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

Slides:



Advertisements
Similar presentations
BERKS COUNTY WORKER’S COMPENSATION SUPERVISORY TRAINING SESSION AGENDA Introduction Financial Impact to the County Manager/Supervisor Roles & Responsibilities.
Advertisements

You can use this presentation to educate your staff about your company’s workplace rehabilitation policy and procedures. Use your own company branding.
Top Tier Program Complex Claims ACHIEv October 23, 2014.
Think safe. Act safe. Be safe. Supervisory Safety Leadership Best Safety Practice # 1 Understanding Legal, Employee Safety/Health & Economic impacts Understanding.
Certified Medical Coders (CMC) translate clinical data from patient health records and assign appropriate medical codes. Their work is submitted to.
Center of Occupational Health & Education (COHE) Provider Orientation – Part II.
0 Centers of Occupational Health & Education (COHE) Program Report June 2012 Research and Data Services, Information for Informed Decisions.
Medical Expense Deduction: Issues and Best Practices Ty Jones AASD Conference September 23,
JOB FUNCTION EVALUATION Lowering Your Accident Costs.
WORKERS COMPENSATION All materials provided in this training, including the contents of linked pages, are provided for general informational purposes only.
Workers Compensation Managed Care By: Laura Deterding, ACAS, MAAA Midwest Employers Casualty Company.
Practical Tips and Tools For Effectively Managing Worker’s Compensation Cases.
Workplace Disability Management (Name of Presenter) (Date)
Copyright © 2008 Delmar Learning. All rights reserved. Chapter 17 Workers’ Compensation.
INCIDENT REPORTING RISK MANAGEMENT WORKERS COMPENSATION PROGRAM.
Workers Compensation Case Management Iris Ayala Occupational Health Manager Kaolin Mushrooms April 2011.
8/17/2015 Provider Educational Seminar Care Management: Part III 8/17/2015.
Center of Occupational Health & Education (COHE) Provider Orientation – Part I.
Think Safe. Act Safe. Be Safe. UC Davis Safety Spotlight, November 2010 Circle the right answer for the 10 questions below on UC Davis’s Workers’ Compensation.
Case Management Teams Marianne Cloeren, MD, MPH USACHPPM Force Health Protection.
The Role of Case Management-Beginning to End Linda Hanf, RN, BSN, CCM, CRRN The Directions Group, Inc.
Hospice as a Care Partner. Hospice defined: Hospice services are forms of palliative medical care and services designed to meet the physical, social,
Community Partnerships in Quality-Based Purchasing
Claims Management. Initiatives Bureau of Workers’ Compensation (BWC) Industrial Commission (IC)
Return To Work & Transitional Jobs
1 copyright EDOPC Enhancing Developmentally Oriented Primary Care Swaying Systems and Impacting Lives.
Top Tier Program Complex Claims ACHIEv January 22, 2015.
Kaiser On-the-Job® (KOJ)
Chief Executive Office Risk Management RETURN TO WORK Unit
Implementing an Injury & Illness Prevention Program School Safety Compliance Checklist New and Aspiring Principals’ Academy December 13, 2012 Presented.
Presented by Curt Svalstad, Director of Risk Services Iowa Municipalities Workers’ Compensation Association Administered by:
Strategic Vision: Improving Medical Care for Injured Workers Gary Franklin, L&I Medical Director.
Jennifer Thatcher, Director of Human Resources inSite Housing, Hospitality and Health Services Inc. Working Safe in your Residence.
Center of Occupational Health & Education (COHE) COHE at UW Medicine Valley Medical Center of the Puget Sound Providers Annual Training.
Methods for Improving and Measuring Quality of Care California Research Colloquium on Workers’ Compensation May 1, 2003 Liza Greenberg, RN, MPH.
1 The Disability Determination Process: DISABILITY RESEARCH INSTITUTE 2004 SYMPOSIUM MARCH 16, 2004 Ronald S. Leopold, MD, MBA, MPH MetLife Group Disability.
TIP OF THE WEEK - November 3, “Excessive, extravagant, or wrongful use of FECA in a manner contrary to its legal intent to acquire additional benefits.
RETURNING INJURED WORKERS TO SUITABLE EMPLOYMENT Presented By: Justus Swensen Utah State University Facilities Safety
Modified Duty Closing the Claim. Overview  Elements of an effective Modified Duty Program  How to implement a successful program.  Branch level roles.
Aggressive Claims Management. Preparing for accidents/injuries  Medical Provider Relationships –Establish relationships with area physicians  Communicate.
1 MODULE III Orientation to the UCEDD. 2 Introductions Name Part of state you are from Experience with disability Parent? Self-Advocate? Provider?
Sue Keener Director of Virginia Office of Workers’ Compensation GOVERNOR'S HEALTH POLICY ADVISORS ANNUAL CONFERENCE.
Comcare Rehabilitation Case Manager Forum WORKING WITH THE TREATING DOCTOR.
Return To Work & Transitional Jobs. Vincent & Vincent Companies (Dept. of Loss Control Engineering) P.O. Box 304 Freeland, PA Program Goals To lower.
1 Your Skills and Experience Are a Valuable Resource to Your Department and to the City of Houston. We Wish You an Expedited Recovery and Safe Return to.
Center of Occupational Health & Education (COHE) Provider Orientation – Part III.
TOOL BOX TALKS RTW and Injury Management Program.
Return to Work 101 Injury Reporting May 14th, 2009 Presented by: Cathy Stein-Romo Chief Executive Office Risk Management/WC Unit (213)
1 Improving the Quality of Care for Injured Workers in Washington State: The Occupational Health Services Project Thomas Wickizer, Ph.D., M.P.H. University.
Safety Training for Senior Leaders October 2013
Activity Coaching: A treatment program for increasing activity ACHIEV meeting October 2014.
Page 1 Action Planning How to move your disability management program forward Carol Kotylak-Hapke and Erin McFadden.
Division of Risk Management State of Florida Loss Prevention Program.
In-Reach Program Elizabeth Keck, MSW, LGSW Allina Health - Owatonna Hospital May 19, 2014 Participants: , no code needed.
Return-to-Work Program
1 Workers’ Compensation Office of Police and Risk Management.
Workers Compensation Basics Prepared for Fresno County Self Insurance Group-FCSIG.
1 Can Quality Improvement Activities Encourage Physicians to Adopt Best Practices in the Delivery of Care? Evidence from a Quality Improvement Project.
Health Insurance. Purpose of Health Insurance  To aid individuals and families in living healthier lives, provide basic medical services and protect.
TOOL BOX TALKS RTW and Injury Management Program.
ASH HCA 305 W EEK 4 DQ 2 Check this A+ tutorial guideline at According to Sultz and Young.
Workers’ Compensation
T-1440 Pre employment Medicals and Injury Management
Texas Health Care Network - Employer Presentation
Introduction Worker Employer WCB Care Provider.
Guidelines and Reimbursement
Construction Accidents and Workers’ Compensation
Guidelines and Reimbursement
T-1440 Pre employment Medicals and Injury Management
Workplace Injury Reporting for GSA Supervisors
Presentation transcript:

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

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

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

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

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

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

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 ( TreatingPatients/TreatGuide/TreatingPatients/TreatGuide/)

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

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

Questions?  COHE Intranet: insert URL here  L&I COHE Information: ResearchComm/OHS ResearchComm/OHS  Contact your COHE Project or Medical Director