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| The Role of the Claims Services Department |
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Hotline
800-252-0555
The Hotline is a benefit of membership. This free and confidential 24-hour service provides you with answers to your urgent risk management and claims questions. If you have a situation that calls for guidance on how to best handle an event, reduce your exposure, and/or best manage the risks involved - call the Hotline. CAP is here to help.
Most importantly, the Hotline provides you with the means to report a claim or an adverse event. The Hotline can also answer a variety of questions that arise in your every day practice.
While the Hotline is a valuable asset and service to our Members, it is not the answer for everything. The Hotline's primary mission is to be a resource for risk management and reporting of incidents, claims, and lawsuits. It can best serve you by observing the following tips on how to use the Hotline.
Please
use the Hotline
to get answers about:
- Charting issues arising from complications - what to chart and how to chart it.
- How long to keep records.
- How to discharge a patient from your practice. Click here
- Defusing the angry patient. Click here
- Patients who threaten "malpractice" over collections and billing disputes.
- Consent issues for adults and minors.
- Confidentiality or patient records.
- Handling managed care risks imposed on your practice. Click here
- Authorizations, subpoenas, and requests for patient records.
- Duty to treat and how to manage its risks, i.e., HIV, discrimination, and abandonment.
- Your exposure for assuming the role of a specialist.
- Mandatory reporting issues.
- General Risk Management issues. Click here
- Informed refusal.
- How to manage the risk of medical emergencies in the office.
- Closing your medical practice. Click here
For help with the following topics, please refer to these additional resources:
Your personal attorney:
- Criminal Matters
- Antitrust and Securities issues.
- Partnerships, corporations, or solo practice.
CAP Insurance Services 800-252-7706:
- Employment and labor law issues: Hotline 213-629-7965
- EPLI:
To view the new Physician's Guide to Employment
Practices Liabilities Click
here.
- MedDefense:
Medical Board of California and Fraud & Abuse
disciplinary matters: To report a claim 800-327-3636
The California State Labor Board:
- The Workers' Compensation system and Qualified Medical Evaluations.
Your hospital:
- Staff privileges and credentialing.
- Hospital Bylaws.
- Hospital Peer Review issues.
OSHA and Cal-OSHA:
- OSHA compliance and work related safety regulations.
US Department of Labor - Occupational Safety & Health Administration
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