1. Guidelines and Reimbursement
L&I FAQs

2. Guidelines on treating work related injuries

3. 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 encouraged, especially if time off

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

5. Forms Report of Industrial Injury or Occupational Disease
If you think the work injury is related to work on a more probable than not basis (more than 50% probability, you should mark “probably” or “yes” (blue section, box 7). If you think the injury is not related to work mark “no” or “possibly”.

6. APF Form

7. APF Form Filled out and submitted with initial ROA
This info is in the middle
of the APF form.
Document whom you called, what was discussed (work restrictions and duration of restrictions) and the time it took

8. HIPAA

9. Reimbursement APF Form $52.36
Telephone call with employer $ $68.90
Report of Accident (L&I form)
Within 2 business days $60.42
Within days $40.28
Within 6 – 8 days $30.28
More than 9 days $20.28
Rates from July 2014 COHE Fee Schedule on

10. COHE
1. View the Enrollment webinar.  
2. Complete the Enrollment quiz.
3. Complete the COHE provider application (see attached) completed form to the COHE Alliance of Western WA and cc Laurel Green…

11. 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

12. 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 $175+ per claim
Document in EPIC that you completed ROA, APF and +/- call to supervisor