Full-service chiropractic billing
Your entire billing operation, handled end‑to‑end.
From helping train your staff to the last dollar collected, ACB runs your complete revenue cycle, so your practice keeps more of what it earns. Here’s everything we handle:
Training
- Eligibility & benefit checks
- Referrals & prior authorizations
- Chart-note training
Billing
- CPT & ICD-10 coding
- Charge entry & submission
- Secondary & tertiary billing
- Electronic acknowledgement (incl. MVA & WC)
- Fee-schedule maintenance
Processing
- Direct EHR integration
- Proprietary claim scrubber
- Payment posting
- Transparent documentation
Collections
- Reconsiderations
- Resubmissions
- Appeals
- Corrected claims
- Old-AR collections
- Form letters
- Monthly management summaries
Patient
- Monthly patient statements
- Patient contact
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.
The reframe
We collect more by preventing denials: clean claims are only the start.
Every denied or aging claim is revenue you already earned, sitting in someone else’s system. We scrub every claim against specialty-, payer-, and geography-specific denial risk before it goes out, so you’re paid the first time.
Medicare requires the date active care began. Leave the initial treatment date off and the whole claim is denied for missing information.
Our scrubber flags any active-care CMT claim missing the initial Tx date and we add it before submission.
Without the AT (active treatment) modifier, Medicare reads spinal manipulation as maintenance and denies it as not medically necessary.
Every active-care CMT claim goes out with the AT modifier correctly applied, with maintenance visits coded honestly as patient responsibility.
An E/M level that doesn’t match the documentation gets down-coded or denied, and under-coding quietly costs you money on every visit.
We match the E/M level to what the note actually supports, recovering revenue you’re entitled to without over-coding risk.
When the primary diagnosis doesn’t support the spinal region billed, the payer denies the claim as inconsistent.
We order diagnosis pointers to the region actually treated, so the clinical story and the claim agree.
Medicare’s PART exam findings (and, where applicable, the X-ray date) substantiate the subluxation. Missing documentation means denial.
We verify PART documentation and X-ray dates are present and consistent before the claim ever leaves your practice.
98943 is extraspinal manipulation, so it has to point to an extraspinal diagnosis. Aim it at a spinal region and the payer denies the line as inconsistent with the procedure.
We confirm every 98943 carries an extraspinal diagnosis pointer that matches the area actually treated, so the code and the diagnosis agree.
98941 bills three to four spinal regions. List fewer than three on the claim and the payer down-codes it to 98940, or denies the line outright.
We reconcile the CMT level to the regions actually documented and pointed on the claim, so 98941 always carries the regions it requires.
Some payers bundle manual therapy (97140) into the adjustment and won’t pay it without modifier 59 marking it a distinct service. Leave the modifier off and the line denies as bundled.
We know which payers require modifier 59 and apply it when the therapy is genuinely separate, so the extra service gets paid instead of bundled away.
When ICD-10 offers a single bilateral diagnosis, billing separate left and right codes trips the payer’s laterality edits and the claim comes back as a billing error.
Where a bilateral diagnosis exists, we code it as bilateral instead of stacking separate left and right codes, keeping the claim clear of laterality edits.
A new-patient E/M (99202 to 99205) only applies if the patient hasn’t been seen in three years. Bill it for an established patient and the payer kicks it back as a billing error.
We check the patient’s history before the visit is coded, so established patients are billed the correct established-patient E/M and the encounter doesn’t deny.
These are just the denials we see most often. Every claim runs through thousands of specialty-, payer-, and geography-specific edits before it leaves your practice. These are the kind of issues a generalist biller never even knows to look for.
“Timely collections have increased at least 25%… it freed up 10+ hours a week.”
Linda Woods-Miller · practice owner · ★★★★★ Google
Not a call center
One person who knows your practice.
Meet your dedicated billing coordinator, reachable by phone, email, fax, or video, with a same-day response every workday. They learn your practice, your payers, and your codes. Communication is the #1 reason practices leave their old biller; it’s the thing we do best.
