Tip sheet/download
2
min
read

Guidelines to amend medical records

Medical providers may receive payment denials from Pinnacol because their medical record
Back to Knowledge Center

Medical providers may receive payment denials from Pinnacol because their medical record documentation does not support the billing and as a result, the billed codes are not reimbursable.

Providers who need to amend their documentation must follow rules set forth by the Colorado Division of Workers Compensation (DOWC) Rule 16-10 which instructs the Division to follow regulations set by the Centers for Medicare and Medicaid Services (CMS) as outlined in the Medicare Program Integrity Manual.


View
PDF
Adapting your business for COVID-19 impacts