Workers Compensation - Washington

Tara Reck, Managing L&I Attorney at Reck Law PLLC - Workers' Compensation Attorneys

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Know Your Rights: Choose a Doctor for Your L&I Claim or Workers’ Compensation Claim

In Washington State, work injury claimants have the right to choose their doctor or attending provider (AP) for their claim. This right is part of RCW 51.36.010. Surprisingly, many people that suffer a workplace injury don’t know that they can select their own doctor. Yet, the only requirement is that the doctor or the provider must be part of the L&I Medical Provider Network (MPN).

 

L&I claim and your right to choose a doctor

There are many reasons for which people with an L&I claim or a workers’ compensation claim are unaware of their rights. Explicitly, the main reasons I see include:

 

  • Not understanding how a workers’ compensation claim works.  Most people never had a L&I claim They don’t know what an attending provider is, or what is their role. In fact, the attending provider has a very important role in L&I claims.  This provider manages treatment, reports progress, and provides critical assessments throughout the claim. Therefore, it’s important for work injury claimants to choose a doctor or provider who will help them recover and manage their claim productively.

 

  • Not realizing how a provider becomes their attending physician. Often, the Department of Labor and Industries (L&I) considers the provider that filed the application for benefits as the attending physician. If that provider is an urgent care provider, it’s unlikely they’ll agree to be the attending provider on the workers’ comp claim. If you had a workplace injury and treated in emergency setting, you should seek follow-up care from another doctor that will be an effective AP.

 

Making your own decisions in your L&I claim

In addition to the reasons above, there are other cases where work injury victims follow recommendations from others. In practice, many recommendations don’t help you choose the right provider for your claim. Such cases include:

  • Being directed to a specific clinic or medical provider. Frequently, work injury claimants tell me their employer told them to see a specific doctor for initial treatment. Then, when they report their injury back at work, the employer provides the name and address of a specific medical provider or clinic for further treatment. Here, claimants are usually under the impression they can only see that provider.

 

  • Getting referral to occupational medicine doctors from a primary care physician (PCP). Some people ask their primary care doctor for guidance after a work injury. Some PCPs are members of the MPN and can easily become the attending provider. Often, this is an ideal situation.  However, when the PCP is part of a large medical group, the work injury claimant gets a referral to the “occupational medicine” division of the same group.  These groups are often a L&I COHE.  This practice is common at The Everett Clinic and Kaiser Permanente, among others.  Yet, many folks with an L&I claim or a workers’ comp claim don’t realize they don’t have to get treatment there. Regardless of insurance, workplace injury claimants can treat with any provider in the MPN. Even if the attending doctor isn’t part of the same medical group as their primary doctor.

 

Changing a doctor in your L&I claim

There is no doubt that the attending provider has a critical role in a workman’s compensation claim. One key right is the ability to choose the doctor for your L&I claim. Moreover, with some narrow exceptions, you also have the right to change the doctor for an L&I claim. Changing the attending provider is very simple. More explicitly, you can download and fill the Transfer of Care form (from the L&I website) and send it to your claim manager. As always, keep a record of all communications. This way, you can track and document your decision to designate a new provider.

 

Final remarks

In summary, the attending provider plays a very important role in workers’ compensation claims. And remember – people with a work injury claim have the right to choose their attending provider.  Therefore, it’s important to choose a physician that’s going to focus on helping you get better and will help move the claim forward productively. Finally, if your attending physician isn’t right for you, then you have the right to switch to a different provider.

 

 

L&I Interpreter Services: Improvements and Online Systems

Did you know the Department of Labor and Industries (L&I) must provide interpreter services to work injury claimants with limited English skills? To meet this responsibility, L&I requires health care and vocational providers to determine if they need an interpreter.  Here, the healthcare or vocational provider must arrange and confirm the interpreter for appointments.  Moreover, interpreter must carry a certification and must have an active L&I provider identification.

 

L&I claim online interpretation services

English is a second language for many people with a workers compensation claim or work injury claim. In fact, there are many work injury claimants that their native language is Spanish, Thai, Russian, Chinese or another common language.  Under RCW 39.26.300 enacted in 2018, L&I had to review its interpreter services process. Then, following the review, L&I announced changes to interpreter services starting in Fall 2020.  Specifically, L&I will continue to use independent interpreters in some cases.  However, L&I is also launching a new online spoken-language interpretation scheduling system.

 

L&I chose Interpreting-Works to implement and administer the new scheduling system.  This new system will improve meaningful access to verbal interpretation services for people with an L&I claim. It will also improve the process for healthcare providers, vocational providers, and interpreters. For example, the system enables providers to arrange for interpreters online using a novel platform. In addition, all online operations are available for both mobile devices and personal computers.  Also, other improvements include internal quality assurance measures, which are compliant with the ethical requirements under WAC 388-03-050.

