Chiropractic Billing Services
Running a chiropractic practice requires efficient billing and revenue management. Our chiropractic billing services will help your practice streamline claims submission, reduce administrative burdens, and maximize reimbursements.
We handle every aspect of chiropractic billing, ensuring accurate coding, seamless insurance processing, and faster payments, all in compliance with ICD-10, CPT and HCPCS standards. Our billing specialists ensure compliance with HIPAA, Medicare, and commercial insurance guidelines while optimizing revenue cycles.
Our Chiropractic Medical Billing Services
Patient Registration & Pre-Authorizations
We streamline patient intake and handle pre-authorizations for chiropractic treatments like spinal adjustments, physical therapy, and rehabilitative exercises. This ensures quick approvals and uninterrupted patient care.
Accurate Coding & Claims Processing
We manage CPT, ICD-10, and modifier codes for chiropractic services such as spinal manipulation, therapeutic exercises, and neuromuscular re-education. Our precise coding minimizes claim errors and accelerates reimbursement.
Payment Processing & Reimbursements
We optimize revenue by ensuring accurate documentation of medical necessity, tracking underpayments, and securing full reimbursements for chiropractic treatments and therapy sessions.
Denial Management & AR Recovery
We reduce claim denials for chiropractic services like manual therapy and spinal decompression through proactive follow-ups, appeals, and efficient accounts receivable recovery, ensuring steady cash flow.
Compliance & Documentation Review
We ensure all chiropractic services meet payer requirements, including Medicare and private insurers, by reviewing documentation for medical necessity, proper coding, and regulatory compliance, preventing claim denials and audits.
Benefits of Outsourcing Chiropractic Billing Services
Chiropractic Billing & Compliance
We ensure accurate CPT and ICD-10 coding while adhering to HIPAA, CMS, and payer guidelines, reducing errors and maximizing reimbursements.
Revenue Cycle Optimization
Our end-to-end RCM solutions streamline claim submissions, ERA processing, and payment postings, improving cash flow and reducing administrative strain.
Compliance & Risk Management
We maintain strict adherence to HIPAA, OCR, and insurer policies, preventing compliance risks and fostering trust with payers.
Faster Reimbursement
By optimizing claims processing and ensuring ANSI 837 compliance, we reduce denials and accelerate payment cycles.
Improved Cash Flow
Our proactive claim tracking and underpayment recovery strategies help maintain steady cash flow for your chiropractic practice.
Customized Billing Solutions
We customize billing strategies to align with chiropractic care requirements, including Medicare, Medicaid, and private payer policies.
Reduced Administrative Burden
Outsourcing reduces staff workload by managing prior authorizations, claim appeals, and insurer negotiations efficiently.
Expert Billing Support
Our experienced team stays updated on CMS and CPT changes, minimizing errors and maximizing reimbursements for chiropractic services.
Chiropractic Medical Billing Challenges
Coding for Spinal Manipulation Adjustments
Accurate coding for chiropractic adjustments (CPT 98940, 98941, 98942) is essential to ensure proper reimbursement for spinal manipulations. Miscoding these procedures can lead to claim denials or reduced payments.
Modifier Usage for Chiropractic Services
Correct application of modifiers, such as the -25 modifier, which distinguishes chiropractic adjustments from other evaluation services, is necessary to prevent claim rejections and guarantee full reimbursement for combined services during the same visit.
Diagnostic Imaging for Musculoskeletal Conditions
Billing for diagnostic imaging (CPT 72040, 72070) to evaluate conditions like herniated discs or spinal misalignments must be accurate to avoid claim denials and ensure proper reimbursement for diagnostic services.
Diagnosis Coding for Back and Neck Pain
Precise diagnosis coding for conditions like lower back pain (ICD-10 M54.5) or cervicalgia (ICD-10 M54.2) is critical for ensuring that chiropractic treatments are reimbursed appropriately. Errors in diagnosis coding can result in delayed payments or claim rejections.
Billing for Diagnostic Imaging
Imaging services like X-rays require accurate coding and documentation. Errors in these areas can delay reimbursements and affect cash flow.
Navigating Chiropractic and Medical Insurance
Chiropractors often need to differentiate between billing chiropractic services under chiropractic insurance versus medical insurance for musculoskeletal disorders. Understanding the nuances between coverage for chiropractic vs. medical treatments helps avoid claim denials.
Other Specialties We Excel In
Physical Therapy
Physical therapy plays a vital role in helping patients recover from injuries, surgeries, or chronic conditions by improving mobility and rebuilding strength. Our Physical Therapy Billing Services ensure that every therapy session, evaluation, and treatment plan is accurately billed, allowing practices to focus on patient care without administrative hurdles.
Pain Management
Pain management complements physical therapy by addressing chronic and acute discomfort that can limit mobility and hinder progress. With our Pain Management Billing Services, we handle the complexities of procedures like nerve blocks, injections, and other advanced pain-relief methods, helping providers concentrate on delivering effective care to their patients.
Leadership Team
Dimitar Talevski
Dimitar is a seasoned marketing specialist and the visionary behind CLICKVISION. With over 10 years in digital marketing, he excels in crafting marketing strategies that boost rankings, which in return increase leads, conversions, sales, profits, and ROI.
Filip Dimitrijevski
With a strong background in the marketing industry and healthcare leadership roles, Filip is responsible for CLICKVISIONBPO's sales strategies and onboarding new clients. With a passion for sharing insights gained from his experience, he also shares valuable knowledge through industry related articles.
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We specialize in chiropractic billing services such as submitting claims for spinal manipulations (CPT 98940), handling pre-authorizations for therapies like decompression, managing payment posting, and resolving denied claims.
For example, if your practice faces denials for therapy services, we step in to ensure accurate coding and documentation, resubmitting claims promptly to secure reimbursement.
Our expert billing services emphasize the correct usage of modifier codes, such as 25 and 59, which are specific to chiropractic treatments. Proper application of these codes ensures accurate claim submissions and helps avoid denials.
We employ certified coders proficient in the latest CPT and ICD specifications, ensuring that claims are error-free and adhere to current laws and regulations, including Medicare and commercial insurance requirements. This reduces the risk of errors and non-compliance.
For example, if a claim for spinal manipulation (CPT 98940) is denied due to incorrect coding, we quickly review the submission to ensure the proper code is used for the service provided. If necessary, we provide additional documentation, such as detailed notes from the chiropractor, and resubmit the claim. Our team follows up with the insurer to ensure timely resolution and payment for the service rendered.