Best Acupuncture Billing Companies in 2026: Complete Guide for Acupuncturists
- Sirius solutions global
- Jan 16
- 15 min read
Finding the right acupuncture billing company can transform your practice. While you focus on patient healing through traditional Chinese medicine techniques, your billing partner handles the complexities of insurance claims, CPT codes, and revenue cycle management. But with so many options available, how do you choose the best acupuncture billing service for your practice?
The acupuncture billing landscape in 2026 is more complex than ever. Between constantly changing CPT codes, payer-specific requirements for documentation, Medicare's limited coverage for chronic low back pain, and the ongoing confusion around dry needling versus traditional acupuncture practitioners need specialized billing expertise to maximize reimbursements and minimize denials.
This comprehensive guide explores the top acupuncture billing companies in 2026, what makes them stand out, and how to select the perfect partner for your practice. Whether you're a newly licensed acupuncturist just entering the world of insurance billing or an experienced practitioner frustrated with your current billing service, this guide provides everything you need to make an informed decision.
Acupuncture billing isn't like billing for other medical specialties. The unique challenges acupuncturists face require billing partners with specific expertise:
Limited CPT Codes with Complex Rules: Unlike other specialties with dozens of procedure codes, acupuncture relies primarily on just four CPT codes (97810, 97811, 97813, 97814). However, these codes come with strict time-based billing requirements, modifier rules, and documentation standards that general medical billers often misunderstand.
Payer-Specific Coverage Variations: Insurance coverage for acupuncture varies dramatically between payers and even between different plans from the same insurance company. Medicare covers acupuncture only for chronic low back pain, while private insurers may cover additional conditions—or none at all. Knowing these nuances is critical for claim approval.
Documentation Requirements: Acupuncture claims require detailed documentation including needle placement, treatment duration, patient response, and medical necessity justification. Missing any element can result in immediate claim denial.
Constantly Changing Codes: The 2026 ICD-10-CM updates include new codes, deleted codes, and revised codes that directly affect acupuncture billing. Using outdated codes after October 1, 2025 results in automatic claim denials.
Confusion Around Related Services: Cupping therapy, moxibustion, dry needling, and electroacupuncture all have different billing requirements. Many general billers don't understand when to use unlisted modality codes versus standard acupuncture codes.
These challenges explain why acupuncturists who partner with specialized billing companies consistently achieve higher collection rates, faster reimbursements, and fewer claim denials than those using general medical billing services.
After extensive research into acupuncture billing services, client testimonials, industry expertise, and technological capabilities, here are the top acupuncture billing companies serving practitioners in 2026:
1. Sirius Solutions Global – Best Overall Acupuncture Billing Service
Why Sirius Solutions Global Ranks #1:
Sirius Solutions Global stands out as the best acupuncture billing company in 2026 thanks to their innovative hybrid intelligence approach that combines AI-powered automation with experienced human expertise. While other billing companies rely solely on manual processes or imperfect automation, Sirius Solutions Global has created a system where technology handles high-volume tasks while certified billing specialists focus on complex cases requiring judgment and payer negotiation.
Unique AI-Powered Features:
ELIXA Eligibility Verification Agent: Real-time insurance coverage checks that verify not just active coverage but also specific acupuncture benefits, deductible status, copayment amounts, and prior authorization requirements. This prevents billing surprises before services are even delivered.
CODIN AI Coding Agent: Analyzes clinical documentation and suggests appropriate CPT codes (97810, 97811, 97813, 97814) based on treatment duration, electrical stimulation use, and session details. Certified coders then review these suggestions to ensure 100% accuracy.
CLAIR Claim Scrubbing Agent: Inspects every claim for coding accuracy, modifier usage, medical necessity documentation, and payer-specific requirements before submission. This catches problems that would cause denials, resulting in clean claim rates above 98%.
DEXA Denial Management Agent: Identifies denial patterns specific to acupuncture claims, automatically drafts appeals with supporting documentation, and even places calls to payers to resolve issues—dramatically reducing days in accounts receivable.
PRIA Prior Authorization Agent: For insurance plans requiring pre-authorization for acupuncture services, PRIA assembles necessary documentation, submits requests, tracks approval status, and alerts staff to any delays.
