Years of Experience
Experienced Resources
Satisfied Clients
Prompt Chiropractic Billing and Coding Service with Maximum Benefits
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
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
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Billing & Claim Submission
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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
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AR Management
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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
Our Chiropractic Coding Services
- 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.
- 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.
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Support for Insurance and Cash-based Chiropractic Practices
- Real-time insurance eligibility verification.
- Proper claim coding, submission, and tracking.
- Denial management and appeals.
- Credentialing and payer enrollments.
- 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.
Affordable & Flexible Pricing Plans
Full-Time Equivalent
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?
Can you handle all aspects of chiropractic billing, including insurance claims and patient billing?
How do you ensure accurate coding for chiropractic procedures?
Do you have experience working with different insurance companies?
How do you handle patient eligibility verification to prevent insurance claim denials?
Can you assist with the credentialing process for insurance networks?
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