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Insurance Billing for chiropractors
INSURANCE BILLING FOR CHIROPRACTORS

Insurance billing for multi-CPT chiropractic visits.

Manipulation + manual therapy + therapeutic exercise on the same claim with proper modifiers. Medicare AT-handling. Concierge support for the trickier payers.

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How chiropractors actually use this

Chiropractic billing layers multiple CPT codes per visit (98940/98941/98942 + 97140 + 97110 + 97112). Stillpoint links each to the session note, applies modifiers (AT for Medicare, GP for re-evaluation), and submits cleanly. Medicare audit-ready documentation is built in.

The typical workflow

  1. 1New patient: insurance eligibility verified at booking
  2. 2Visit occurs — manipulation regions adjusted, soft tissue work, exercises prescribed all logged
  3. 3CPT codes auto-apply per session note: 98940/98941/98942 + 97140 + 97110/97112
  4. 4Modifiers auto-apply: AT for active Medicare treatment, others as needed
  5. 5Claim submits to clearinghouse
  6. 6Status tracked through payment or denial

Works with what you already use

Common tools chiropractors pair with insurance billing.

Stedi (eligibility)Major US payer clearinghousesImaging upload

Concerns we hear most

Does it handle Medicare audits?

Yes — AT modifier, subluxation documentation, and treatment plan rationale all built in. Note format is audit-ready.

Will multi-region adjustments code correctly?

Yes — 1-2 regions = 98940, 3-4 regions = 98941, 5+ = 98942. Auto-applied based on adjustment notation.

Frequently asked questions

Can I bill manipulation + manual + exercise on one claim?

Yes — Stillpoint handles multi-code claims with proper modifiers (59 for distinct services, 25 for E&M, etc.).

Does it support Medicare audit prep?

Yes — chart audit reports include AT-modifier coverage, subluxation rationale, and care plan documentation.

What about Canadian motor vehicle accident claims?

MVA-billing in Canada is jurisdiction-specific. ICBC (BC) and SAAQ (QC) are supported via Concierge Claim plan.

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