What Sets Them Apart:
Specialty-Specific Expertise: Deep understanding of acupuncture-specific CPT codes, ICD-10 diagnosis codes for conditions commonly treated with acupuncture, and payer policies around complementary medicine
99% Client Retention Rate: Acupuncturists stay with Sirius Solutions Global because they consistently deliver results
98%+ Clean Claim Rate: Higher first-pass acceptance means faster payments and less administrative burden
Transparent Pricing: No hidden fees or surprise charges—just straightforward percentage-based pricing
Comprehensive Services: Eligibility verification, coding, claim submission, denial management, payment posting, patient collections, credentialing, and financial reporting all included
HIPAA Compliance: Fully compliant with all healthcare privacy and security regulations
Ideal For: Acupuncture practices of all sizes from solo practitioners just starting with insurance to multi-location clinics seeking to optimize existing billing operations. Particularly valuable for practitioners frustrated with high denial rates or those transitioning from cash-only to insurance-based practice.
Contact Information:
Website: www.siriussolutionsglobal.com/specialties/acupuncture-billing
Phone: (469) 694-5375
Location: Aubrey, Texas
2. AllAcuServices – Best for New Acupuncturists
AllAcuServices was founded by an acupuncturist who understood the unique challenges practitioners face when entering the insurance world. This inside perspective makes them particularly effective at helping newly licensed acupuncturists navigate the complex billing landscape.
Strengths:
Excellent educational support and training for practitioners new to insurance billing
Knowledgeable about acupuncture-specific billing challenges and solutions
Strong communication and responsiveness to client questions
Handle insurance verifications, claim submissions, and follow-ups comprehensively
Best For: Newly licensed acupuncturists opening their first practice or established practitioners accepting insurance for the first time.
3. Soundry Health – Best Integrated Platform
Soundry Health offers a comprehensive platform combining practice management, EHR, and billing services specifically designed for acupuncturists, chiropractors, and alternative care providers.
Strengths:
AI-powered insurance billing integrated with practice management software
AI-assisted SOAP notes that streamline documentation
Built-in chat feature for communicating directly with your dedicated biller
Expertise in billing for dry needling, cupping, moxibustion, and other acupuncture-related services
97%+ success rate goal with transparent performance tracking
Best For: Acupuncturists who want an all-in-one platform that handles scheduling, patient records, documentation, billing, and payments in a single system.
4. I-Med Claims – Best for High-Volume Practices
I-Med Claims operates as a full-service medical billing company with extensive experience in acupuncture billing, supported by a team of over 1,000 billing experts.
Strengths:
Large team provides coverage and quick response times
99% claim reimbursement rate according to their published statistics
Experience across all 50 states with different payer requirements
Comprehensive services including credentialing, billing, denial follow-up, and appeals
Best For: Larger acupuncture practices or multi-provider clinics with high claim volumes needing robust support infrastructure.
5. Acupbilling – Best Flexibility and Customization
Acupbilling specializes exclusively in acupuncture billing and works flexibly around each practice's preferred systems and workflows.
Strengths:
Doesn't require specific apps or software—works with your existing EHR or practice management system
Integrates with major acupuncture platforms like Unified Practice, Jane App, and Acusimple
Flexible service packages from basic billing to comprehensive credentialing and denial management
Available to answer questions and provide support beyond normal business hours
Best For: Acupuncturists who have established systems they want to keep and need a billing partner that adapts to their workflow rather than forcing them to adapt.
When evaluating acupuncture billing services, consider these critical factors:
1. Acupuncture-Specific Expertise
General medical billing companies simply don't understand the nuances of acupuncture coding and reimbursement. Look for billing partners who:
Demonstrate deep knowledge of acupuncture CPT codes (97810, 97811, 97813, 97814) and their proper application
Understand time-based billing requirements and the Medicare 8-minute rule
Know which diagnosis codes (ICD-10) support medical necessity for acupuncture services
Stay current with annual CPT and ICD-10 updates affecting acupuncture billing
Have experience with cupping therapy, moxibustion, dry needling, and electroacupuncture billing
Understand modifier usage (GP, KX, 59, 25) specific to acupuncture claims
Ask potential billing partners specific questions about acupuncture coding scenarios to gauge their expertise. A qualified acupuncture billing company should answer confidently and accurately.
