21+
Years of Experience
1000+
Experienced Resources
200+
Satisfied Clients
Prompt Chiropractic Billing and Coding Service with Maximum Benefits
With years of experience in the medical billing industry, we focus on providing streamlined chiropractic billing and coding services. As a full-service firm, our aim is to increase your revenue and improve productivity, through timely and proper reimbursement of claims. We help chiropractic practices stay on top of their revenue cycle and get their claims paid faster. They can also stay focused on patient care.
We ensure that the claims submitted are error-free with the efficient support of our thoroughly professional billers and coders well-versed in the latest CPT and ICD specifications. We provide chiropractic billing and coding services in all states, adhering to the highest ethical standards, coding guidelines, and HIPAA compliance.
Our experts stay up-to-date with all relevant laws and regulations pertaining to Medicare and commercial insurance, and all types of liability insurance, no-fault insurance, and workers’ compensation, reducing the risk of errors and non-compliance.
Our Comprehensive Chiropractic Billing Services
Our chiropractic medical billing services can be customized to meet your specific requirements. We can serve as your dedicated full-time billing company or complement your in-house team by providing tailored solutions to meet your specific requirements. We can work with your current billing or practice management software or use our own.
Credentialing & Enrollment
Our team can help you get credentialed with insurance companies. We can handle all the necessary paperwork and set-up within your practice management software.
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Account Reconciliation
We follow all claims through final adjudication, daily checking of ERA and clearing house reports. Our detailed approach helps us identify any discrepancies and ensures the financial integrity of your practice.
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Billing & Claim Submission
We ensure that your claim submissions are timely and accurate. We address all rejections and provide a comprehensive quality assurance check on all claims and address all rejections.
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Medical Coding
Accurate insurance specific chiropractic medical coding is crucial for proper reimbursement. Our certified coders ensure that the services are coded correctly for maximum reimbursement.
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Verifications & Authorizations
We handle all necessary paperwork and communicate with the insurance providers, providing comprehensive insurance verifications and obtaining authorizations when needed.
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AR Management
Our team follows up on claims, resolving billing issues to recover unpaid balances and increase revenue. We have a very robust system that allows for a systematic follow-up and reporting plan.
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Chiropractic Billing for All Health Plans
We will file and track all chiropractic treatment claims from Medicare, commercial and personal injury insurances.
We ensure that all documentation requirements are met to prove medical necessity and meet specific-payer criteria by ensuring:
- Clear diagnosis with appropriate ICD-10 codes
- Objective physician findings (palpation, range of motion, orthopedic/neurologic testing)
- Treatment goals and expected outcomes
- Detailed treatment plans, including frequency and duration
- Progress notes demonstrating measurable improvement
- Re-evaluations to support ongoing care or discharge
We help you navigate the nuances of No Fault or Workmen’s Compensation claims! Our team will work hand in hand with your office and make sure that the daily flow of information is handled correctly. Our seamless onboarding process ensures that all information required for the billing process is documented before the work starts.
Our Chiropractic Coding Services
With our AAPC-certified coders experienced in assigning CPT, ICD-9, ICD-10, HCPCS Level I and Level II codes and modifiers, our clients are assured clean claims, fewer denials, and enhanced revenue. We review and analyze all physician documents including chart notes, encounter forms, fee slips, and chart sheets. We are up-to-date with the changing CPT and ICD-10 codes.
Our chiropractic medical billing company codes for key services including:
Chiropractic Manipulative Treatment (CMT) Codes:
- 98940 – 1–2 spinal regions
- 98941 – 3–4 spinal regions
- 98942 – 5 spinal regions
- We ensure the correct CMT code is selected based on the documentation of spinal areas treated during each visit.
- Physical Medicine Modalities (e.g. 97010, 97035, 97110)
- Evaluation & Management (E/M) codes when applicable
- Use of modifiers to clarify service necessity and avoid denials, such as:
- Modifier AT: Indicates active treatment and medical necessity (required by Medicare for chiropractic adjustments).
- Modifier 25: Used to document a separately identifiable E/M service performed on the same day as a chiropractic treatment.
- Modifier 59: Identifies distinct and independent procedures, such as manual therapy (97140) and spinal manipulation (98940), provided during the same encounter.
