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Stay up to date with relevant workers' compensation news and updates for medical providers.
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Provider Pulse
min read
Provider Showcase: Check out two of our DMEPOS vendors
Pinnacol has 41 durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) vendors.
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Provider Pulse
min read
Big changes coming to Pinnacol’s billing, payment and medical record processes
Pinnacol has begun the process of switching to Optum Financial for provider payments.
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min read
Pinnacol’s 2023 Vendor Fair was a success
On Aug. 10, Pinnacol hosted a provider and vendor fair at our Lowry office.
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Provider Pulse
6
min read
Best practices with Susan Zickefoose, M.D
Susan Zickefoose, M.D. is the latest physician in our series about best practices in workers' comp.
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Colorado Workers' Comp
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Medical Treatment
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2
min read
Rehabilitation communication form (WC196)
The WC196 Rehabilitation Communication form was created by the Division of Workers’ Compensation to
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Medical Provider
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Medical Treatment
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Healthcare
Provider Pulse
3
min read
Frequently asked questions - DOWC WC196 Rehabilitation Form
Why was my supplementary payment for the WC196 form denied even though I sent the form to Pinnacol?
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Billing & Payments
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Rehabilitation
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Provider Pulse
3
min read
Durable Medical Equipment: Supply changes for electrical stimulation units
DOWC guidelines for billing e-stim supplies
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Billing & Payments
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Colorado Workers' Comp
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Provider Pulse
6
min read
Billing tips for chiropractors
Producing complete, legible documentation and using billing codes appropriately to avoid payment
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Clinical
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Provider Pulse
2
min read
Billing for time in workers’ compensation
The history, examination and medical decision-making are normally the key components
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Colorado Workers' Comp
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Medical Provider
Provider Pulse
2
min read
SelectNet medication reminders
Prescribing providers must conform to regulations set forth by the respective licensing board
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Opioids
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2
min read
Opioid Policy
Prior authorization requirements for opioid prescriptions
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Clinical
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Billing for freestanding emergency department visits
Billing guidelines for freestanding emergency department charges may differ from what you expect.
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2
min read
2023 Division rule changes
Effective January 1, 2023, the DOWC finalized rule changes affecting workers’ compensation billing.
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2
min read
Best Practices series with Kathryn Bird, D.O.
Interview with Kathryn Bird, D.O.
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Clinical
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3
min read
Applying for your National Provider Identifier Number
The National Provider Identifier is a unique 10-digit identification number assigned to
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Provider Pulse
4
min read
Best Practices series with Joseph Adragna, M.D.
Interview with Joseph Adragna, M.D., Peak Family Medicine in Montrose
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Medical Treatment
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Medical Provider
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Clinical
Provider Pulse
5
min read
Healing our Healers
By now, we’ve all heard it: our nation’s physicians are burned out. Depleted. Exhausted.
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Health & Wellness
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Clinical
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Provider Pulse
3
min read
Best Practices series with Lucia London, N.P.
Interview with Lucia London, N.P., Vail Health Occupational Health.
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2
min read
DOWC 2022 rule changes
The Colorado DOWC recently finalized rule changes that affect workers’ compensation billing in 2022.
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Colorado Workers' Comp
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Billing & Payments
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Medical Provider
Provider Pulse
2
min read
The value of second opinions (not independent medical evaluations)
As an authorized treating provider, you should be able to make maximum medical improvement decisions
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Medical Treatment
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Provider Pulse
2
min read
Electronic prescribing for controlled substances
The requirement to electronically prescribe controlled substances starts on July 1, 2021.
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Opioids
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Medical Treatment
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Medical Provider
Provider Pulse
2
min read
Best Practices series with Tasha Alexis, M.D.
Interview with Tasha Alexis, M.D., San Luis Valley Occupational Medicine, Alamosa.
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Medical Provider
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Medical Treatment
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Billing & Payments
Provider Pulse
2
min read
The workers’ compensation fee schedule and rules hearings
Colorado statutes require that the Division of Workers’ Compensation (DOWC) review the medical fee
…
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Medical Provider
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Billing & Payments
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Colorado Workers' Comp
Provider Pulse
4
min read
Best Practices series with Matt Miller, M.D.
Interview with Matt Miller, M.D., Front Range Occupational Medicine, Golden.
