the region count on the claim always matches the documented exam, so nothing is downcoded or denied
Chiropractic billing · Chiropractic Billing Services Built to Get DCs Paid
Chiropractic Billing Services Built to Get DCs Paid
Chiropractic billing services from 247 Medical Billing Services turn the coding traps that quietly drain a DC practice — maintenance denials, missing AT modifiers, mismatched region counts, unfiled injury liens — into clean, first-pass claims, and it starts with a revenue review that shows exactly what your current billing is leaving on the table. We are a specialist chiropractic billing team, not a generalist that treats an adjustment like any other office visit, and since 2005 we have run revenue cycles for chiropractors with a dedicated account manager, a free 360° dashboard, HIPAA compliance, and SOC 2 Type II on every claim.
HIPAACompliant
SOC 2Type II
Serving Since2005
Specialty-FocusedRCM
We bill Chiropractic for Chiropractic Billing Services Built to Get DCs Paid practices
Spinal Manipulation
Extraspinal Manipulation
Manual Therapy
Medicare Active Care
Personal Injury & Auto
And More
Best chiropractic billing help for growing DC practices
Chiropractic is one of the hardest specialties to bill correctly, because almost every denial traces back to a documentation or coding nuance that a general billing company never learns. The difference between active, corrective care and maintenance care decides whether Medicare pays. The number of spinal regions treated has to match the exact CMT code. Manual therapy billed alongside an adjustment needs the right modifier or the payer bundles it away. Injury cases live or die on whether liens and med-pay are tracked to settlement. A team that handles these every day catches them before submission, while a generalist learns them one denial at a time on your revenue. That difference compounds over a year of claims — which is what a specialist partner buys you:
the AT modifier and functional-improvement notes prove care is corrective, not maintenance
visit caps watched and prior authorization secured before extended care runs
personal-injury and workers'-comp liens, letters of protection, and med-pay tracked to payment
roughly 90% of worked denials recovered, with appeals filed and followed
How chiropractic claims get paid
Here is how the claim types a chiropractor bills most often actually adjudicate:
| Care delivered | Code on the claim | What the payer requires |
|---|---|---|
| Spinal adjustment, 1–2 regions | 98940 | Subluxation diagnosis with a matching PART exam |
| Spinal adjustment, 3–4 regions | 98941 | Region count evidenced in the note |
| Spinal adjustment, 5 regions | 98942 | Findings for all five regions |
| Extraspinal (extremity) adjustment | 98943 | A distinct extraspinal region documented |
| Active care under Medicare | CMT + AT modifier | Corrective intent, no documented plateau |
| Care Medicare does not cover | ABN + GA modifier | Signed notice before the service |
| Therapeutic exercise / manual therapy | 97110 / 97140 + modifier 59 | Timed units under the 8-minute rule; separate region |
Behind every row sits a 99% first-pass clean-claim rate, up to 40% fewer denials, 90% of worked denials recovered, and 98% client retention.
Where chiropractic practices lose revenue
Most chiropractic write-offs come from the same handful of preventable errors:
Revenue leak
Care read as maintenance
What triggers it
Missing AT modifier or documented plateau
How 247MBS prevents it
We prove active, corrective care on every claim
Revenue leak
Region count vs CMT code mismatch
What triggers it
Documentation and code disagree
How 247MBS prevents it
We match documented regions to the code
Revenue leak
Manual therapy bundled into the adjustment
What triggers it
No modifier 59 on a separate region
How 247MBS prevents it
We apply the modifier per the NCCI edit
Revenue leak
Non-covered service filed to Medicare
What triggers it
Exam or therapy billed without an ABN
How 247MBS prevents it
We use an ABN with the GA modifier first
Revenue leak
Visit cap exceeded
What triggers it
Care runs past the covered window
How 247MBS prevents it
We verify caps and request extended authorization
Revenue leak
Injury balance ages out
What triggers it
Liens and med-pay not tracked
How 247MBS prevents it
We follow PI and comp cases to settlement
Your revenue review shows which of these is costing the most in your practice today. Request your audit.
