Welcome

CapPlus is a comprehensive insurance program to protect the Healthcare Industry.

Comprehensive cost-effective coverage for Medicare/Medicaid fraud and abuse allegations, STARK, HIPAA, EMTALA and defense costs of HMO and third party investigations of billing fraud. Designed in consultation with healthcare providers, Cap Plus also provides an upfront compliance audit of current level of exposure and a comprehensive compliance program that includes a written compliance plan, policies and procedures manual and training.

Compliance

CAP plus includes a Corporate Compliance Program that includes:
    * a written compliance plan for regulatory issues as well as HIPAA,
    * policies and procedures manual
    * training of compliance officer and office staff,
    * a review of your CPT billing codes and self audit procedures.

The CPT review allows us to analyze your coding and billing patterns in relationship to your peers in your geographic area. This method of analysis simulates the methodology employed by governmental regulatory agencies in determining which physicians are to be targeted for audit.

This program will help you achieve compliance with the Program Compliance Guidance for Individual and Small Group Practices published October 5, 2000 by the OIG as well HIPAA related issues for the future.

 Compliance Program Includes:

    * Program Manual
    * Introduction & Overview
    * Implementation Schedule & Plan
    * Compliance Plan Document for Regulatory Compliance & HIPAA
  * Applicable Forms & Exhibits
    * Orientation Program for Compliance Officer
    * Orientation Program for Employees
    * Initial CPT Risk Assessment. Every 6 months thereafter.
    * Internal Self Audit Program & Risk Assessment
    * Who to Contact
    * FAQ
  * Compliance Newsletters/Updates (HIPAA)

Questions...toll free....800-724-2627