Provider Newsletter - July 2012

Provider News

This is a monthly roundup of L&I news for medical providers. To subscribe by email, join our Medical Provider News email list.

You can also read previous Provider News editions.

In the Provider News for July 2012:


Activity coaching can help patients struggling with pain and fear

An injured worker has been home and in bed for months, unable to return to work. She is afraid and hurting. Her provider refers her to an activity coach who will meet with her weekly for up to 10 weeks. But within only five weeks, she is up and moving, excitedly planning her return to work.Surprised by her own success, she commented, “This program gave me something to focus on besides my injury.” 

Do you treat injured workers who are experiencing challenges with their recovery? If you participate in a Center of Occupational Health and Education, you can refer patients to Labor & Industries’ new Activity Coaching program. To make a referral, contact your Health Services Coordinator. At this time, only COHE-enrolled providers can make referrals to the program; this fall we may expand it.

So far, the remarkable success described above has been repeated with just a handful of L&I claims. Elsewhere in the United States and Canada, however, the benefits of activity coaching have been well documented.

L&I’s program is based on the Progressive Goal Attainment Program (PGAPTM), a standardized intervention that is delivered by professionals such as occupational therapists or physical therapists who have been trained by the program.

For more information on the Activity Coaching Program, contact Susan Campbell, Susan.Campbell@Lni.wa.gov or 360-902-5053

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Reduce paper! Provider's Initial Report (PIR) available in Word

You now have 2 options for orderingthe Provider’s Initial Report (PIR), the form used to report an injury or occupational disease claim for workers covered by self-insured employers.

You may order:

  • The paper forms as usual
    OR
  • A fillable Microsoft Word® file (we will email the file to you)

If ordering the Word version, you will need to check periodically for updates to the form. 

Be sure to send the completed PIR to the self-insured employer or their representative since they manage their own claims.

Order either version of the PIR online at www.Lni.wa.gov/FormPub/Detail.asp?DocID=2467.

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For Self-Insured claims, use the L&I Claim Number

L&I is working with self-insured employers and their third-party administrators (TPAs) to make sure they use the L&I claim number in all claim-related communications with providers. The requirement that self-insured employers use the L&I claim number has been in effect since 2006 (WAC 296-15-350 (7)). L&I is now issuing penalties to self-insured employers for not following this rule in claim-related communication dated on or after May 1, 2012.

We ask that you use only the L&I claim number in all your verbal and written communications with self-insured employers, and that you don’t use the self-insured employer’s internal claim number. 

Don’t know how to recognize the self-insured claim numbers? They begin with:

    • S, T, or W followed by six digits;
           or
    • Double alpha letters (for example, SA) followed by five digits.

If you don’t have the L&I claim number, contact the self-insured employer or their TPA, L&I's Self-Insurance Section, or the worker.

The self-insured employer or their TPA must use the L&I claim number in their communications with providers; they may also list their internal claim number on correspondence. If they don’t use the L&I claim number, please bring it to our attention.

We hope this change will reduce your administrative burden.

If you have questions, or difficulties using only the L&I claim number, please send your email to
LNI RE Self Insurance Trainer Questions.

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