Accredited Chiropractor Medical Billing Services
Still finding the root cause of claim denials after a long day in the clinic? Running a successful chiropractor’s clinic needs proper management of operations and billing. Therefore, chiropractic billing shouldn’t steal time from your patient care. That’s only possible when a chiropractic billing and coding company like us manages your claims results. Denials drop, and payments move 2x faster.
The "Active vs. Maintenance" Trap: Solved
Do you know that the OIG estimates 82% of chiropractic payments are improper due to insufficient ‘Active Treatment’ documentation? We protect you from audits by strictly managing the modifier workflow below:
| Modifier | Scenario | Our Workflow |
|---|---|---|
| AT | Active Treatment: Expectation of recovery. | We audit SOAP notes for compliance with P.A.R.T. criteria before adding the AT modifier. |
| GA | Maintenance (ABN Signed): Patient pays. | We verify that a valid ABN is on file to automatically shift liability to the patient. |
| GY | Statutorily Non-Covered: Maintenance. | Applied to maintenance claims, so you get a denial for secondary insurance or patient billing. |
| GP | Physical Therapy: 97xxx codes. | Applied to codes like 97110/97140 when required by payers (e.g., UHC, Medicare). |
Seeking Help To Recover Your Lost Revenue?
Do you know Chiropractors lose 10–15% of their annual revenue due to coding errors and documentation gaps?
All these errors are avoidable, only if you work with the right chiropractic billing outsourcing company like Dastify Solutions. We provide:
Strict HIPAA Compliance
Compliance with No Surprises Act (2025 updates)
Automated ABN Workflows for Maintenance Care
Maintain OIG and AHCA Billing Compliance
Medicare & MAC Compliance
Time-based Billing & Documentation Expertise
Accurate SOAP Note Billing Support
Need Inclusive Chiropractic Revenue Cycle Management (RCM)?
Our Comprehensive Services
Stuck with manual clinical operations and staff shortages? You need a quick solution, such as working with chiropractic Medicare billing specialists who optimize your revenue cycle and boost your work efficiency.
Moreover, our chiropractor's medical billing services cover a range of treatments, including spinal manipulation, mobilization, soft-tissue therapy, therapeutic exercise, and electrical stimulation.
Eligibility & Benefits Verification Services
Real-time insurance verification for patients with all major payers, including Medicare Part B.
Workers' Compensation verification.
Inform patients about their co-pays, deductibles, & out-of-pocket costs to avoid surprise bills.
Expert Medical Coding Services
AAPC/CPB-certified coders master the art of reducing chiropractic coding errors.
compliance with LCD/NCD requirements.
Proper ICD10/ CPT codes (98940-98943 (CMT), 97110-97140 (therapies) with accurate modifier application (59, 25, GP, AT).
Claim Submission & Management
Electronic claim submission (CMS-1500 form )with powerful AI tools within 24 hours.
Chiropractic claim submission and follow-up
Seamless clearinghouse integration with advanced claim scrubbing to minimize rejections.
Denial Management & Re-Submission
Re-submission of claims according to payer guidelines.
Chiropractic denial management services to identify the root cause of denials and create appeal letters.
AI-based denial prediction to prevent future denials.
Accounts Receivable Management
No more aging AR buckets; we keep your AR days below 30 days.
Recover your 120+ day-old claims across all payers.
Follow proper Medicare (CMS) Timely-Filing Rules for smooth revenue.
Financial Reporting & Analytics
Proper Monthly revenue cycle reports to monitor performance.
Denial trend analysis to avoid continuous errors.
Custom, ad hoc reporting for chiropractic compliance and audit support.
Frustrated by slow credentialing and endless payer paperwork?
Our chiropractic billing outsourcing company handles credentialing and contracting efficiently, so your practice starts earning faster without any delays.
We Solve Every Chiropractic Billing Challenge
High Claim Denial Rates?
Payers often bundle Manual Therapy (97140) with Adjustment (98941).
Our SolutionWe rigorously apply Modifier 59 (or X-subset modifiers) only when documentation supports a "separate anatomical region" to prevent NCCI bundling denials.
Weak Medical Necessity?
Same as last visit,” SOAP notes trigger audits.
Our SolutionWe audit documentation for Subjective progress, Objective findings (P.A.R.T.), and Assessment changes to prove "Medical Necessity" for ongoing care.
Staffing Shortage?
Does your chiropractic clinic have a low staff retention rate?
Our SolutionOur chiropractic billing outsourcing company handles 100% of your billing operations from start to finish.
Costly Penalties & Compliance Risks?
Are frequent payer policy changes costing your practice significant revenue?
Our SolutionOur HIPAA/CMS-compliant chiropractic billing keeps your claims aligned with regulations, reducing risks.
Our Experts have Chiropractic-Specific Technical Expertise
Stuck with manual clinical operations and staff shortages? You need a quick solution, such as working with chiropractic Medicare billing specialists who optimize your revenue cycle and boost your work efficiency.
| CPT Codes: | ICD-10 Codes: |
|---|---|
| 98940 – 98942: Chiropractic Manipulative Treatment (CMT) – Audited for "AT" modifier. | M99.01–M99.05 (segmental dysfunction) |
| 98943: Extraspinal Adjustment – Audited for coverage (rare on Medicare). | M54.2 (cervicalgia) |
| 97110 / 97140: Therapeutic Exercise & Manual Therapy – Audited for GP/59 modifiers. | M54.51 (Vertebrogenic low back pain) |
| 97012 / 97014: Traction & E-Stim – Audited for "Supervised" vs "Constant" attendance. | M54.6 (thoracic back pain) |
| . | G44.209 (tension headaches) |
| S13.4xx: Cervical sprain/strain codes (for PI/Auto cases) |
We Work with All Major Payers
We integrate directly with your EHR/EMR, so anesthesia billing is fast, accurate, and stress-free. Works with the top EHR/EMR systems:
Streamline Your Chiropractic Billing with EHR and Clearinghouse Connectivity only with Dastify Solutions.
Frequently Asked Questions
What is the difference between Active and Maintenance care billing?
Active care (billed with modifier AT) aims to correct a condition with measurable improvement. Maintenance care maintains the status quo and is generally not covered by insurance. We manage the ABN workflow to ensure you can bill patients directly for maintenance.
Why was my claim denied for "Bundling"?
This usually happens when you bill an Adjustment (98941) and Manual Therapy (97140) in the same region. We ensure Modifier 59 is used only when therapy is performed on a different body region to bypass this edit compliantly.
Do you handle Personal Injury (PI) and Workers' Comp?
Yes. We specialize in the complex documentation required for Auto/PI claims, including lien management and the submission of notes for attorney review.
What modifiers are needed for chiropractic billing?
Accurate claim submission starts with using the correct modifiers to prevent payer denials. Our team specializes in chiropractic modifiers, including 25, 59, 22, 50, GA, GY, and the X-set modifiers, ensuring your claims are coded precisely for maximum reimbursement.