodic review by Government auditors and examiners. Access to the system by contractor personnel shall be subject to Government review and oversight. 5.6 Obtain an authority to operate/connect (ATO/ATC). The government shall require a DoD Information Assurance Certification and Accreditation Process (DIACAP) on contractor s system. The Government will be responsible to perform the DIACAP certification and provide interim authority to operate. The DIACAP accreditation will be achieved within 60 days. 5.7 Provide a detailed training/operation manual. Manual will provide detailed guidance in all operations including creating, approving, transmitting, printing, transaction posting, report creation, report printing, and audit trail printing. 6.0 GOVERNMENT QUALITY ASSURANCE SURVEILLANCE PLAN 6.1Quality Control 6.1.1Contractor Quality Control. The Contractor is responsible for management and quality control actions necessary to meet the quality standards set forth in the contract. The contractor shall develop and maintain an effective QC program to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor's QC program is the means by which he assures himself his work complies with the requirement of the contract. It is not required that the Contractor submit their plan to the Government. 6.2Government Quality Assurance. The government shall evaluate the contractor's performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the government must do to ensure the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rates. 6.2.1 Quality Assurance Surveillance Plan. This QASP has been developed as the principal basis for assessing overall contract performance. The following table will be used by the Government to assess the effectiveness of the Contractor s services. This QASP provides the methodology by which the Contractor's performance will be monitored to determine compliance with established performance objectives, and to establish performance benchmarks that ensure a quantifiable basis for measuring effectiveness. The plan is designed to limit surveillance to the minimum necessary to verify that the Contractor is satisfactorily performing services directly related to the performance objectives of this Performance Work Statement (PWS). Performance objectives are those designated with corresponding performance measures and standards. 6.2.2 Table Quality Assurance Surveillance Plan PWS # Deliverable Acceptable Quality LevelSurveillance MethodDisincentive/Incentive 2.2NRV Program Performance Metrics Report (BUMED).92% with no discrepancies.100% Review of Monthly Report.Contract Discrepancy Report (CDR). 3.1.10Trouble Tickets Resolved in 48 hours.95% of all tickets resolved in 48 hours.Review of Contractor s weekly report.Contract Discrepancy Report (CDR). 3.1.13 and 4.1Software deployed as specified in PWS, and functioning as specified.Deployed within 30 days of Award.Functional Testing of Software.Contract Discrepancy Report (CDR). 5.7On-site training and Manual delivered. Delivered within 60 days of awardSuccessful Training and review of Manuals. Contract Discrepancy Report (CDR). 6.2.3. Delivery Address The contractor shall submit all deliverables to the following addresses via electronic mail: Joseph Bancod Email: joseph.bancod@med.navy.mil 7.0 CONTRACT DISCREPANCY REPORTS (CDRs) 7.1.1 In instances where the Contractor s performance takes exception to the contract and/or is unacceptable, the KO will issue a CDR to the Contractor consistent with section 6.2.2 of the Table Quality Assurance Surveillance Plan. 7.1.2. The KO shall ensure that all inspection data is attached to the CDR. The Contractor cannot be expected to respond to performance deficiencies that are not clearly and specifically identified. A cover memorandum on the CDR should specify that the Contractor has three working days to respond in writing to the KO. 7.1.3. Upon return of the CDR package from the Contractor, the KO shall review the Contractor s comments and give careful, objective consideration to the facts and mitigating circumstances documented in the response. The KO shall then make a final recommendation on the acceptability of Contractor performance and note it on the CDR. The KO shall state why the Contractor s response does or does not have merit. The KO shall attach as much additional documentation as required to support their findings and recommendations. 7.1.4. The Contracting Officer(KO) shall forward copies of each completed CDR and the final recommendation to (1) the Contractor for final response to CDR. 7.1.5. Contract Discrepancy Form(CDR) CONTRACT DISCREPANCY REPORT(CDR)FORM Contract Number: Contract Clause: Date: Occurrence Date: KO Findings: Please respond to this CDR within 3 business days. KO (sign and date): /s/ Contracting Officer's Contractor Response: Contractor Project Manager (sign and date): KO Determination/Recommendation: KO (sign and date): /s/ 8.0 Place of Performance The work to be performed under this contract shall be performed at the contractor s site and maintained remotely, and made available for use by the MTF. 9.0 Information Security (IS) The contractor shall protect against unauthorized disclosure of data to ensure the privacy of Government contractors and private individuals for which the information is maintained. All data maintained by the contractor s accounts receivable management system is subject to the provisions of the Privacy Act of 1974; DoD 5400.11-R, DoD Privacy Program; and DoD 5200.11-R, DoD Information Security Program, The contractor shall ensure that the application meets the features of identification and authentication, auditing, and discretionary access control. Additionally, the contractor will employ FIPS 140-1 compliant encryptions and digital certificates for web based components. 10.0 Patient Information All data received, processed, evaluated, loaded and/or created as a result of this contract shall remain the sole property of Naval Medical Center San Diego. Appendix A Copy of Sample Business Associate Agreement and Data Use Agreement Department of Defense Standard Clause for Business Associates with HITECH Act Information Introduction In accordance with DoD 6025.18-R Department of Defense Health Information Privacy Regulation, January 24, 2003, the Contractor meets the definition of Business Associate. Therefore, a Business Associate Agreement is required to comply with both the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security regulations. This clause serves as that agreement whereby the Contractor agrees to abide by all applicable HIPAA Privacy and Security requirements regarding health information as defined in this clause, and in DoD 6025.18-R and DoD 8580.02-R, as amended. Additional requirements will be addressed when implemented. (a) Definitions. As used in this clause generally refer to the Code of Federal Regulations (CFR) definition unless a more specific provision exists in DoD 6025.18-R or DoD 8580.02-R. HITECH Act shall mean the