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Medical Provider
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Billing & Payments
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Medical Treatment
Provider Pulse
2
min read
New online learning available
We’re working hard to ensure our providers have access to the Pinnacol educational resources
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Medical Provider
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Colorado Workers' Comp
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Provider Pulse
2
min read
Ensuring functional gains with PT/OT
Often, quality care for injured workers includes therapeutic activities to enhance the worker’s
…
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Health & Wellness
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Opioids
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Provider Pulse
4
min read
DOWC Rule for interpreter certification
The Division of Workers' Compensation (DOWC) has adopted the final rule on certification
…
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Medical Provider
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Colorado Workers' Comp
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Clinical
Provider Pulse
2
min read
DOWC 2021 rule changes
The Colorado Division of Workers' Compensation finalized rules that impact medical providers
…
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Medical Provider
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Billing & Payments
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Colorado Workers' Comp
Provider Pulse
2
min read
Gabapentin or Pregabalin? Or Neither?
In the setting of neuropathic pain, clinicians need to determine whether a gabapentinoid
…
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Clinical
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Healthcare
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Medical Treatment
Provider Pulse
2
min read
Telehealth utilization by Pinnacol injured workers
The onset of the COVID-19 pandemic brought a sudden increase in the adoption and use of telehealth
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Clinical
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Medical Provider
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Medical Treatment
Provider Pulse
4
min read
Myths and misconceptions delay recovery for injured workers
In the workers’ compensation system, the exemplary medical provider renders excellent clinical care
…
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Medical Treatment
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Return to Work™ consulting
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Medical Provider
Provider Pulse
1
min read
Return to work program helps patients get back to work
Do you have a patient you want to assist with resuming work?
…
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Return to Work™ consulting
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Medical Provider
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Medical Treatment
Provider Pulse
2
min read
DOWC 2020 rule changes
The Colorado Division of Workers’ Compensation recently finalized rule changes that affect workers'
…
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Medical Provider
,
,
Provider Pulse
4
min read
From our medical director: Pointers for difficult cases
Cases that are complex or involve delayed recovery are uncommon, but they often take up a
…
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Clinical
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Medical Treatment
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Provider Pulse
5
min read
Myth busting: Occupational medicine
Brenden Matus, M.D., MPH, practices occupational medicine at WorkWell Occupational Medicine in
…
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Clinical
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Health & Wellness
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Provider Pulse
4
min read
Rural doctors face workers' compensation challenges
While most of Colorado's residents reside in major cities, approximately one-sixth of the population
…
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Colorado Workers' Comp
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Clinical
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Provider Pulse
2
min read
Pinnacol auditors: Your billing and coding resource
As part of compliance requirements, a team of Pinnacol auditors reviews a subset of provider bills
…
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Billing & Payments
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,
Provider Pulse
3
min read
New physical therapy and chiropractic use review program
Based on the Department of Workers’ Compensation (DOWC) Medical Treatment Guidelines and other DOWC
…
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Billing & Payments
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Clinical
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Provider Pulse
3
min read
Demystifying the process of getting back to work
Help workers resume work to safely and swiftly by supporting awareness and communication.
…
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Colorado Workers' Comp
,
Return to Work™ consulting
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Provider Pulse
2
min read
Billing Tips to Speed Up Provider Payments
The Colorado Division of Workers’ Compensation (DOWC) does not recognize “incident-to criteria” for
…
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Billing & Payments
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Colorado Workers' Comp
,
Provider Pulse
5
min read
Healing our healers: Part two
As part of a two-part series, Pinnacol Assurance recently published the article Healing our healers:
…
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Health & Wellness
,
,
Provider Pulse
3
min read
DOWC and the utilization of Medical Treatment Guidelines
In a recent conversation with Dan Sung, Manager of the Medical Policy Unit at the Colorado Division
…
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Clinical
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Colorado Workers' Comp
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Provider Pulse
1
min read
Pinnacol Provider Portal enhancements
In 2018, Pinnacol replaced its provider portal to make it more secure, faster and easier to use.
…
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Billing & Payments
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Clinical
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Provider Pulse
2
min read
SB 18-022, safe opioid prescribing
SB 22 was one of a package of bills this legislative session designed to address the epidemic of
…
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Opioids
,
,
Provider Pulse
7
min read
Test yourself: The appropriate use of physical therapy in low back pain
Over 90% of patients with uncomplicated acute back pain improve satisfactorily within six weeks with
…
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Health & Wellness
,
Clinical
,
Provider Pulse
3
min read
Tips for Billing Success: Cloned Documentation
Electronic health records (EHRs) offer many time-saving advantages and provide an effective
…
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Billing & Payments
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,
Provider Pulse
6
min read
Back pain and how to test yourself
Back pain is the most common type of injury in workers’ compensation. General principles related to
…
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Health & Wellness
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,
Provider Pulse
2
min read
OSHA Recordkeeping: Understanding Recordable vs. Non-recordable cases
OSHA regulates work-related injury and illness recordkeeping
…
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Medical Treatment
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Healthcare
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COVID-19 policy update
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