We assist chiropractic physicians in the following ways:
- Avoiding coding errors by improving chiropractic documentation
- Selecting appropriate E/M codes for evaluation and management office or other outpatient services
- Assigning appropriate CPT codes and modifiers for imaging services
- Assigning codes for chiropractic manipulative treatment
- Selecting appropriate physical medicine modalities
- Emergency room e-code evaluation
- Checking compatibility of diagnoses and procedures with diagnostic and procedural codes with the appropriate modifiers
- Improving documentation for medical necessity
- Thorough auditing to verify the accuracy of assigned codes
- Proper claim denial management
Our Unique Approach
- Dedicated project manager
- AAPC and AHIMA certified coders
- Daily posting of charges and payments
- Daily claim processing
- Accurate AR management
- Rejection follow-up, denial management and appeals
- QA checks and reporting
- Customized TAT (hours to days)
- No hidden costs
- No long-term yearly contracts
We serve all 50 states
Our Chiropractic Billing and Coding Process
Partnering with a dedicated medical billing and coding company like OSI ensures prompt billing, diligent follow-ups, and proper reimbursement, enhancing your revenue and optimizing your practice’s operations. With our extensive experience, we have developed an efficient billing strategy that aligns with the needs of our valued clients.
1
Patient Scheduling
Payment Posting
4
2
Eligibility Verification
AR Follow-up
5
3
Medical Coding
Denial Management
6
1
Patient Scheduling
2
Eligibility Verification
3
Medical Coding
4
Payment Posting
5
AR Follow-up
6
Denial Management
Support for Insurance and Cash-based Chiropractic Practices
Whether your practice operates on an insurance-based, hybrid, or cash-only model, our team is proficient at tailoring billing solutions to your practice’s needs.
For Insurance-based Practices:
- Real-time insurance eligibility verification.
- Proper claim coding, submission, and tracking.
- Denial management and appeals.
- Credentialing and payer enrollments.
For Cash-based Practices:
- Transparent and easy-to-read patient billing
- Custom invoicing for time-of-service payments.
- Compliance documentation (even for non-billed services).
- Education on maintaining HIPAA and documentation standards.
Our comprehensive support helps all chiropractic business models to operate efficiently and compliantly while improving chiropractic revenue cycle management.
Affordable & Flexible Pricing Plans
Our chiropractic billing and coding services are cost-effective. We understand that every practice is different, so we offer flexible payment options to best fit your needs.
Full-Time Equivalent
In this model, services are billed based on the equivalent cost of a full-time employee (FTE) for a specified duration, usually monthly or annually.
Per Verification Billing
Like an FTE model, a person is dedicated to your practice. Perfect for a practice that is busy. They work as an extension to your business.
FAQs
How do you follow-up on unpaid claims?
Our billing experts thoroughly evaluate your accounts receivable position and identify denied claims, unpaid claims, as well as low payments. Claims are re-submitted with additional information when required. With timely follow-up and appeals, we help improve your cash flow and minimize accounts receivable days.
Can you handle all aspects of chiropractic billing, including insurance claims and patient billing?
Absolutely. Our comprehensive chiropractic billing service covers all aspects of the billing process. This includes claims submission, rejection management, payment posting, denial follow up, appeals, patient billing and collections, insurance verification, and more.
How do you ensure accurate coding for chiropractic procedures?
We have a team of certified medical coders who are well-versed in chiropractic coding guidelines. They undergo continuous training to stay updated with the latest coding changes and ensure accurate coding of procedures, diagnoses, and modifiers.
Do you have experience working with different insurance companies?
Yes, we have extensive experience working with various insurance companies, including private payers and government programs. We are well-versed in their billing requirements, fee schedules, and claim submission guidelines to optimize reimbursement.
How do you handle patient eligibility verification to prevent insurance claim denials?
We conduct thorough insurance eligibility verifications to confirm patient coverage before each visit. This helps prevent claim denials due to coverage issues and ensures proper reimbursement.
Can you assist with the credentialing process for insurance networks?
Yes, we can provide support and guidance throughout the credentialing process. Our team will help you complete the necessary paperwork and submit the required documents to join insurance networks.
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