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 (www.Lni.wa.gov/ClaimsIns/Providers/
TreatingPatients/TreatGuide/)
Working With Your HSC
Return-to-work coordination Claim specific questions L&I questions
Introduction to COHEs, Part IVQuestions
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: www.Lni.wa.gov/ClaimsIns/Providers/ProjResearchComm/OHS
Contact your COHE Project or Medical Director
