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Center of Occupational Health & Education (COHE) Provider Orientation – Part IV.

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Presentation on theme: "Center of Occupational Health & Education (COHE) Provider Orientation – Part IV."— Presentation transcript:

1 Center of Occupational Health & Education (COHE) Provider Orientation – Part IV

2 Topics  Introduction  What is a COHE?  Why health care providers participate  How your COHE is organized  COHE’s future  Occupational health best practices –Process –Report of Accident –Activity Prescription Form –Health care provider / employer phone call  COHE provider resources

3 Provider / Employer Phone Call  Purpose: –Communication with the employer about restrictions, modified work, and treatment plan –Answer their questions  Role of HIPAA in workers’ compensation  Billing code and modifier  Clinic/department process

4 SOAPER Chart Notes S: The worker’s subjective complaints O: The provider’s objective findings A: The provider’s assessment P: The provider’s treatment plan E: Employment issues R: Restrictions to work

5 Topics  Introduction  What is a COHE?  Why health care providers participate  How your COHE is organized  COHE’s future  Occupational health best practices –Process –Report of Accident –Activity Prescription Form –Provider / Employer Phone Call –Barriers to Recovery Assessment  COHE provider resources

6 Barriers to Recovery Assessment  Purpose: –Prevent long-term disability  Identifying a patient –Your experience –HSC information –Time-loss checkpoint –Barriers checklist  Referring a patient –Work with your HSC –Utilizing your COHE Advisors –Not changing attending –Must include an office visit –Completing a detailed chart note  Special billing codes  Clinic/department processes

7 Other COHE Services  Working with your Health Services Coordinator (HSC)  Utilizing COHE Advisors  Continued training on Occupational Health  Making the best use of your provider reporting  Attending Provider in the Program (APP) Toolkit  Special services for “low volume” providers  L&I Medical Treatment Guidelines (www.Lni.wa.gov/ClaimsIns/Providers/www.Lni.wa.gov/ClaimsIns/Providers/ TreatingPatients/TreatGuide/TreatingPatients/TreatGuide/)

8 Working With Your HSC  Return-to-work coordination  Claim specific questions  L&I questions

9 Introduction to COHEs, Part IV Questions 1.The health care provider and employer phone call allows: a.The employer to ask questions b.The health care provider, injured worker, and employer to discuss modified duty c.The health care provider to understand the injured worker’s work environment d.All of the above e.a and c 2.The Barriers to Recovery Assessment: a.Is required on all claims b.Only reviews the injured worker’s medical issues c.Requires an augmented chart note d.a and c e.a and b

10 Questions?  COHE Intranet: insert URL here  L&I COHE Information: www.Lni.wa.gov/ClaimsIns/Providers/Proj ResearchComm/OHS www.Lni.wa.gov/ClaimsIns/Providers/Proj ResearchComm/OHS  Contact your COHE Project or Medical Director


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