Join us for a FREE NIOSH Center for Workers’ Compensation Studies (CWCS) Webinar on Thursday, March 23, 12-1 pm Eastern, in which Dr. Marianne Cloeren will discuss proposed changes to improve workers’ compensation patient encounters and care.
Event Schedule (all times Eastern):
12:00-12:45 pm: Presentation
12:45-1:00 pm: General Audience Q/A
Better Care in Workers’ Compensation: ACOEM’s Documentation & Coding Initiative
Presentation Background: In the US, every year there are more than one million workplace injuries or illnesses severe enough that days are lost from work. Injured workers require medical care and careful attention to factors that will help them recover their ability to work, but American medical practice focuses on disease diagnosis and treatment, with little attention paid to functional ability. In the workers’ compensation arena, health care providers must address issues such as causation, functional impact and return-to-work planning, issues that are not represented in the most widely used payment systems, based on codes and coding rules designed for primary care and other group practice settings.
The American College of Occupational and Environmental Medicine (ACOEM) supports modifying the rules for documentation of care in workers’ compensation in order to provide reimbursement and other incentives to deliver care that adheres to best practices, including focus on assessing and improving patient function.
The recommended changes include alternative ground rules for documentation and coding evaluation and management encounters, physician case management services and consultation services as they relate to workers’ compensation care. These alternative rules may be adopted by states or payers seeking to realign incentives toward improved functional and clinical outcomes and decreased costs. More information is summarized here: ACOEM Guidance Statement
Marianne Cloeren, MD, MPH, FACOEM
Dr. Marianne Cloeren, MD, MPH, FACOEM, FACP is board certified in Occupational Medicine and Internal Medicine. She has served two terms on the ACOEM Board of Directors, has chaired and remains a member of the ACOEM Council on OEM Practice. She is the course director and author of the ACOEM online medical education course "Getting Your Patients Back to Work". For the past 4 years, she has led an ACOEM task force to address quality documentation and the impact of coding rules on outcomes in workers' compensation care.
Dr. Cloeren received her Bachelor’s degree at University of Pennsylvania, her medical degree from Temple University, and a Master of Public Health from the Johns Hopkins School of Hygiene and Public Health. She trained as an Internist at Johns Hopkins Bayview (then called Francis Scott Key Hospital) and had her fellowship in Occupational Medicine at Johns Hopkins.
She is finishing a decade as Medical Director for Managed Care Advisors, Inc., which provides workers’ compensation case management services for several different federal agencies as well as occupational health and disability consulting services. She is moving in April to an academic clinical research position at the University of Maryland.
Her past work experience includes several years managing employee health in the Veterans Administration system, serving as Medical Director for several companies, including W.L. Gore and Associates and Bechtel Aberdeen, and several years as an occupational medicine physician for the Army’s Center for Health Promotion and Preventive Medicine (USACHPPM) where her program focus was workers’ compensation case management.