Streamline Your Practice with Expert Chiropractic Billing Services
Specialized revenue cycle management & billing services for chiropractors
  • End-to-end Billing Services
  • Real-time Eligibility Verification
  • Proper Coding and Documentation
  • Timely Claim Submission
  • Dedicated, Professionally Trained Team

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Do what you do best, we’ll do the rest.

Chiropractic Medical Billing

Revolutionize your Operations with Our Chiropractic Billing Services

With Medicare and private insurance changes and new requirements and regulations, chiropractic medical billing is a complicated process. Inadequate documentation, improper eligibility checks, lack of treatment authorizations and not knowing insurance rules can lead to claim denials. Outsource Strategies International (OSI) helps chiropractic practices stay on top of their revenue cycle and get their claims paid faster, allowing them to stay focused on patient care.

As a chiropractic billing company, we offer end-to-end revenue cycle management solutions which include support for eligibility verification and authorizations, billing, coding and AR management. Our chiropractic billing 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, or workers’ compensation, reducing the risk of errors and non-compliance.

We provide billing and coding services for chiropractors in all states, adhering to the highest ethical standards, coding guidelines, and HIPAA compliance.

Save 30% to 40% vs the competition

Call our toll-free number (800) 670-2809 to ask us about our affordable chiropractic billing services

Our Comprehensive Chiropractic Billing Services

Our chiropractic 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 fulfill their requirements. We can work with your current billing or practice management software or use our own.

Credentialing and Enrollment

Our expert team can help you get credentialed with insurance companies. We can also handle all of the necessary paperwork and set-up within your practice management software, saving you time and resources.

Billing and 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.

Verifications & Authorizations

No more worrying about your patient’s eligibility. We handle all necessary paperwork and communicate with the insurance providers providing comprehensive insurance verifications and obtaining authorizations when needed.

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.

Medical Coding

Accurate insurance specific chiropractic coding is crucial for proper reimbursement. Our certified coders specialize in chiropractic medical coding and ensure that the services are coded correctly for maximum reimbursement.

Accounts Receivable Management

Our team proactively 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.

Our Chiropractic Billing Process

Collaborating with a dedicated billing company like OSI ensures prompt billing, diligent follow-ups, and proper reimbursement, enhancing your revenue and optimizing your practice’s operations. Drawing on our extensive experience, we have developed an efficient billing strategy that aligns with the needs of our valued clients.

Our process includes the following steps:

Our Chiropractic Billing Process
Our Chiropractic Billing Process

Our Unique Approach

Our billing team is skilled in the use of the latest technologies and software such as Medisoft, Practice Admin, Eclipse, Chiro touch, ChiroFusion, AdvantX, eClinicalWorks, IDX, Lytec, and ACOM, among many others. We are up-to-date with the changing CPT and ICD-10 codes.

  • 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
  • No hidden costs
  • No long-term yearly contracts
  • Save 30% to 40% of your total operating costs

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, and maximize your reimbursement with benefits verification services, timely filing of claims, and aggressive follow-up with payers. 
  • 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.

Affordable & Flexible Pricing Plans

Full-Time Equivalent or FTE Pricing Model

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. Your advantages include:

  • Conversion from hourly rates
  • Predictable costs
  • Transparent billing
  • Management oversight

Fixed Cost Pricing

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.

  • A dedicated employee or team member
  • Team handling multiple responsibilities
  • Preset pricing and production guidelines
  • No Start-up fees

Per Verification Pricing

Perfect for a practice that is unsure about their work requirements. This can have per request pricing for eligibility verifications and other functions.

  • Dedicated team or employee
  • Team handling multiple responsibilities
  • A per transaction or hybrid model
  • No Start-up fees
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Ready to Simplify Your Chiropractic Billing Process?

Reach out for a custom quote to improve your cash flow!


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.


“Top-notch service. Easy to work with. Fast, reliable, excellent from top to bottom. Strongest recommendation possible!”


Eldon Peters

“Jan and Meghann are the BEST!!! They are responsive, professional and fast! Thank you so much for making my job easier!!!”


Jill C. McCrory, Esq.

“The customer service and promptness with your company is outstanding. I always get a reply almost immediately and everyone I communicate with is very friendly and accommodating.”



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