Expert Chiropractic Medical Billing Services
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Reduced Administrative Hassles; Increased Revenue Growth
Why You Need Experts for Chiropractic Medical Billing
When practices attempt to manage chiropractic medical billing internally or outsource it to inexperienced billers, they experience increased denials, compliance risks, and revenue leakage.
Here are the most common factors contributing to increased denials and billing errors.
- HIPAA Compliance
- Insurance Verification
- Prior Authorization
- Updated knowledge
- Billing audits
How Our Services Ensure Strategic Revenue Growth
Insurance Verification
We believe in absolute transparency, and your data is visible to you at any time. You can access accurate and current data in real time at your leisure. We don’t migrate or take your data hostage.
Elite Support
What you need to know is to simply call us. Our medical billing specialists have real-time access to your operations and know what is happening in your account at all times. Every time you call us, our experts help you smiling face.
Our Inclusive Approach
Our approach is based on inclusivity and teamwork. We have the kind of workplace environment where every voice is heard, every contribution is appreciated, and every member is encouraged to come up with new ideas and suggestions.
Medical Billing Services That Make A Difference
HIPAA-Compliant Billing Services
Security
All precautions and strict measures are taken to ensure absolute patient privacy protection according to HIPAA rules and policies. Rest assured, there has been no such violation of HIPAA laws over a decade, leading to fines and penalties.
Competent Billing Specialists
Our medical billing experts are fully responsible for managing every aspect of your account. They are full-time present and immediately respond whenever a patient or you call, you will get an immediate answer.
Customer Support
Our customer support department is always here to ensure your satisfaction. Our team is highly seasoned and expert, who pay attention to detail to every query to make sure there is no confusion or interruption.
Our Industry-Leading Results Reflect Our Experience
95 %
Error-Free
30 %
Faster Payments
20 %
More Revenue
99 %
Claim Accuracy
Comprehensive Medical Billing Solutions
Experience Strategic Growth with Valuable Add-On Features
What Process Do We Follow
Understanding Clients’ Needs and Business Objectives
Our priority is to thoroughly document and comprehend client requirements and business objectives to clearly understand the requirements and expectations of our clients for the medical billing process.
Revisit Transition Meeting Sessions
As we move on, our next step is to carefully review recordings from transition meetings to get actionable insights into the client’s requirements, expectations, and operational context.
Initial Target Setting
We set realistic and clear goals that are fully aligned with the client’s objectives, ensuring a focused approach and targeted outcomes for the medical billing services.
Create a QA process with measures and a scorecard
At the next step, we develop a quality assurance (QA) process, define metrics, and establish a scorecard to ensure accuracy and measure performance in the medical billing process.
Choose Agents
At the final step, we identify and select agents with expertise and the required skills to effectively manage the medical billing services, ensuring a dedicated team.
Medical Billing Certifications and Compliance Standards
We hold the certifications that payers and auditors look for, and our coders carry the right credentials. It’s not the most exciting part of the work, but it’s the part that keeps your claims on solid ground.
Explore Frequently Asked Questions
Chiropractic medical billing includes insurance eligibility and benefits verification, prior authorization when required, charge entry, medical coding, claim submission, claims scrubbing, modifier review, denial management, payment posting, and accounts receivable (A/R) follow-up. Billing support can also cover spinal manipulation, applicable therapy services, and Medicare-specific documentation requirements.
Chiropractic billing requires careful attention to payer-specific coverage rules, medical necessity, documentation, and treatment classifications. Medicare, in particular, has specific requirements for spinal manipulation, including active treatment of spinal subluxation and proper use of the AT modifier. Private payers may have additional coverage, authorization, and visit-limit requirements.
The primary chiropractic manipulation codes are:
- 98940: Spinal manipulation, 1–2 regions
- 98941: Spinal manipulation, 3–4 regions
- 98942: Spinal manipulation, 5 regions
- 98943: Extraspinal manipulation, 1 or more regions
For Medicare, coverage is generally limited to spinal manipulation to correct subluxation; 98943 is not covered under standard Medicare chiropractic coverage.
The AT modifier (Acute Treatment) is required on Medicare claims for CPT 98940, 98941, or 98942 when the chiropractor provides medically necessary active or corrective treatment for acute or chronic spinal subluxation. It should not be used for maintenance therapy. Claims without the required AT modifier may be denied.
Depending on the payer and the provider's scope of practice, certain therapy services may be billed separately when they are covered and medically necessary. Modifier 59 or an appropriate X modifier should only be used when the services meet NCCI requirements for being distinct, such as a separate encounter or different anatomical site. It should not be used simply to bypass a bundling edit.
An E/M service may be separately reportable when the payer allows it and the documentation supports a significant, separately identifiable evaluation. Modifier 25 may be required when appropriate. However, standard Medicare chiropractic coverage is limited to spinal manipulation for subluxation, so E/M coverage depends on the applicable Medicare policy or other payer rules.
Common denial causes include missing or incorrect AT modifiers on applicable Medicare claims, insufficient documentation of subluxation, incorrect diagnosis coding, medical-necessity issues, authorization problems, payer-specific coverage limitations, and incorrect use of modifiers. Reviewing documentation and payer requirements before submission can help reduce avoidable denials.
Medicare requires documentation of the precise level of spinal subluxation. Subluxation may be supported by imaging or physical examination using the PART criteria. For physical examination, at least two of the four criteria are required, with at least one being asymmetry/misalignment or range-of-motion abnormality. The subluxation should be reported as the primary diagnosis, with the related neuromusculoskeletal condition reported as appropriate.
Personal injury and workers' compensation billing may require claim and lien tracking, medical-record submission, payer or attorney communication, and applicable fee-schedule review. For cash-pay services, practices should use clear patient financial agreements and appropriate superbills. Medicare ABN requirements apply only when applicable to Medicare-covered beneficiaries and services.
Yes. Chiropractic billing services can work with compatible EHR and practice management systems to support charge capture, documentation review, claim submission, payment posting, and reporting. Specific integration capabilities depend on the software platform and available interfaces.