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 encourages, especially if time off

4. 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 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

6. APF Form

7. Only filled out with initial ROA
APF Form
Only 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

8. HIPAA

9. Reimbursement APF Form $49.18
Telephone call with employer $
Report of Accident (L&I form)
Within 5 business days $37.84
Within 6-8 days $27.84
More than 9 days $17.84

10. COHE nicolecushman@fhshealth.org Laurel_green@fhshealth.org
1. View the webinar.  (
2.  Complete the quiz  -
3. Complete the COHE provider application (see attached) completed form to Nicole Cushman 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 $150 per claim
Document in EPIC that you completed ROA, APF and +/- call to supervisor