Displaying 1 - 10 of 17 results
Articles

Tips for Billing Success: E&M and manual therapy billing with chiropractic manipulations

Billing evaluation and management (E&M) codes with chiropractic manipulation treatment Billing an established office/outpatient E&M code on the same...
Articles

Tips for Billing Success: Appropriate documentation of time-based therapy codes

Tip #1: Pinnacol follows DOWC Rule 18 and CPT/AMA guidelines. Tip #2: Clearly document therapy time. Providers must clearly...
Tip sheets/downloads

Utilization Guide for Initial Time to Produce Effect

This chart summarizes the initial time to produce effect for common treatments deemed appropriate within the DOWC Medical Treatment Guidelin...
Provider Pulse
June 29, 2018

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? Pinnacol...
Files

Physical Therapy: Effective Use and Appropriate Documentation

When physical or other therapies are prescribed (e.g. for low back pain), the authorized treating provider (ATP) should communicate on a reg...
Files

Activities of Daily Living - Interview Questions

Assessment involves asking attitudinal and factual questions. Attitudinal questions ask the injured workers for their opinions of their cond...
Provider Pulse
September 07, 2018

Billing tips for chiropractors

Producing complete, legible documentation and using billing codes appropriately to avoid payment denials By Tom Denberg, MD, Senior Medical...
Articles

Chiropractic Documentation Guidelines

Medical necessity, the standard of care for all medical professions, must be supported by documentation. A submitted record must...
Articles

Tips for Billing Success: Physical and occupational therapy initial evaluation codes

History component for PT (Codes 97161, 97162, 97163) and OT (Codes 97165, 97166, 97167) The justification of coding levels...
Articles

Tips for Billing Success: Rule change for time-based therapy code - units of service

2019 DOWC rule change Effective January 1, 2019, Pinnacol will begin implementing the Division of Workers’ Compensation Rule 18...