2. Technology and Automation
Modern acupuncture billing requires sophisticated technology to compete effectively:
Claims Scrubbing Technology: Automated systems that check every claim for errors before submission prevent the majority of denials. Look for companies using AI-powered scrubbing that understands acupuncture-specific requirements.
Real-Time Eligibility Verification: Systems that verify insurance coverage and benefits in real-time prevent surprises at billing time. This is particularly important for acupuncture since coverage varies so widely between plans.
Denial Management Analytics: Advanced systems identify patterns in denials, allowing proactive fixes rather than repeatedly experiencing the same problems.
Patient Portal Integration: Modern billing services offer patient-facing portals for online payment, appointment scheduling, and secure messaging about billing questions.
Reporting Dashboards: Real-time access to key performance metrics like days in AR, collection rates, denial rates, and outstanding claims lets you monitor billing performance continuously.
Sirius Solutions Global's AI agent ecosystem exemplifies cutting-edge billing technology, but even billing companies without such advanced systems should offer basic automation and reporting capabilities.
3. Clean Claim Rate and Collection Performance
The best measure of a billing company's effectiveness is their track record:
Clean Claim Rate: What percentage of submitted claims get accepted and paid on first submission? Top-performing acupuncture billing companies achieve clean claim rates of 95-98%. Anything below 90% suggests problems.
Days in Accounts Receivable: How long does it take to collect payment after services are rendered? Industry benchmarks suggest 30-40 days for acupuncture practices, with top performers achieving 25-30 days.
Collection Rate: What percentage of expected reimbursement actually gets collected? Strong billing companies collect 95%+ of expected revenue.
Ask potential billing partners for their performance statistics and, if possible, speak with current clients about their actual experience.
4. Denial Management Process
Even with excellent billing practices, some claim denials are inevitable. What matters is how effectively your billing partner addresses them:
Systematic Denial Tracking: Does the company track all denials, categorize them by reason, and identify patterns that indicate systemic problems?
Proactive Appeal Process: Do they automatically appeal denied claims with comprehensive supporting documentation, or do they wait for you to request action?
Root Cause Analysis: Do they investigate why denials happen and fix underlying problems, or do they just rework individual claims repeatedly?
Success Rate on Appeals: What percentage of appealed claims ultimately get paid?
The best acupuncture billing companies view denial management not as reactive claim reworking but as proactive prevention and systematic resolution.
5. Credentialing and Insurance Panel Support
Getting credentialed with insurance networks is a critical first step for acupuncturists accepting insurance. Strong billing partners offer:
Credentialing Services: Assistance with initial credentialing applications, re-credentialing, and maintaining active status with all relevant payers
Payer Enrollment Knowledge: Understanding of which insurance companies credential acupuncturists and which conditions they cover
Status Monitoring: Tracking credentialing status and re-credentialing deadlines to prevent lapses
Fee Schedule Negotiation: Help negotiating favorable reimbursement rates during contracting
Some acupuncture billing companies bundle credentialing services, while others offer them as add-ons. Either way, look for comprehensive support in this area.
6. Transparent Pricing
Acupuncture billing companies typically use one of three pricing models:
Percentage-Based: Charging a percentage (typically 5-10%) of collected revenue. This aligns the billing company's incentives with yours—they only make money when you get paid.
Per-Claim Fee: Charging a fixed fee for each claim submitted, regardless of claim amount or payment outcome.
Flat Monthly Fee: Charging a consistent monthly rate regardless of claim volume or revenue.
Percentage-based pricing is most common and often most favorable for acupuncturists since it scales with practice size. Whatever the pricing model, ensure you understand:
The exact percentage or fee structure
Whether there are any setup fees or minimum monthly charges
What services are included versus add-on costs
Contract terms and cancellation policies
Avoid billing companies that aren't transparent about pricing or that have numerous hidden fees.
7. Communication and Customer Service
Your billing partner should feel like an extension of your practice, not a distant vendor:
Dedicated Account Manager: Having a consistent point of contact who knows your practice intimately is valuable.
