Chiropractic medical billing specialists
The chiropractic billing service that collects more.
American Chiropractic Billing is a chiropractic billing company that works inside the EHR you already use, so working with us is seamless. You get a dedicated coordinator for easy, direct communication, and a month-to-month agreement, because we’re confident in our performance.
Works with your software
Full integration with your EHR.
No switching software. No rip-and-replace. No new logins for your team. We work your claims right inside the system you already run. Your front desk keeps its workflow, and your data stays where it lives. If you can run it, we can bill from it.
Why practices switch to ACB
Four reasons practices switch, and stay.
Your own biller
One billing coordinator is assigned to your practice, so you always have a single point of contact who knows your practice and picks up your call whenever you need them. No call centers.
Month-to-month
No long-term contract, ever. Our fee is a share of what we collect. We earn your business on performance, every single month.
EHR integration
We work right inside the system you already use. No switching software, no new logins: a seamless start with zero disruption.
Chiropractic expertise
We track your fee schedules, ensure you get paid the first time, and help you decide which codes are best for you. We find the revenue others miss.
“Timely collections have increased at least 25%… it freed up 10+ hours a week.”
Linda Woods-Miller · practice owner · ★★★★★ Google
Your whole practice, including MVA & Workers’ Comp
All case-types & all specialties.
Many of our clients run multi-specialty centers. The same coordinator bills the massage, PT, acupuncture, and nurse-practitioner visits under your roof. And where most billers avoid auto and work-injury claims, we make MVA & Workers’ Comp a core part of what we do: first-party claims billed electronically and confirmed received within 24 hours, and attorney cases handled professionally.
Proof
Real practices, real names, real results.
“In practice over 30 years, I have never found a more professional, knowledgeable company. I have a dedicated person accessible at all times, and they’re compatible with my EHR so I have no extra steps.”
“I used to spend a lot of time calling insurance companies when claims weren’t paid. Now they’re part of my team, so I can focus on patient care. Highly recommend.”
“ACB has been instrumental in cleaning up our accounts receivable, helping us transition between software, and staying on top of all our billing. Knowledgeable, and most importantly, effective.”
The specialist difference
Chiropractic medical billing is its own discipline.
A generalist can submit a chiropractic claim. Collecting on it is different. Chiropractic medical billing runs on rules most billing companies rarely see: payer policies that split active treatment from maintenance care, modifiers that decide whether a Medicare visit is paid at all, and bundling edits that quietly swallow therapy charges. Our coordinators work these rules all day, every day, for chiropractic and multi-specialty practices only. That focus is why our clients collect more.
The AT modifier decides the claim
Medicare pays a chiropractor for one thing: spinal manipulation (98940 to 98942) in active treatment, flagged with the AT modifier and backed by a subluxation diagnosis. Miss the modifier, the initial-treatment date, or the documentation behind it, and a payable visit becomes a denial.
The line where coverage ends
Every payer draws a line between care that improves function and care that maintains it, and they audit that line long after paying. Billing to the wrong side of it is the top source of chiropractic denials and takebacks. We code to the documentation, so the claim holds up.
Bundling edits that eat revenue
Manual therapy (97140) billed alongside an adjustment triggers bundling edits unless the documentation and modifier support separate regions. Exercise and other therapy codes carry payer quirks of their own. Done wrong, the work is free. Done right, it is paid.
Choosing a billing partner
Questions practice owners ask us.
Everything between the visit and the payment: insurance verification, claim scrubbing and submission, denial follow-up and appeals, payment posting, patient statements, and aged-AR recovery, with monthly reporting so you see exactly what was collected. Your practice keeps its own accounts and its own software; your dedicated coordinator runs the billing inside them.
Specialization. Chiropractic claims live and die on details a generalist rarely handles: the AT modifier on Medicare CMT, subluxation diagnosis order, the active-versus-maintenance coverage line, therapy bundling edits, and MVA and Workers’ Comp paperwork. A biller who works cardiology one hour and chiropractic the next misses these. Our guides on how to choose a billing company and what makes a great one show exactly what to look for.
7% of net collections, or a $1,500/month minimum, whichever is greater. Month-to-month, with no setup fees and no long-term contract. The pricing page has the full breakdown and a calculator you can run your own numbers through.
Yes. We bill for chiropractic practices in all 50 states, anywhere in the USA, and we track the state rules that change how you get paid: PIP versus Med-Pay auto claims, Workers’ Comp fee schedules, and Medicaid chiropractic coverage. Find yours on the service-areas page.
No. Your front desk keeps doing what it does best: scheduling, intake, and collecting copays at the visit. We take over the insurance side, the claims, the denials, and the hours on hold with payers, so your staff gets that time back for patients.
Go deeper
See exactly how it works — and what it costs.
The full billing service →
The Claim Scrubber, the service matrix, any-EHR integration, and consultative Medicare help: the complete picture of how we collect more for your practice.
Transparent pricing →
7% of net collections, or a $1,500/mo minimum. All-inclusive, month-to-month, no contract. Run your numbers through the calculator.
Book now
See exactly where your practice is leaking revenue.
30 minutes, one call. Month-to-month. No contract. No obligation.
“Prompt in billing all insurances and took care of past outstanding claims. Pleasant and knowledgeable, with answers in a timely manner.”
“We’ve worked with them for 4 years. They’re responsive to our needs and easy to work with.”
“They helped us streamline our billing department and saved us plenty of time and money.”
HIPAA-regulated · BAA available · Any-EHR compatible · Month-to-month · Transparent 7%