🦴 Chiropractic Specialty

Chiropractic Billing Services That Fight Payer Denials and Protect Your Revenue

MedCare Billing Solutions provides expert chiropractic medical billing for chiropractors and chiropractic practices across the United States. We specialize in spinal manipulation coding, active care documentation, and the aggressive denial management that chiropractic practices need to survive against payer audits.

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97.5%

Chiropractic clean claim rate

21 days

Average days in AR

K+

Average additional annual revenue recovered per chiropractor

Why It Matters

Chiropractic Billing Is a Battleground Against Payer Denials

Chiropractic practices face some of the highest denial rates in medicine — up to 25% of claims rejected on first submission. Payers aggressively audit chiropractic claims for medical necessity. Common issues:

✓Billing spinal manipulation (98940–98942) without sufficient documentation of subluxation
✓Missing AT modifier (Active Treatment) on Medicare claims for chiropractic services
✓Using maintenance care codes when active treatment documentation is required
✓Not billing for separately payable therapeutic services (97110, 97012, 97035) alongside manipulation
✓Incorrect region count for spinal manipulation (1–2 vs 3–4 vs 5 regions)
✓Not billing for initial evaluation and re-evaluation codes when clinically appropriate

Fix My Billing

⚠️ The Medicare Chiropractic Documentation Burden

Medicare covers chiropractic manipulation only for active subluxation treatment — not maintenance care. Failure to correctly document acute vs. maintenance status is the #1 cause of chiropractic claim recoupment. MedCare ensures your documentation supports every claim.

AT modifier missing = Medicare claim rejection (100% denial)
Maintenance care billed as active treatment = recoupment risk
PART (physician acknowledgment) requirement not met
Subluxation not documented in SOAP notes = audit target

Expertise

Key CPT Codes We Bill Daily

CPT Code	Procedure	Common Issue
98940	Spinal manipulation 1–2 regions	Region count error; missing AT modifier for Medicare; subluxation not documented
98941	Spinal manipulation 3–4 regions	Most commonly underbilled — region documentation not specific enough
98942	Spinal manipulation 5 regions	Rarely billed even when justified; documentation requirements missed
97110	Therapeutic exercise (15-min units)	Unit calculation errors; bundled incorrectly with manipulation
97012	Mechanical traction	Not billed separately when provided; documentation of time required
99202–99205	New patient evaluation	Chiropractors often skip billing the initial evaluation — missed revenue
97140	Manual therapy techniques	Confused with 98940; different code, different documentation requirements

What We Do

Full-Service Chiropractic RCM

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Spinal Manipulation Coding

Accurate region-based spinal manipulation coding with full subluxation documentation review to support every claim.

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Active vs. Maintenance Documentation

We flag documentation that crosses into maintenance care territory — protecting you from Medicare audits and recoupment.

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AT Modifier Management

Every Medicare chiropractic claim reviewed for correct AT modifier before submission — zero Medicare compliance errors.

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Denial Appeals

Aggressive medical necessity appeals with clinical documentation support. We fight every unjustified chiropractic denial.

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Ancillary Service Billing

Correct billing for therapeutic exercises, traction, ultrasound, electrical stimulation, and massage therapy add-ons.

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Credentialing

Full chiropractic credentialing with Medicare Part B, Medicaid, and all major commercial payers including personal injury networks.