Specialty billing
Chiropractic Billing and Active Treatment Documentation
Manipulation coding, active treatment documentation and the maintenance-care line that decides coverage.
The challenge
What makes chiropractic billing different
Chiropractic has the narrowest coverage rules of any specialty we serve. Manipulation is coded by the number of spinal regions treated, benefits are frequently capped at a visit count per year, and coverage generally ends the moment care is judged to be maintenance rather than active treatment aimed at functional improvement.
That last distinction is where most chiropractic revenue is lost. The clinical care may be entirely appropriate, but if the documentation does not demonstrate measurable functional progress toward a defined goal, the payer will reclassify it as maintenance and stop paying, often retroactively.
Why us
Why chiropractic practices work with us
Specialty billing is not a marketing label for us. Coders and A/R staff are assigned by specialty, so the person on your account reads notes like yours every day.
Get a free assessment- Manipulation coded to the regions the documentation actually supports
- Active treatment status defended with functional progress documentation
- Visit limits and benefit caps tracked so care does not continue unpaid
- Personal injury and auto claims handled alongside standard health coverage
Scope of work
What we handle for chiropractic practices
The work below is specific to this specialty, not a generic billing checklist with the name swapped out.
Spinal manipulation coding
Manipulation coded by documented spinal regions treated, with extraspinal work billed separately.
Active treatment documentation
Treatment plans and outcome measures reviewed so functional progress is visible on the record.
Visit limit tracking
Annual visit caps monitored per patient and per payer, with the practice alerted before the limit.
Personal injury and auto claims
Third-party liability, med-pay and attorney lien claims managed alongside health insurance.
Therapy and modality billing
Therapeutic exercise, manual therapy and modalities billed with correct timed-unit calculation.
Diagnostic imaging
In-office radiographs coded with the interpretive report and medical necessity documented.
The Right Way difference
What we watch on chiropractic claims
These are the details that separate a paid claim from an appealed one in chiropractic. They are checked on every claim, not sampled.
- 01 Whether documentation demonstrates active treatment with measurable functional goals rather than maintenance
- 02 Correct region counts on manipulation codes, which auditors verify directly against the note
- 03 Modifier requirements distinguishing active treatment for payers that mandate them
- 04 Separately billable therapy services alongside manipulation, where documentation supports both
- 05 Initial visit documentation quality, which sets the medical necessity for the entire episode
0+
Years running revenue cycles for physician practices
0+
Providers billed for across every specialty we serve
0%
First-pass clean claim rate
0 days
Median days in accounts receivable
Questions
Chiropractic billing questions
What practices in this specialty ask us most often before making a change.
Ask us something elseBecause the note reads like a repeat of the previous visit. Payers look for measurable functional change against a stated goal. When every note is identical, the reasonable conclusion is that treatment is no longer producing improvement.
Often yes, when the therapy is a distinct service with its own documentation and the timed-unit rules are followed. It has to be genuinely separate work, not the manipulation described twice.
Yes. These follow different rules from health insurance, involve liens and attorney correspondence, and take considerably longer to resolve. They need to be tracked as their own workstream rather than mixed into standard A/R.
How it works
Getting started takes about a month
The same four steps whichever specialty you are in. No system migration and no gap in your cash flow.
-
01
Revenue assessment
We audit a sample of your claims, denials and aged A/R and show you what we found. Free, and yours to keep either way.
-
02
Scope and agreement
A written scope covering exactly which services we run, what it costs and what we are accountable for.
-
03
Access and onboarding
We set up inside your existing EHR and clearinghouse. Two to four weeks, run in parallel with your current process.
-
04
Live and reporting
We take over submission and follow-up, and you get monthly reporting you can actually act on.
Free consultation
Let us look at your chiropractic claims
Send us a sample and we will tell you specifically what is being coded, denied or under-paid — and what it is worth to fix. Free, and yours to keep.