Best Chiropractic Billing Services Company in the USA
Our certified chiropractic medical billers help chiropractors, physical therapy centers, and musculoskeletal care providers across the United States streamline their reimbursement process with accuracy and compliance. Backed by over a decade of experience and CPC/CPB-certified billing experts, we handle insurance verification, claims tracking, payment posting, and denial management following CMS guidelines and state-specific payer rules. Every claim is processed with transparency to ensure faster payments, fewer denials, and complete HIPAA compliance. Our team stays current with Medicare, Medicaid, and commercial payer updates, as well as the latest CPT and ICD-10 changes relevant to chiropractic and rehabilitative care—delivering trustworthy, results-driven billing solutions for providers nationwide.
Why Chiropractors and Therapy Clinics Choose MedStates for Billing Support
When chiropractors outsource their billing, they want a partner who truly understands the nuances of their work—not just another generic billing vendor. MedStates was built specifically to serve chiropractic and therapy providers, combining certified billing expertise with a deep understanding of musculoskeletal and rehabilitative care documentation.
Our team understands the unique billing requirements of chiropractors, physical therapy centers, and spinal health clinics. From managing insurance pre-authorizations to coding manual therapy and adjustment procedures, we handle every detail with accuracy. Providers trust MedStates because we combine specialty-specific expertise, proactive claim follow-ups, and real-time financial reporting—turning complex billing challenges into a predictable payment process.
Whether you run a solo chiropractic office or a multi-location therapy center, MedStates adapts to your workflow and payer mix. Our billing teams are trained on chiropractic-specific requirements, including modifier AT usage, therapy bundling rules, and Medicare chiropractic limitations.
Our Chiropractic Billing Process — From Verification to Reimbursement
Our chiropractic billing process combines automation, payer-specific compliance, and real human expertise. Every stage of your revenue cycle—verification, coding, submission, and posting is optimized for precision and transparency. At MedStates, our billing process for chiropractors is built to streamline claim management from start to finish. We combine advanced billing software, specialty-trained staff and payer-specific knowledge to eliminate errors and reduce turnaround times. This comprehensive claims workflow for chiropractic and therapy practices helps improve reimbursement accuracy, minimize denials, and maintain compliance with all insurance carriers.
Credentialing and Payer Enrollment
We assist providers with completing documentation and contracts negotiations with payers, enrollment and re-credentialing for Medicare, Medicaid, and commercial carriers, ensuring a smooth setup process.
Verification of Benefits
Before appointments, we verify each patient’s insurance coverage, chiropractic and therapy benefits, and pre-authorization requirements to communicate copay or deductible responsibilities clearly.
Clinical Documentation and Coding
Our certified billers review your daily notes and documentation to ensure CPT, ICD-10, and modifier accuracy. We specialize in coding for spinal adjustment codes, therapeutic exercise and manual therapy techniques to meet payer guidelines.
Secure Electronic Claim Submission
Once your claims are coded and reviewed, they are submitted electronically through EDI connections with all major payers. Our system flags missing data or mismatched CPT-ICD pairs before submission to minimize rejections.
Claim Tracking and Denial Management
Our specialists monitor every claim post-submission to track payer acknowledgments, denials, and adjustments. When a denial occurs, we perform a detailed root cause analysis, correct the issue, and resubmit with proper documentation.
End-to-End Revenue Cycle Management
Our revenue cycle management (RCM) for chiropractic and therapy practices covers every step of the billing process. We ensure claims are clean, verified, and payer-ready before submission, reducing denials and rework.
EHR Integration and Automation
MedStates integrates seamlessly with leading EHR and practice management systems used by chiropractors and therapy providers. Our technology syncs patient data, charge entries, and claim statuses automatically — reducing manual effort and eliminating duplication errors.
Transparent Reporting and Insights
We believe every provider deserves visibility into their financial health. Our monthly reports track reimbursement trends, denial causes, payer lag times, and AR days, allowing you to make informed business decisions.
Chiropractic CPT and ICD Codes for Accurate Insurance Reimbursement
Correct coding is the foundation of a clean claim. Even minor errors in CPT or ICD-10 usage can delay payments, trigger denials, or flag compliance risks. At MedStates, our certified billers apply the most precise codes for chiropractic adjustments, therapy modalities, and rehabilitation sessions—ensuring every encounter is properly documented and fully reimbursable. Our billing company in the USA continuously monitors CPT code updates, payer policy changes, and modifier requirements to stay aligned with both commercial insurers and Medicare chiropractic rules. We help chiropractors avoid costly mistakes such as missing AT modifiers, incorrect therapy bundling, or mismatched CPT/ICD combinations.
Common CPT Codes Used by Chiropractors and Therapy Providers
Below are some of the most frequently billed chiropractic and physical therapy procedure codes that our team handles daily. These codes support a range of spinal and musculoskeletal treatments:
| Procedure | CPT Code | Description |
|---|---|---|
| Spinal manipulation (1–2 regions) | CPT 98940 | Chiropractic adjustment of one or two spinal regions |
| Spinal manipulation (3–4 regions) | CPT 98941 | Adjustment for multiple spinal regions |
| Spinal manipulation (5 or more regions) | CPT 98942 | Complex spinal adjustment session |
| Therapeutic exercise | CPT 97110 | Exercise for strength, endurance, or flexibility improvement |
| Manual therapy techniques | CPT 97140 | Soft tissue and joint mobilization performed manually |
| Electrical stimulation (manual) | CPT 97032 | Neuromuscular re-education and stimulation |
| Ultrasound therapy | CPT 97035 | Therapeutic ultrasound for pain management and tissue repair |
Many chiropractic clinics also provide physical therapy and rehabilitation services. To ensure accurate claim submissions and compliance, it’s essential to understand the CPT codes for physical therapy that often overlap with chiropractic billing.