Responsiveness: How quickly do they respond to questions or concerns? Same-day response should be standard.
Proactive Communication: Do they alert you to issues before they become problems, or do you have to chase them for information?
Regular Reporting: Do you receive consistent, detailed reports on billing performance, or do you have to request information repeatedly?
Read client testimonials and, if possible, speak with current clients to gauge the quality of customer service before committing.
To work effectively with any billing company, acupuncturists should understand the fundamentals of their specialty billing:
Primary Acupuncture CPT Codes
CPT 97810 – Acupuncture Without Electrical Stimulation, Initial 15 Minutes
This code covers the first 15 minutes of traditional acupuncture using fine, solid needles inserted at specific anatomical points. Manual manipulation stimulates the needles to achieve therapeutic effect. This is your primary code for most acupuncture treatments.
CPT 97811 – Acupuncture Without Electrical Stimulation, Each Additional 15 Minutes
This add-on code bills additional time beyond the initial 15 minutes when performing manual acupuncture. Calculate billable units using the Medicare 8-minute rule: Services lasting 8-22 minutes = 1 unit; 23-37 minutes = 2 units; 38-52 minutes = 3 units.
CPT 97813 – Acupuncture With Electrical Stimulation, Initial 15 Minutes
Electroacupuncture involves attaching electrical current to acupuncture needles after insertion. The electrical stimulation provides additional therapeutic benefit. This code covers the first 15 minutes of electroacupuncture treatment.
CPT 97814 – Acupuncture With Electrical Stimulation, Each Additional 15 Minutes
This add-on code bills additional time for electroacupuncture sessions exceeding 15 minutes. Apply the same Medicare 8-minute rule as with CPT 97811.
Important Billing Rules
Time-Based Billing: All acupuncture codes are time-based, requiring documentation of face-to-face time spent with the patient, including needle insertion, manipulation, assessment, and discussion.
Initial Code Usage: Report the initial code (97810 or 97813) only once per session, regardless of session length.
Add-On Code Calculation: Use the Medicare 8-minute rule to determine how many units of add-on codes to bill based on total session time beyond the initial 15 minutes.
No Mixed Sessions: Don't bill both non-electrical stimulation codes (97810/97811) and electrical stimulation codes (97813/97814) for the same session. Choose the appropriate set based on your treatment method.
Separate from Dry Needling: CPT guidelines prohibit billing both dry needling codes (20560, 20561) and acupuncture codes on the same date of service.
Common Modifiers for Acupuncture
Modifier GP: Indicates services delivered under an outpatient physical therapy plan. Some payers require this for acupuncture billing.
Modifier KX: Signifies that services exceed the therapy threshold but meet medical necessity requirements. Used primarily for Medicare claims.
Modifier 59: Indicates distinct procedural services when separate services are performed on the same day. Use carefully to avoid bundling issues.
Modifier 25: Appended to evaluation and management (E/M) codes when a significant, separately identifiable E/M service occurs on the same day as acupuncture treatment.
Documentation Requirements
Comprehensive documentation supporting each acupuncture claim should include:
Patient diagnosis using appropriate ICD-10-CM codes
Medical necessity justification for acupuncture treatment
Detailed treatment plan with goals and expected outcomes
Specific needle locations and number of needles used
Whether electrical stimulation was applied
Total session duration and breakdown of time increments
Patient response to treatment
Any complications or adverse reactions
Signature and credentials of treating provider
Missing any of these documentation elements can result in claim denial, even when services were appropriately coded.
Medicare's acupuncture coverage is extremely limited, which creates challenges and confusion:
Covered Condition: Medicare Part B covers acupuncture only for chronic low back pain (ICD-10-CM code M54.5) that has lasted 12 weeks or longer.
Coverage Limits:
Up to 12 acupuncture sessions over 90 days for patients showing no improvement
Up to 8 additional sessions (20 total) for patients demonstrating improvement
Maximum 20 sessions per calendar year
Excluded Conditions: Medicare does not cover acupuncture for any condition other than chronic low back pain, including:
Headaches and migraines
Anxiety and depression
Chronic pain in areas other than lower back
Fertility treatments
Post-operative nausea
Any other condition traditionally treated with acupuncture
Provider Requirements: Only physicians, physician assistants, nurse practitioners, and qualified non-physician practitioners meeting specific requirements can bill Medicare for acupuncture. Licensed acupuncturists without additional medical credentials cannot enroll in Medicare as individual practitioners.
