Streamlining Revenue Through Effective Chiropractic Billing
Chiropractic billing complying with ever-changing coding standards to decrease the denial rate. Regular follow-ups with government and insurance providers for quick and fair reimbursements against submitted claims.
MarkLab’s professionals are experienced enough in chiropractic billing to efficiently resolve all recurring billing and coding problems, incorporating advanced technology. The team transcribes each of your medical services electronically — through HIPAA-compliant transcription — and uses advanced coding software for the correct allocation of codes per the chiropractic coding sets issued by ICD-10 and CPT.
Besides this, we oversee patient and practice data management so you never miss important details — patient data, examination findings, and treatment plans. Our professionals pay keen attention to each detail while documenting for proper record keeping. Afterward, they practice two-layer quality assurance to ensure no duplication in patient records — avoiding billing disputes.
Why Choose Us?
You might find multiple chiropractic billing providers around, but not all are trustworthy like us. Here is what makes us stand out:
- 25 Years of Experience — billers who know chiropractic coding and Medicare's rules
- Up-to-Date Coding — ICD-10 and CPT revisions applied to every claim
- 24/7 Services — billing support whenever your practice needs it
- 98% First-Go Clearance — two-layer quality assurance on each submission
- Certified Chiropractic Coders — trained on CMT codes and chiropractic modifiers
Chiropractic Billing Plan
A lot of paperwork is required for accurate chiropractic billing. However, we get you through the process quickly with these steps:
- Insurance Verification — coverage confirmed before every adjustment
- Practice Documentation — visits, findings, and treatment plans recorded
- Claim Filing — correct CMT codes and modifiers applied
- Claim Submission — scrubbed claims filed on time, every time
- Payment Posting — payments posted and balances followed up
Typographical mistakes are common in chiropractic billing and a major reason behind denials. To overcome the problem, we have certified professionals who completely understand complex chiropractic terminologies. They enter all details carefully to avoid transposed letters, misspellings, and other mistakes.
Frequently Asked Questions
Efficient chiropractic billing is crucial to providing high-quality musculoskeletal care. However, providers have their concerns regarding the billing process. Below we have answered some questions that they frequently ask. Whether you’re practicing chiropractic individually or affiliated with a hospital, these will effectively clear your confusion. Let’s have a look:
1) What are common chiropractic procedure codes?
Spinal chiropractic manipulative treatment is billed with CPT 98940 (1-2 spinal regions), 98941 (3-4 regions), and 98942 (5 regions). Evaluation and therapy add-on codes apply alongside — and because Medicare covers chiropractic only for acute treatment, documentation must support medical necessity on every visit.
2) What modifiers are used in chiropractic billing?
The core set: AT (active acute treatment — required for Medicare payment), GA (waiver of liability on file with an ABN), GY (service statutorily excluded, for mandatory denial tracking), GZ (expected denial, no ABN on file), and -59 for distinct procedural services. Correct modifier use is what separates paid chiropractic claims from automatic denials.
3) What is the difference between a CPT code and a modifier?
A CPT code is a five-digit number identifying the procedure performed. A modifier is a two-character code — letters, numbers, or both — appended to the CPT code to reflect special circumstances, like reduced services or multiple procedures, without changing the procedure itself.