Chiropractor Billing Services
Maximize Collections & Free Up Your Day
Running a chiropractic practice is immensely rewarding: you help people live pain-free, improve mobility, and regain quality of life. But let’s be real behind the adjustments and gentle manipulations lies an often complex web of insurance rules, claim requirements, coding nuances and denials. That’s where we come in. we believe you shouldn’t spend your time buried in paperwork, wondering “Did that claim go out?”, “Why was that denied?”, “When will we get paid?” Instead, you should be treating patients, growing your practice, and expanding your vision. With our full-cycle chiropractor billing services, you hand us the headaches and we deliver results: fewer denials, faster reimbursements, fewer surprises.
Services Tailored for Chiropractic Practices
When you partner with us, you’re not just outsourcing “billing.” You’re gaining a strategic revenue partner who knows chiropractic inside and out. Here’s a detailed breakdown:
1. Insurance Eligibility & Benefits Verification
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Before the patient is seen, we verify coverage, check benefit limits, co-pays, deductibles and confirm what the payer will pay.
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We flag services that require preauthorization or have limitations so your front desk can inform patients ahead of time.
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Avoid surprise denials from “not covered” services or unmet pre-reqs.
2. Accurate Coding & Charge Entry
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We code spinal manipulations (98940-42/98943), E/M codes, rehab modalities, therapeutic exercises and any adjunct therapies properly.
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We apply correct modifiers and ensure the documentation supports the codes billed — this reduces resubmissions and boosts first-pass acceptance.
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We stay current with ICD-10, CPT updates and payer rule changes so your practice doesn’t fall behind.
3. Claim Submission & Monitoring
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Electronic claims are submitted rapidly; we track claim status, payment posting and outstanding amounts.
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We monitor “clean claim rate” (claims that pass without edits/denials) and actively work to improve it.
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When claims are rejected or delayed, we have workflows to escalate and resolve follow-up.
4. Denial Management & Appeals
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Denials are not treated as “just part of business.” We analyze denial trends (e.g., same code/payer repeatedly denied) and correct root causes.
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We prepare, submit and track tailored appeals for legitimate outpatient chiropractic claims.
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We provide insight reports: “Why were we denied?”, “What’s the cost of this denial?” so you can make informed decisions.
5. Patient Billing & Support
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We generate clear, easy-to-understand patient statements and manage collections in a patient-friendly way.
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We help set up payment plans where needed so you maintain care relationships rather than alienate patients.
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We provide support for billing questions, explanation of benefits, and help your staff stay focused on care rather than chasing payments.
6. Accounts Receivable (A/R) & Reporting
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We track A/R aging, following up on unpaid claims and self-pay balances aggressively.
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We generate monthly dashboards: net collection rate, A/R days, top deny codes, payer mix your visibility into revenue is increased.
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We continuously refine workflows based on what the data tells us, making improvements month over month.
7. Compliance & Documentation Support
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We help ensure your practice meets regulatory standards (HIPAA, Medicare/Medicaid, payer audits).
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We provide documentation checklists and flags for chiropractic-specific services to minimize risk of audit or recoupments.
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We keep you informed of industry changes (modifier updates, new billing rules) so you stay ahead.
Benefits of Partnering with Sirius Solutions Global
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✅ Higher net collections: We clean claims before submission and follow up aggressively so fewer reimbursements get stuck. (Example benefit: fewer resubmissions, faster cash flow.)
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✅ Lower denial rates: Our specialists know chiropractic modifiers, CPT codes, and payer quirks we stop denials before they happen.
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✅ Transparent reporting: Weekly dashboards and monthly revenue reviews show exactly where revenue is coming from and where it’s getting lost.
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✅ Reduced Overhead Costs – Eliminate the need for in-house billing staff.
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✅ Dedicated chiropractic team: Your account gets a specialist who understands office workflows, documentation needs, and how to build payer relationships.
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✅ AI-Powered Insights – Advanced analytics help track performance and identify revenue leaks.
Why Chiropractic Billing Is More Than “Medical Billing Lite”
Chiropractic billing isn’t a one-size-fits-all copy of general medical billing. It demands specialized knowledge. Here are some of the key complexities we navigate for you:
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The CPT codes 98940–98942 (and extraspinal 98943) are widely used for spinal manipulations, but modifiers, documentation requirements and payer-specific rules can mean the difference between approval and denial.
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Many payers treat therapies, modalities, rehab-type services differently what’s allowed under “chiropractic benefit” vs “physical therapy benefit” can vary.
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Medicare and other government payers limit certain services by chiropractors (for example, x-rays, diagnostics or non-manual modalities may not be billable when performed by a chiropractor).
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Documentation: every claim must be supported by proper SOAP notes, legible signatures, correct date-of-service, patient identification missing any piece can lead to denials or audits.
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Patient statements, payments, A/R follow-up: insurance only covers part of the picture. You need excellent patient billing workflows too.
Because of these nuances, an expert-driven chiropractic billing partner doesn’t just submit claims; they optimize the entire revenue cycle so you collect more and worry less.
Industry Insight & Why Outsourcing Billing Makes Sense
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According to independent research, many chiropractic billing services charge $350 – $1,200+ per month plus a percentage of collections depending on size and complexity.
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The top providers marketed savings such as “20% reduction in front-end denials” or “improved collections” demonstrating the real financial impact of expert billing.
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By outsourcing, you reduce overhead (hiring/training in-house billers, software costs, turnover risk), gain expertise faster, and often see a higher net collection rate.
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Given the complexity of chiropractic-specific coding and payer rules, using a generic billing service often leads to sub-par results specialized experience matters.
AI in Chiropractic Billing
The billing environment is changing with artificial intelligence (AI), and we use AI-driven instruments to give chiropractors a competitive advantage, we use these developments to:
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Automated Claim Scrubbing – AI checks claims for errors before filing.
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Predictive Analytics – Predict income trends as well as denial risks.
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Smart Compliance Alerts – Smart Coding Assist guarantees correct coding and modifier usage.
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Revenue Optimization – Speeds up revenue cycle efficiency via payment posting automation.
We ensure error-free billing, improved reimbursement, and long-term financial stability by matching human experience with artificial intelligence technologies.
Why Choose Sirius Solutions Global?
There are many billing vendors here’s why we stand out (and why our clients tell us we’re different):
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Chiropractic-specific billing specialists. We don’t treat your practice like “just another medical office.” We know the spinal adjustment codes, the rehab modalities, the payer traps for chiropractors.
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We don’t just find problems we fix them and keep them fixed.
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AI-enhanced workflows + human expertise. We combine advanced analytics (to spot revenue leaks) with live specialists who handle nuances.
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Transparent, actionable reporting. You get clear dashboards and review meetings no mystery billing practices, no black-box “we’ll handle it.”
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Scalable service model. Whether you’re a solo chiropractor or a multi-provider clinic, we scale with you no need to switch vendors as you grow.
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Focus on patient-care, leave back-office to us. Let your team focus on adjusting spines and changing lives we’ll handle the paperwork, claims and collections.
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Get Started Today
Running a chiropractic office is both profitable and fulfilling. Complexity in billing, denials, and compliance requirements can obstruct development and profit. With Sirius Solutions Global's Chiropractic Billing Services, you may boost reimbursements, eliminate revenue cycle inefficiencies, and dedicate more time to clients.
👉 Let us handle your chiropractic billing so that your patients may come back to health and well-being.