Documentation: Medicare requires detailed documentation of patient assessment, treatment plan, and response to treatment for each visit.
Given these limitations, acupuncturists should focus billing efforts on commercial insurance plans with more comprehensive acupuncture coverage.
Private insurance coverage for acupuncture varies dramatically:
Coverage by Insurer: Major insurers like Aetna, Cigna, UnitedHealthcare, Blue Cross Blue Shield, and Humana often include acupuncture benefits, but coverage varies by specific plan.
Covered Conditions: Private plans may cover acupuncture for:
Chronic pain (back, neck, joint pain)
Headaches and migraines
Nausea (chemotherapy-related, post-operative)
Fertility treatments
Stress and anxiety
Various other conditions depending on the plan
Visit Limits: Most plans that cover acupuncture limit the number of visits per year, typically 12-26 visits.
Prior Authorization: Some plans require prior authorization before beginning acupuncture treatment.
Network Restrictions: Many plans require using in-network acupuncturists to receive benefits.
Cost-Sharing: Even when covered, patients typically have copayments, coinsurance, or deductibles that apply to acupuncture services.
This variability makes pre-service eligibility verification critical. Your billing company should verify not just whether a patient has active insurance, but specifically whether their plan covers acupuncture, what conditions are covered, how many visits are allowed, and what prior authorization requirements exist.
Artificial intelligence is revolutionizing acupuncture billing, and the best billing companies are leveraging these technologies:
Automated Eligibility Verification: AI systems check insurance coverage in real-time, extracting detailed benefit information including acupuncture coverage specifics, deductible status, and prior authorization requirements.
Intelligent Coding Suggestions: AI analyzes clinical documentation and suggests appropriate CPT codes based on treatment details like session duration and electrical stimulation use. Human coders then verify these suggestions for accuracy.
Predictive Denial Prevention: Machine learning algorithms analyze historical claim data to predict which claims are likely to be denied before submission, allowing proactive corrections.
Smart Claims Scrubbing: AI systems check claims against thousands of payer-specific rules, catching errors that would cause denials incorrect modifiers, missing documentation, code conflicts, and medical necessity issues.
Automated Appeal Generation: When denials do occur, AI can draft initial appeal letters with relevant supporting documentation, which human experts then refine and submit.
Revenue Cycle Analytics: AI identifies patterns in collections, denials, and reimbursement rates, providing insights that help optimize billing performance over time.
Sirius Solutions Global's comprehensive AI agent ecosystem demonstrates the power of these technologies. Their hybrid approach combining AI automation for routine tasks with human expertise for complex situations delivers superior results compared to either AI-only or human-only billing approaches.
Not all billing companies deliver quality service. Watch for these warning signs:
Lack of Acupuncture-Specific Experience: If the billing company can't demonstrate specific expertise in acupuncture CPT codes, ICD-10 diagnosis codes for acupuncture-treated conditions, and payer coverage policies for complementary medicine, they'll make costly mistakes.
Opaque Pricing: Billing companies that won't clearly explain their fee structure or that have numerous hidden charges should be avoided.
Poor Communication: If getting responses to questions is difficult during the sales process, it will be worse after you sign a contract.
No Performance Guarantees: Reputable billing companies stand behind their work with performance guarantees or transparent reporting showing their track record.
High Client Turnover: If many acupuncturists leave the billing company after short periods, that suggests serious service quality issues.
Limited Technology: Billing companies still relying primarily on manual processes can't compete with modern automated systems for speed, accuracy, and cost-effectiveness.
Pressure to Sign Long Contracts: Be wary of companies requiring long-term contracts with significant cancellation penalties. Confident billing companies with strong performance don't need to lock clients into lengthy agreements.
No Credentialing Support: Since credentialing is critical for acupuncturists accepting insurance, billing companies that don't offer or can't recommend credentialing assistance miss a key component.
Trust your instincts. If a billing company doesn't feel like the right fit during initial conversations, keep looking.
