The primary CPT codes for chiropractic care are the Chiropractic Manipulative Treatment (CMT) series, specifically 98940, 98941, and 98942 for spinal adjustments (based on the number of regions treated) and 98943 for extraspinal manipulation. In addition to adjustments, chiropractors often bill for physical medicine modalities, such as 97140 for manual therapy or 97014 for electrical stimulation. Initial exams and re-evaluations are reported using standard Evaluation and Management (E&M) codes like 99203 or 99213. To ensure clean claims, it is critical to append the AT modifier for Medicare and some private payers to verify that the service is active/corrective treatment rather than maintenance care.

Yes, we support auto accident (personal injury) and workers’ compensation billing and understand how different these claims are from standard insurance billing. Our team handles PI claims from start to finish, including lien filing, adjuster coordination, and accurate claim submission. We also manage supplemental billing and follow-ups to ensure all services are properly accounted for and paid. Because these cases often involve longer timelines and multiple parties, we actively track claims and communicate with adjusters throughout the process. This helps protect your revenue while reducing administrative burden on your practice.

We help ensure medical necessity by guiding providers on clear, compliant documentation that aligns with payer requirements. Our team provides simple, easy-to-use progress note templates that capture patient response, functional improvement, and the clinical rationale for ongoing adjustments. We also review documentation trends to help identify gaps that could trigger denials or audits. By aligning notes with medical necessity standards, we reduce the risk of rejected claims and post-payment recoupments. This approach supports both compliance and consistent reimbursement.

Yes, we handle Medi-Cal billing for chiropractors and understand California’s specific rules for covered chiropractic services. Our team ensures providers are properly enrolled, services are billed using approved codes, and documentation supports medical necessity. We also manage claim tracking and address denials that commonly occur with Medi-Cal chiropractic claims. Because Medi-Cal guidelines and managed care requirements can be strict, we stay current on policy changes to help avoid delays and nonpayment. This allows chiropractors to offer Medi-Cal services with confidence and clarity.

Our chiropractic billing service is designed to manage the full billing cycle while staying compliant with payer and documentation requirements. We handle credentialing and enrollment, accurate coding, and clean claim submission to reduce denials from the start. If issues arise, we manage denials and appeals, along with payment posting to keep your accounts up to date. We also support auto accident and workers’ comp claims, which often follow different rules than standard insurance billing. Detailed reporting gives you clear visibility into revenue, outstanding claims, and overall financial performance.