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Specialty billing

Chiropractic medical billing

Chiropractic is among the most closely reviewed specialties in billing. Active treatment has to be evidenced on every single claim.

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What we handle for chiropractic practices

Spinal manipulation codes, AT modifiers and medical necessity documentation.

Manipulation coding

Spinal manipulation coded by the number of regions actually treated.

Active treatment

The AT modifier applied only where care is corrective rather than maintenance.

Examinations

Initial and periodic examinations billed alongside manipulation where separately justified.

Medicare rules

The specific documentation Medicare requires for chiropractic claims.

Common pitfalls

Where chiropractic claims go wrong

These are the errors we look for first when reviewing a practice in this specialty. If any sound familiar, a billing review will tell you what they are costing.

  • Maintenance care billed as active treatment, which is the central chiropractic audit risk.
  • Examinations billed with manipulation but without modifier 25.
  • Treatment plans that do not show measurable functional improvement over time.

Not sure where your revenue is leaking?

Book a free review. We will look at your recent claims, denial patterns and A/R aging, and tell you what we find — whether or not you work with us.