Revenue review
Put a dollar figure on what your chiropractic claims are leaving behind.
A certified chiropractic billing specialist reviews your coding, unit counts, authorizations and aged A/R against the payers you actually bill in Chiropractic Billing Services Built to Get DCs Paid, — and puts a number on what your current process is leaving on the table.
- Region counts tied to the regions actually documented and treated
- AT modifier applied to active care only, maintenance routed to an ABN
- Manual-therapy and same-day E/M modifiers checked against NCCI edits
HIPAA & SOC 2
Back to you within one business day
No long-term lock-in
Request a Revenue Review
Tell us about your practice.
A chiropractic billing specialist will reach out within one business day.
Thanks — we’ve got it.
A chiropractic billing specialist will reach out within one business day.
Why chiropractors outsource billing to a specialist
Running a chiropractic revenue cycle in-house means asking a front desk to master AT-modifier rules, CMT region matching, NCCI bundling edits, Medicare's ABN process, and injury-lien follow-up on top of scheduling and patient care. Most losses are not dramatic — they are a maintenance denial here, a downcoded region there, a lien that quietly ages out — and they add up faster than an owner realizes. That is why practices outsource the work to a partner built for it. As a specialized medical billing services company, 247MBS assigns a dedicated account manager, holds days in A/R under 25, and maintains 98% client retention because the collected-revenue difference is real. A billing company that treats chiropractic as a general specialty misses the nuances; a professional billing services company that lives in CMT coding, the active-care line, and injury follow-up does not. When you outsource to a team that knows exactly how a DC gets paid, complexity becomes collected revenue. Explore our full chiropractic billing services capabilities to see how we work.
Personal-injury, workers'-comp, and Medicare compliance
Three lanes cause most of the trouble in a chiropractic practice, and each has its own rules. Personal-injury and auto cases run on liens, letters of protection, and med-pay that can take a year or more to settle, so documentation has to be built for settlement and balances pursued rather than left to age. Workers'-compensation answers to each state's comp fee schedule and requires authorization before care continues — bill it against the wrong schedule or without approval and it is underpaid or rejected. Medicare covers only manual spinal manipulation for a documented subluxation, with the AT modifier proving active care and an ABN moving non-covered exams and therapies to the patient. We build every claim to the standard the specific lane demands, so nothing becomes an avoidable write-off. Practices that mix all three lanes feel this most: the same office may carry an auto case on a lien, an on-the-job injury under comp authorization, and a Medicare patient whose exam has to move to an ABN, all in the same week. Keeping those streams separate — each billed to its own rules, none blurred into a single denial queue — is the core of what a specialist chiropractic billing partner does, and it is where the recovered revenue lives.
Start with a revenue review
See exactly what your current billing is leaving uncollected. We will analyze your CMT coding, AT-modifier use, denials, injury liens, and aging A/R, then show you what 247MBS can recover for your practice.
Chiropractic billing beyond Chiropractic Billing Services Built to Get DCs Paid
The same desk bills chiropractic operators nationwide.
Specialty hub
The national Chiropractic Billing Services — the codes, unit rules and denials without the local layer.
FAQ: our chiropractic billing services
No. We work inside your existing practice-management system and EHR, transition in parallel, and assign a dedicated account manager from day one.
Yes. We track PI liens, letters of protection, and med-pay to settlement, and we secure comp authorization and bill against the correct state fee schedule.
We document active, corrective care and apply the AT modifier, and we move non-covered services to the patient on a signed ABN rather than letting them reject.
Nothing. We review your coding, denials, and A/R and show you what we can recover — no cost, no obligation.
region count·AT modifier·active vs maintenance·ABN
Ready to get more Chiropractic Billing Services Built to Get DCs Paid claims paid on the first pass?
From solo practices to multi-provider groups, we bill Chiropractic for Chiropractic Billing Services Built to Get DCs Paid practices with a dedicated account manager, certified coders and a live dashboard — so the units, authorizations and appeals that decide your month stop being the thing nobody has time for.
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