Billing for chiropractic is not general billing with a different code set. Active treatment versus maintenance care — the distinction every review examines and the record has to make.
Significant no-fault and personal injury exposure, which puts the auto carrier ahead of the health plan in states that run PIP.
At a glance
What drives the coding
Active treatment versus maintenance care — the distinction every review examines and the record has to make.
What drives the payer behavior
Significant no-fault and personal injury exposure, which puts the auto carrier ahead of the health plan in states that run PIP.
Coding
Assigned by certified coders from your documentation.
Reporting
Denials segmented by reason, payer, and provider.
Where chiropractic claims actually fail
- Care characterized as maintenance rather than active treatment
- Missing initial evaluation supporting necessity
- Auto claims billed to the health plan first
How we work it
We code from what your record documents and query you when it does not support a code, which in chiropractic is where most of the avoidable exposure sits.
Denials are worked by cause rather than in queue order, so the same failure stops recurring instead of being re-worked every month.
We keep the books. You run the business.
Categorization, reconciliation, month-end close, and clean financial statements — with nothing left for you to chase.
View pricingHow It Works
Review
We look at your current chiropractic denials and aging.
Scope
A written scope and price before any work starts.
Transition
Coding and submission move across without a gap.
Report
Denial causes reported monthly, segmented by payer.
Chiropractic Medical Billing by State
Sales tax nexus and taxability, licensing, payroll rules, and filing cadence differ by state. Pick yours for a state-specific guide.
Chiropractic — Frequently Asked Questions
Do you have coders who know chiropractic?
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Yes. All coding is performed by certified coders, and specialty assignment is deliberate — active treatment versus maintenance care — the distinction every review examines and the record has to make.
Do you guarantee we will collect more?
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No, and nobody honestly can. Payment is decided by the payer. What we commit to is the process and the six numbers we report, which you can check against your own system.
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Book a free consultation and we will tell you what your books need and what it costs.
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- Nationwide
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