Health Information Technology for Economic and Clinical Health Act included in the American Recovery and Reinvestment Act of 2009. Individual has the same meaning as the term individual in 45 CFR 160.103 and shall include a person who qualifies as a personal representative in accordance with 45 CFR 164.502(g). Privacy Rule means the Standards for Privacy of Individually Identifiable Health Information at 45 CFR part 160 and part 164, subparts A and E. Protected Health Information has the same meaning as the term protected health information in 45 CFR 160.103, limited to the information created or received by the Contractor from or on behalf of the Government pursuant to the Contract. Electronic Protected Health Information has the same meaning as the term electronic protected health information in 45 CFR 160.103. Required by Law has the same meaning as the term required by law in 45 CFR 164.103. Secretary means the Secretary of the Department of Health and Human Services or his/her designee. Security Incident will have the same meaning as the term security incident in 45 CFR 164.304, limited to the information created or received by Contractor from or on behalf of Covered Entity. Security Rule means the Health Insurance Reform: Security Standards at 45 CFR part 160, 162 and part 164, subpart C. Terms used, but not otherwise defined, in this Clause shall have the same meaning as those terms in 45 CFR 160.103, 160.502, 164.103, 164.304, and 164.501. (b) The Contractor shall not use or further disclose Protected Health Information other than as permitted or required by the Contract or as Required by Law. (c) The Contractor shall use appropriate safeguards to maintain the privacy of the Protected Health Information and to prevent use or disclosure of the Protected Health Information other than as provided for by this Contract. (d) The HIPAA Security administrative, physical, and technical safeguards in 45 CFR 164.308, 164.310, and 164.312, and the requirements for policies and procedures and documentation in 45 CFR 164.316 shall apply to Contractor. The additional requirements of Title XIII of the HITECH Act that relate to the security and that are made applicable with respect to covered entities shall also be applicable to Contractor. The Contractor agrees to use administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits in the execution of this Contract. (e) The Contractor shall, at their own expense, take action to mitigate, to the extent practicable, any harmful effect that is known to the Contractor of a use or disclosure of Protected Health Information by the Contractor in violation of the requirements of this Clause. These mitigation actions will include as a minimum those listed in the TMA Breach Notification Standard Operating Procedure (SOP), which is available at: http://www.tricare.mil/tmaprivacy/breach.cfm (f) The Contractor shall report to the Government any security incident involving protected health information of which it becomes aware. (g) The Contractor shall report to the Government any use or disclosure of the Protected Health Information not provided for by this Contract of which the Contractor becomes aware. (h) The Contractor shall ensure that any agent, including a subcontractor, to whom it provides Protected Health Information received from, or created or received by the Contractor, on behalf of the Government, agrees to the same restrictions and conditions that apply through this Contract to the Contractor with respect to such information. (i) The Contractor shall ensure that any agent, including a subcontractor, to whom it provides electronic Protected Health Information, agrees to implement reasonable and appropriate safeguards to protect it. (j) The Contractor shall provide access, at the request of the Government, and in the time and manner reasonably designated by the Government to Protected Health Information in a Designated Record Set, to the Government or, as directed by the Government, to an Individual in order to meet the requirements under 45 CFR 164.524. (k) The Contractor shall make any amendment(s) to Protected Health Information in a Designated Record Set that the Government directs or agrees to pursuant to 45 CFR 164.526 at the request of the Government, and in the time and manner reasonably designated by the Government. (l) The Contractor shall make internal practices, books, and records relating to the use and disclosure of Protected Health Information received from, or created or received by the Contractor, on behalf of the Government, available to the Government, or at the request of the Government to the Secretary, in a time and manner reasonably designated by the Government or the Secretary, for purposes of the Secretary determining the Government s compliance with the Privacy Rule. (m) The Contractor shall document such disclosures of Protected Health Information and information related to such disclosures as would be required for the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528. (n) The Contractor shall provide to the Government or an Individual, in time and manner reasonably designated by the Government, information collected in accordance with this Clause of the Contract, to permit the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528. General Use and Disclosure Provisions Except as otherwise limited in this Clause, the Contractor may use or disclose Protected Health Information on behalf of, or to provide services to, the Government for treatment, payment, or healthcare operations purposes, in accordance with the specific use and disclosure provisions below, if such use or disclosure of Protected Health Information would not violate the HIPAA Privacy Rule, the HIPAA Security Rule, DoD 6025.18-R or DoD 8580.02-R if done by the Government. The additional requirements of Title XIII of the HITECH Act that relate to privacy and that are made applicable with respect to covered entities shall also be applicable to Contractor. Specific Use and Disclosure Provisions (a) Except as otherwise limited in this Clause, the Contractor may use Protected Health Information for the proper management and administration of the Contractor or to carry out the legal responsibilities of the Contractor. (b) Except as otherwise limited in this Clause, the Contractor may disclose Protected Health Information for the proper management and administration of the Contractor, provided that disclosures are required by law, or the Contractor obtains reasonable assurances from the person to whom the information is disclosed that it will remain confidential and used or further disclosed only as required by law or for the purpose for which it was disclosed to the person, and the
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- Place of Performance
- Address: NAVAL MEDICAL CENTER SAN DIEGO
- Zip Code: 34800 BOB WILSON DRIVE, SAN DIEGO, CA
- Zip Code: 34800 BOB WILSON DRIVE, SAN DIEGO, CA
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