Our Services
Chiropractic Billing Services
Customized billing solutions for chiropractic practices are essential to keeping your revenue cycle running smoothly.
Chiropractic Billing
Chiropractic billing involves complex coding and strict compliance requirements, from spinal adjustments to therapeutic modalities and imaging. At Practice Claim, our Chiropractic Billing Services are crafted specifically for your specialty. We offer comprehensive billing, from routine office visits to complex rehab services, ensuring accurate claims, minimized errors, and timely reimbursement.
Our certified billers and coders focus solely on chiropractic billing. We stay current with industry updates, payer policies, and Medicare rules. We understand the challenges chiropractic practices face and deliver streamlined billing workflows that reduce denials and improve collections. You can spend more time providing quality care while we manage your revenue cycle.
Components of Chiropractic Billing
1. Precision in Patient Identification & Pre-Authorization
Before service delivery, we verify patient identity, insurance eligibility, benefit coverage, and any necessary authorization, whether for spinal manipulation, physical therapy, or imaging. This proactive approach avoids denials, minimizes unexpected patient costs, and ensures a smooth claims process.
2. Specialized Coding with Precision
Chiropractic services require precise use of CPT codes, modifiers, and documentation. Our specialists expertly handle codes for:
Spinal manipulations (CPT 98940, 98941, 98942)
Therapeutic exercises and modalities (CPT 97110 to 97124)
Diagnostic imaging such as cervical and lumbar X-rays
We ensure proper application of modifiers (AT, GA, GY) and correct documentation, reducing audits and rejections.
3. Efficient Claims Submission & Tracking
Our streamlined submission process incorporates payer rules and real-time tracking. Each claim is closely monitored from submission through reimbursement, so we resolve issues quickly and reduce turnaround times.
4. Clear Patient Billing & Payment Posting
We accurately post insurance and patient payments, then generate clear, understandable statements. Patients appreciate transparency, and your practice benefits from fewer billing inquiries and faster payment processing.
5. Denial Analysis & Appeals Management
Denied claims are opportunities for recovery. Our team reviews the root cause of each denial, files appeals with supporting documentation, and resubmits claims to secure rightful reimbursement.
Challenges in Chiropractic Billing
Frequent Changes in Coding
Chiropractic billing requires accurate use of CPT codes that are frequently updated due to changes in diagnostic and therapeutic practices. Errors in coding can lead to claim denials or delays. Our certified coders stay updated with the latest chiropractic coding standards to ensure proper documentation and maximize reimbursement.
Compliance with Guidelines
Insurance companies, CMS, and state-specific regulations impose strict rules for chiropractic billing. Navigating these compliance standards can be challenging for providers. At Practice Claim, our team follows all payer-specific and federal guidelines to reduce compliance risks and protect your practice from penalties or rejected claims.
Pre-Authorization Requirements
Many chiropractic services, especially ongoing treatments, often require prior authorization from insurers. Missing or delayed authorizations can result in denied claims and revenue loss. Our experts handle pre-authorization requests efficiently, ensuring that your patients get the care they need without interruptions and your practice gets paid on time.
Advantages of Outsourcing Chiropractic Billing
Outsourcing your chiropractic billing to our specialized service can provide numerous benefits, including:
Expert Handling of Complex Procedures
Our coders are very well versed with detailed cardiovascular procedures as well as the codes to be billed and hence any billing errors are almost eliminated.
Faster Reimbursement
Our claim submission is integrated and we also effectively handle denials, thus enhancing timely cash receipts.
Reduced Administrative Burden
Our extensive billing services save your in-house team time to attend to the patients only by providing minimal interference work and pressures.
Cost Efficiency
The decision to outsource can be beneficial because outsourcing is cheaper than having an independent billing department for small practices.
Data Analytics and Reporting
We offer comprehensive billing reports and analysis that can show you your business revenue status and areas of compliance concern.
Our Chiropractic Billing Services
Our chiropractic billing services are comprehensive, covering every aspect of chiropractic procedures.
Therapeutic Interventions
Spinal adjustments, exercises, modalities
Diagnostic Imaging
Cervical and lumbar X-rays with documentation
Modifier Compliance
AT (Active Treatment), GA (Waiver of Liability), GY (Non-Covered)
Billing Support
Claim submission, AR follow-up, denial appeals
Rehab and Maintenance Care Documentation
Differentiating medically necessary treatments from maintenance care
Why Choose Practice Claim for Chiropractic Billing?
Certified Coders
Certified billing experts who specialize in chiropractic coding
Compliance Assurance
Strict regulatory compliance with HIPAA, Medicare, and payer rules
Advanced Revenue Cycle Management
End-to-end revenue cycle management from claims to collections
Customized Solutions
Custom-tailored solutions for solo practices and group clinics
Proven Track Record
Revenue optimization that ensures maximum reimbursements
Frequently Asked Questions
Chiropractic billing requires precise use of CPT codes, modifiers (AT, GA, GY), and detailed documentation to differentiate medically necessary treatments from maintenance care. Frequent payer updates and strict Medicare rules also add complexity, making certified billing expertise essential.
The most frequently used chiropractic CPT codes include:
- 98940–98942: Chiropractic manipulative treatment for 1–5 spinal regions
- 98943: Chiropractic manipulative treatment for extraspinal regions
- 97110–97124: Therapeutic exercises and modalities
- 97140: Manual therapy techniques
97010: Hot/cold packs
Our specialists ensure accurate application of these codes to maximize reimbursement.
Outsourcing reduces administrative burdens, improves coding accuracy, lowers denial rates, and ensures faster payments. It allows your in-house staff to focus on patient care while certified billers handle compliance, claim submission, AR follow-ups, and appeals.
Yes. We strictly follow Medicare’s guidelines, including correct use of modifiers (AT, GA, GY) and documentation of active treatment versus maintenance care. This ensures compliance while protecting your practice from audits, penalties, and denied claims.
Our denial management process identifies the root cause, whether it’s coding errors, missing documentation, or authorization issues. We file appeals with supporting records and resubmit claims to recover lost revenue.
