L&I FAQSGuidelines and Reimbursement

GUIDELINES ON TREATING WORK RELATED INJURIES

MEDICAL MANAGEMENT Minimize use of opiates Prompt return to work is encouraged Convey work restrictions to the

patient’s employer Refer to Occ. Medicine clinic for follow

up Prompt follow up encourages,

especially if time off

ADMINISTRATIVE CONSIDERATIONS Patients fills out Report of Accident (ROA)

and signs Provider complete as much as possible Sign and date form Complete APF form Registration faxes formNot completing/faxing form rejects and/or delays care which correlates in poorer outcomes and increased disability!

FORMSReport of Industrial Injury or Occupational Disease

APF FORM

APF FORMOnly filled out with initial ROA

This info is provided on top of L&I form by patient.document whom you called, what was discussed (work restrictions and duration of restrictions) and the time it took

HIPAA

REIMBURSEMENT APF Form $49.18 Telephone call with employer

$22.69-63.64

Report of Accident (L&I form) Within 5 business days $37.84 Within 6-8 days $27.84 More than 9 days $17.84

COHE

1. View the webinar.  (http://orientation.fhshealth.org/OccupationalMedicine.wmv)

2.  Complete the quiz  - http://orientation.fhshealth.org/OccMedtestquestionsWebinar4-19-13FinalVersion.docx

3. Complete the COHE provider application (see attached) email completed form to Nicole Cushman and cc Laurel Green… nicolecushman@fhshealth.org Laurel_green@fhshealth.org

TALKING POINTS WITH PATIENTS

Activity helps you recover Some discomfort is normal when

returning to activities after an injury You can help with your own recovery You can protect yourself from re-injury Early and safe return to work makes

sense

SUMMARY L&I paperwork is vital to ensure quality patient

care Registration key in facilitating and forwarding

claims APF form does exist and should be clipped to

all forms for completion 3 opportunities for reimbursement, up to $150

per claim Document in EPIC that you completed ROA,

APF and +/- call to supervisor