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L&I FAQs

Guidelines and Reimbursement. L&I FAQs. Guidelines on treating work related injuries. 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

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L&I FAQs

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  1. Guidelines and Reimbursement L&I FAQs

  2. Guidelines on treating work related injuries

  3. 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 Medical Management

  4. Patients fills out Report of Accident (ROA) and signs Provider complete as much as possible Sign and date form Complete APF form Registration faxes form Not completing/faxing form rejects and/or delays care which correlates in poorer outcomes and increased disability! Administrative Considerations

  5. Forms Report of Industrial Injury or Occupational Disease

  6. APF Form

  7. Only filled out with initial ROA APF Form 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

  8. HIPAA

  9. 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 Reimbursement

  10. 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 COHE

  11. 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 Talking Points With Patients

  12. 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 Summary

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