Provider news

Provider Pulse

min read

2024 Division Rule Change Highlights

The DOWC recently finalized rule changes that affect workers’ comp billing, effective 1/1/24.

…

All

,

Colorado Workers' Comp

,

Billing & Payments

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.

,

,

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?

,

,

Durable Medical Equipment: Supply changes for electrical stimulation units

DOWC guidelines for billing e-stim supplies

…

Billing & Payments

,

Colorado Workers' Comp

,

Provider Pulse

6

min read

Billing tips for chiropractors

Producing complete, legible documentation and using billing codes appropriately to avoid payment

,

,

Billing for time in workers’ compensation

The history, examination and medical decision-making are normally the key components

…

Billing & Payments

,

Colorado Workers' Comp

,

Billing for freestanding emergency department visits

Billing guidelines for freestanding emergency department charges may differ from what you expect.

,

,

Applying for your National Provider Identifier Number

The National Provider Identifier is a unique 10-digit identification number assigned to

,

,

Best Practices series with Lucia London, N.P.

Interview with Lucia London, N.P., Vail Health Occupational Health.

,

,

Best Practices series with Tasha Alexis, M.D.

Interview with Tasha Alexis, M.D., San Luis Valley Occupational Medicine, Alamosa.

,

,

The workers’ compensation fee schedule and rules hearings

Colorado statutes require that the Division of Workers’ Compensation (DOWC) review the medical fee

,

,

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.

,

,

Gabapentin or Pregabalin? Or Neither?

In the setting of neuropathic pain, clinicians need to determine whether a gabapentinoid

,

,

Pinnacol auditors: Your billing and coding resource

As part of compliance requirements, a team of Pinnacol auditors reviews a subset of provider bills

,

Billing Tips to Speed Up Provider Payments

The Colorado Division of Workers’ Compensation (DOWC) does not recognize “incident-to criteria” for

…

Billing & Payments

,

Colorado Workers' Comp

,

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.

,

,

Tips for Billing Success: Cloned Documentation

Electronic health records (EHRs) offer many time-saving advantages and provide an effective

…

Billing & Payments

,

Provider Pulse

Stay up to date with relevant workers' compensation news and updates for agents.

Billing & Payments

2024 Division Rule Change Highlights

Big changes coming to Pinnacol’s billing, payment and medical record processes

Frequently asked questions - DOWC WC196 Rehabilitation Form

Durable Medical Equipment: Supply changes for electrical stimulation units

Billing tips for chiropractors

Billing for time in workers’ compensation

Billing for freestanding emergency department visits

Applying for your National Provider Identifier Number

Best Practices series with Lucia London, N.P.

Best Practices series with Tasha Alexis, M.D.

The workers’ compensation fee schedule and rules hearings

Best Practices series with Matt Miller, M.D.

Gabapentin or Pregabalin? Or Neither?

Pinnacol auditors: Your billing and coding resource

Billing Tips to Speed Up Provider Payments

Pinnacol Provider Portal enhancements

Tips for Billing Success: Cloned Documentation