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Specialty billing

Chiropractic Billing Services

Get paid correctly for every adjustment.

Chiropractic billing has its own minefield: Medicare only covers spinal manipulation, the AT modifier makes or breaks payment, and commercial payers scrutinize chiro claims harder than almost any other specialty. We know the terrain.

What we handle for you

01The AT modifier on Medicare claims

Medicare only pays for active treatment. Claims without the AT modifier on CMT codes deny automatically. We apply it correctly and maintain the documentation that supports active care versus maintenance.

02CMT code selection (98940-98942)

Billing the right level based on regions treated matters. Overcoding triggers audits, undercoding leaves money on the table. We review documentation to support the level billed.

03Medicare exclusions

Medicare does not cover exams, X-rays, or therapies performed by chiropractors. We help you structure patient financial policies and ABNs so non-covered services get paid by the patient properly.

04Commercial plan visit limits

Most commercial plans cap chiropractic visits per year. We verify remaining benefits before every visit so there are no surprises.

05Personal injury and lien cases

PI cases have their own billing workflow. We manage attorney liens, track case status, and follow through to settlement.

From 98940-98942 CMT codes to E/M visits, therapies, and modalities where covered, we bill it clean the first time.

See what your billing is leaving on the table.

Free billing review. We look at your last 90 days of claims, find the leaks, and show you exactly what fixing them is worth. No commitment.

Request your free review →

Or call (323) 327-2764 · contact@healthflowbilling.com