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Provider Pulse

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

Billing & Payments

Provider News

Billing for freestanding emergency department visits

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

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Billing & Payments

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2023 Division rule changes

Effective January 1, 2023, the DOWC finalized rule changes affecting workers’ compensation billing.

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Billing & Payments

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Applying for your National Provider Identifier Number

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

Billing & Payments

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Billing tips for chiropractors

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

Billing & Payments

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Best Practices series with Lucia London, N.P.

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

Medical Provider

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Medical Treatment

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Durable Medical Equipment: Supply changes for electrical stimulation units

DOWC guidelines for billing e-stim supplies

Billing & Payments

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Colorado Workers' Comp

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DOWC 2022 rule changes

The Colorado DOWC recently finalized rule changes that affect workers’ compensation billing in 2022.

Colorado Workers' Comp

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Billing & Payments

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Medical Provider

Best Practices series with Tasha Alexis, M.D.

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

Medical Provider

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Medical Treatment

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Billing & Payments

The workers’ compensation fee schedule and rules hearings

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

Medical Provider

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Billing & Payments

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Colorado Workers' Comp

Best Practices series with Matt Miller, M.D.

Interview with Matt Miller, M.D., Front Range Occupational Medicine, Golden.

Medical Provider

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Billing & Payments

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Medical Treatment

DOWC 2021 rule changes

The Colorado Division of Workers' Compensation finalized rules that impact medical providers

Medical Provider

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Billing & Payments

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Colorado Workers' Comp

Gabapentin or Pregabalin? Or Neither?

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

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Medical Treatment

Billing for time in workers’ compensation

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

Billing & Payments

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Colorado Workers' Comp

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Medical Provider

Pinnacol auditors: Your billing and coding resource

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

Billing & Payments

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Billing Tips to Speed Up Provider Payments

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

Billing & Payments

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Colorado Workers' Comp

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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?

Billing & Payments

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Pinnacol Provider Portal enhancements

In 2018, Pinnacol replaced its provider portal to make it more secure, faster and easier to use.

Billing & Payments

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Tips for Billing Success: Cloned Documentation

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

Billing & Payments

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