When billing time-based therapeutic procedures, chiropractors must follow CMS’s 8-minute rule in therapy billing to avoid underbilling or claim rejections
Common ICD-10 Codes for Chiropractic and Therapy Claims
Accurate diagnosis coding supports the CPT procedures above and validates medical necessity. Our billers ensure every ICD-10 code reflects the patient’s clinical presentation and is aligned with payer guidelines.
| Condition | ICD-10 Code | Description |
|---|---|---|
| Low back pain | ICD M54.5 | Lumbar spine pain, common in adjustment sessions |
| Neck pain | ICD M54.2 | Cervicalgia, stiffness, or upper spine pain |
| Thoracic spine dysfunction | ICD M99.02 | Segmental or vertebral dysfunction in the thoracic region |
| Cervical subluxation | ICD M99.01 | Vertebral subluxation complex, cervical spine |
| Lumbosacral dysfunction | ICD M99.03 | Mechanical issues in the lumbosacral area |
We help chiropractors link CPT and ICD-10 codes properly—avoiding mismatched claim pairs that frequently cause rejections.
Documentation and Modifier Compliance
Chiropractic billing requires strict documentation alignment between CPT procedures, ICD-10 codes, and modifiers. Our team verifies that each claim includes the right modifier, such as:
- AT Modifier: Active treatment for acute or chronic conditions.
- GP Modifier: Services under a physical therapy plan of care.
- 25 Modifier: Distinct evaluation and management service on the same day.
Proper modifier usage ensures your claims meet payer medical necessity standards and are not downcoded or denied
Why Outsourcing Chiropractic Billing Services Improves Profitability
Handling chiropractic billing in-house may seem convenient—until the rejections pile up, the claims backlog grows, and your staff spends more time chasing payments than caring for patients. Outsourcing to a specialized billing team gives your practice the structure, consistency, and financial visibility it needs to thrive. At MedStates, we work like an extension of your clinic—combining billing technology, certified expertise, and transparent reporting to deliver measurable financial gains.
Nationwide Chiropractic Billing Coverage and Specialty Support
Chiropractic practices vary from state to state, and so do payer rules, modifier requirements, and documentation standards. At MedStates, we serve chiropractic providers across all 50 states—offering billing expertise that aligns with regional payer policies, therapy coverage limits, and local insurance regulations. Our nationwide billing company is designed to handle every chiropractic specialization, from pain management and corrective care to sports, wellness, and pediatric chiropractic practices.
Comprehensive Billing Coverage for All Chiropractic Specialties
MedStates supports a diverse range of chiropractic services, ensuring each practice type receives tailored billing solutions:
💡 Each specialty type requires unique coding, modifiers, and payer documentation. MedStates ensures compliance with both national chiropractic billing guidelines and state-level payer variations to minimize denials and accelerate reimbursements.
State-Specific Chiropractic Billing Expertise
Our team stays up to date on state-level chiropractic insurance policies and payer-specific rules. Whether your clinic is in California, Texas, New York, or Florida, we adapt your billing workflow to local payer requirements, including:
- Medi-Cal and Medicaid chiropractic billing for state-funded programs.
- Blue Cross and Cigna chiropractic coverage variations.
- Regional Medicare chiropractic guidelines for spinal manipulation and therapy visits.
Seamless Integration for Multi-Location Chiropractic Clinics
For group practices and multi-state chiropractic organizations, MedStates offers centralized billing management with flexible reporting by clinic or region. Our systems consolidate billing for multiple locations—making it easier to track performance and compliance under one secure platform. We also integrate with your existing EHR or practice management system, syncing patient visits, therapy notes, and payment data automatically.
Compliance and Documentation Alignment Across States
State-level chiropractic regulations and payer requirements often differ for covered services, modifier use, and medical necessity documentation. Our compliance team monitors payer bulletins and regulatory updates to ensure your clinic remains audit-ready at all times. From Medicare chiropractic coverage restrictions to commercial therapy bundling policies, we make sure your documentation meets every standard.
Simplify Your Chiropractic Billing with MedStates
Whether you’re managing a small private office or a multi-location therapy network, we deliver scalable billing solutions tailored to your clinic’s goals and payer mix.
Partner with Certified Chiropractic Billers Who Understand Your Practice
When you work with MedStates, you are not just outsourcing chiropractic medical billing — you are partnering with a trusted billing company for chiropractors nationwide. Our team brings:
- Deep experience in chiropractic and therapy reimbursement
- State-specific payer expertise
- Transparent monthly reports and analytics
- Proven track record of improving collection rates and reducing denials
Start Improving Reimbursements Today
Let us help you simplify your chiropractic billing, reduce claim denials, and accelerate payments. Schedule a quick consultation to learn how MedStates can help you improve revenue while staying fully compliant with payer and HIPAA standards. Request a Free Consultation with a Certified Chiropractic Billing Expert