 

L&I claim interpretation help

L&I says that the new platform is a user friendly. It is a good end-to-end system for managing interpretation services.  For interpreters, the new service offers real-time listing of available interpreting jobs by location.  With it, interpreters can track job assignments and check in and out of appointments using a simple QR code.  Even better, the new system generates electronic invoices to ensure prompt payment for services.

 

L&I is encouraging interpreters and providers to sign up and enroll with Interpreting-Works. Professional interpreters can sign up by completing an online enrollment form. After completion, one of their staff members will reach out to complete the enrollment process. The entire process only takes two to three business days to complete. Furthermore, it’s important to note that interpreters must have a National Provider Identification (NPI) number. NPIs are 10-digit numbers for identifying specific providers and many providers nationwide use the NPI identification standard. Interpreters who need to get an NPI number can obtain one through the Medicare & Medicaid Services (CMS) website. Also, it’s free to sign-up and receive an NPI number.

 

Enrollment for providers and online information

Healthcare and vocational providers can pre-enroll with Interpreting-Works.  If they do, their account will be ready when the system launches in the Fall. For more information about the new L&I online interpreter scheduling service, visit the L&I FAQ page

Light Duty Work in L&I Claims and Workers’ Compensation Claims

After a work injury or occupational disease, people with an L&I claim or workers’ compensation claim might have medical conditions that impact their ability to return to work. We refer to workers incapable of working during their recovery as temporarily and totally disabled. These workers receive time-loss compensation benefits, which is a type of wage replacement. When the Department of Labor Industries (L&I) pays time-loss compensation benefits, it negatively impacts L&I insurance rate for the employer. Consequently, L&I created alternative programs and incentives to help employers improve their rate. In this article, we cover the topic of light duty work. It’s one such incentive program for employers.

 

Light duty work and job offers

For one, L&I offers cost reimbursement to employers. Here, employers are eligible to recoup costs when they accommodate employees after a work injury and offer them a light duty job.  L&I refers to this program as Stay at Work (WA-SAW).  Explicitly, if a work injury claimant has limitations because of claim-related conditions, the employer can offer a job that fits within those limitations. Interestingly, L&I considers a light duty job as valid if it meets the following criteria:

1) The work injury claimant must have limitations because of conditions that relate to their workers’ compensation claim. These limitations must impact their ability to work.

2) The employer must submit a written (and detailed) job description for the light duty job to the attending physician.

3) The attending provider must approve the light duty job in writing.

 

After the criteria are met, the employer can make a light duty job offer to the worker. Light duty job offers vary significantly between employers and industries. For example, grocery stores frequently offer stockers or checkers light duty jobs as door greeters. Also, another good example is sedentary office work. Furthermore, if the wages for the new job are 5% less (or lower) than the worker was making before, then the worker can apply for loss of earning power benefits.

 

The economic incentives of this program are advantageous to employers. In fact, the program has many other benefits too. For one, after a work accident, it helps keep employers and employees connected during the recovery process. Furthermore, it creates less ambiguity concerning the work status of the employee. These advantages are only realized when the program is used for the right reasons. Unfortunately, too frequently, that is not the case.

 

The reality of light duty jobs in some L&I claims

I have seen employers offer light duty “jobs” such as watching safety videos for the entire work shift. I’ve also seen light duty “job” offers that involve sitting at a desk doing nothing. Clearly, these are not legitimate light duty jobs and the sole intention behind them is to save costs. Sometimes, employers ask workplace injury claimants to perform duties outside the details in their job description. Other times, employers require the worker to perform tasks contraindicated by explicit medical limitations. Realistically, many complain about harassment and intimidation while trying to perform light duty jobs.

 

Some employers tell light duty job employees to schedule medical appointments and treatments outside work hours. This can be difficult if not impossible. Finally, many workers are placed under a performance microscope while doing light duty work. For example, when the employer writes them up for clocking in a minute late. Another example is when the employer writes them up for playing a game on their cell phone out of sheer boredom because the light duty work was a do-nothing desk job. Yet another, is writing up the employee because he or she places their swollen foot on a desk shelf to reduce pain and swelling, while performing a do-nothing job. These are all real-life examples. Surprisingly, when you inspect personnel records, one must wonder why this excessive performance oversight didn’t happen prior to the work injury or occupational disease.

 

Advocating for people with a workers’ compensation claim

In the past, employers and administrative workers called me out for my criticism of L&I programs like WA-SAW. Proponents of the program cite studies, charts and data showing that early return to work (even in light duty capacity) dramatically reduces long term disability. I don’t dispute these findings.  I too, want workers I represent to regain their quality of life, including their full wage-earning potential, as quickly as possible.  However, I believe that the WA-SAW program is often misused and fails to accomplish its intended goals.

 

Too often, when employers use the program solely for cost savings without any regard to the feelings or needs of the work injury claimant, I see workers sour towards their employer. I see work environments become hostile, mental health conditions develop, and L&I claims become unnecessarily contentious. It’s for that reason that I will continue to advocate for a more worker centric overhaul of these incentive programs.

 

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