If your current billing company isn't performing well, switching is easier than you might think:
Step 1: Research and Select New Partner
Identify several potential billing companies, schedule consultations, ask detailed questions about their acupuncture expertise and services, and request client references. Take your time making this decision the right billing partner significantly impacts your practice revenue.
Step 2: Review Current Contract
Check your existing billing contract for:
Notice period required for termination (typically 30-90 days)
Any cancellation fees or penalties
Final billing and payment terms
Step 3: Notify Current Billing Company
Provide written notice of termination according to your contract terms. Be professional even if you're dissatisfied—you'll need their cooperation during the transition.
Step 4: Prepare for Transition
Work with your new billing company to:
Transfer access to your practice management system and EHR
Provide patient demographic files and insurance information
Share historical claim data and denial information
Identify open claims and outstanding accounts receivable
Step 5: Coordinate Cutover Date
Set a specific date when the new billing company takes over:
Old company submits all claims for services before cutover date
New company handles all claims for services on or after cutover date
Avoid gaps in claim submission during transition
Step 6: Monitor Performance
Watch key metrics closely during the first 90 days:
Clean claim rate
Days in accounts receivable
Denial rates
Cash collections
Response time to inquiries
Most transitions take 30-60 days from decision to fully operational with the new billing company. While any transition involves some short-term disruption, the long-term benefits of working with a superior billing partner far outweigh temporary inconvenience.
After reviewing the top acupuncture billing companies, Sirius Solutions Global consistently emerges as the best choice for practitioners serious about maximizing their insurance reimbursement while minimizing administrative burden.
Unmatched Technology: No other acupuncture billing company offers the comprehensive AI agent ecosystem that Sirius Solutions Global has developed ELIXA for eligibility verification, CODIN for coding, CLAIR for claims scrubbing, DEXA for denial management, PRIA for prior authorization, ARIS for accounts receivable management, and REMITA for payment posting.
Proven Performance: With a 99% client retention rate and 98%+ clean claim submission rate, Sirius Solutions Global delivers measurable results that directly impact your bottom line.
Specialty Expertise: Their team includes certified medical coders and billing specialists with specific acupuncture training who understand the unique challenges of billing for complementary and alternative medicine.
Comprehensive Services: From initial credentialing through final payment collection, Sirius Solutions Global handles every aspect of your revenue cycle so you can focus entirely on patient care.
Transparent Partnership: Real-time dashboards, detailed monthly reports, and dedicated account managers ensure you always know exactly how your billing is performing.
Competitive Pricing: Straightforward percentage-based pricing with no hidden fees means you only pay when you get paid perfectly aligning Sirius Solutions Global's incentives with your practice success.
Take the Next Step: Transform Your Acupuncture Practice Revenue
The right acupuncture billing partner doesn't just submit claims—they become a strategic partner in your practice growth. By handling the complex, time-consuming administrative work of insurance billing, they free you to focus on what you do best: helping patients heal through traditional Chinese medicine.
Whether you're a newly licensed acupuncturist nervous about accepting insurance, an established practitioner frustrated with high denial rates, or a practice owner looking to optimize revenue cycle performance, Sirius Solutions Global has the expertise, technology, and track record to deliver exceptional results.
Ready to experience the Sirius Solutions Global difference?
Schedule your free consultation today. We'll analyze your current billing performance, identify opportunities for improvement, and show you exactly how our AI-powered, human-verified approach can increase your collections, reduce your denials, and simplify your administrative workload.
Contact Sirius Solutions Global:
Phone: (469) 694-5375
Website: www.siriussolutionsglobal.com/specialties/acupuncture-billing
Location: Aubrey, Texas
Don't let billing complexities hold your acupuncture practice back. Partner with Sirius Solutions Global and discover what your practice revenue could be with expert billing support.
Sirius Solutions Global provides specialized acupuncture billing and revenue cycle management services to practices across the United States. Our AI-powered, human-verified approach combines cutting-edge automation with experienced billing professionals who understand the unique challenges of acupuncture insurance billing. With 99% client retention, 98%+ clean claim rates, and comprehensive services from credentialing through collections, we're the trusted partner for acupuncturists serious about practice growth. Learn more at www.siriussolutionsglobal.com.