Get paid the first time
Fewer denials, not just fewer rejections.
Most billers stop at “not rejected.” We scrub for the chiropractic and Medicare reasons claims actually get denied, then fix them before submission, so you’re paid the first time.
No contracts
Month-to-month. No contract.
Clients stay because we make them money, not because they’re trapped. Honest and simple: month-to-month, with a $1,500/mo minimum. No long-term lock-in, ever.
Grow your revenue
We grow your revenue, not just submit claims.
We find the money most billers never mention: undercharged E/M levels, codes you’re missing, CPT codes priced too low, and even which services are worth adding. Our success is tied to yours: when you collect more, we both win.
Your whole practice
Chiropractic-first, but we bill your whole practice.
Many of our clients run multi-specialty centers. We bill the massage, PT, acupuncture, and nurse-practitioner visits under the same roof, with the same coordinator.
MVA & Workers’ Comp
Auto and work-injury claims, handled and proven received.
A lot of billers avoid MVA and Workers’ Comp. We don’t. They’re a core part of what we do, for both first-party claims and attorney cases.
We bill the carriers directly, and prove it landed.
We’re electronically integrated with most major auto and Workers’ Comp carriers, so a digital acknowledgement comes back. Within 24 hours we can confirm your claim (HCFA and chart notes) wasn’t just submitted, but received.
No more “we never got it,” lost mail, or stalled payments. It’s like sending every claim certified.
We keep your attorney relationships strong.
We keep attorneys current on each patient’s balance, turn around requested medical records quickly, and follow up on the schedule you set, tailored to how you work with each firm.
On a reduction request, we gather the facts (settlement amount, total medical, whether the firm is reducing its own fee) and bring them to you to decide. We’re the billers; you make the call. It keeps your billing objective and your attorney relations professional.
Why it matters: in one Pennsylvania case, our electronic acknowledgement helped a client recover 3× the state fee schedule, after the carrier claimed it never received the bills.
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.”
More than a biller
We catch the money, and the risk, your current biller misses.
We proactively flag when you’re undercharging, advise on additional and commonly-missed codes, and catch wrong-level E/M codes before they cost you. Every one of those recovers revenue you’ve already earned, and because our fee is a share of collections, we only win when you do.
Chiropractic Medicare is unforgiving: modifiers, initial treatment dates, PART exam documentation, diagnosis order, and X-ray dates all have to be right. We catch and fix these before claims go out, and we teach your team the best practices that minimize denials and liability.
FAQ
Your questions, answered.
Yes, always. Insurance and patients pay you directly, into your own accounts. We run the billing; you keep full control of your money.
Yes, any EHR. Your software stays exactly as it is, with no switching and no new logins for your team. (ChiroTouch, Jane, eClinicalWorks, ChiroFusion, Genesis / ClinicMind, WebPT, and more.)
No. Every agreement is month-to-month, with a $1,500/month minimum. You stay because it’s working, not because you’re trapped.
Yes. Many of our clients run multi-specialty centers. We bill massage therapy, physical therapy, acupuncture, and nurse-practitioner services alongside your chiropractic claims, with the same dedicated coordinator.
Yes, they’re a core part of what we do. For first-party PIP/Med-Pay we bill the carriers directly and electronically, with confirmation that your claims and chart notes were received. For attorney (third-party) cases we manage records, balances, follow-ups, and reduction requests professionally, keeping your attorney relationships strong.
Yes. We operate under HIPAA, and protected health information is handled under separate secure agreements (a BAA is available). No PHI is ever collected through this website.
Your coordinator manages the whole transition (connecting your EHR, learning your payers, and cleaning up outstanding AR) so the handoff is smooth and nothing falls through the cracks.
Go deeper
Resources & service areas
Chiropractic billing guides
Plain-English, specialist guides on cost, Medicare rules, CPT codes, claim denials, E/M coding, revenue optimization and MVA/Workers’ Comp.
Billing in your state
We serve practices in all 50 states, with the local auto/PIP, Workers’ Comp and Medicaid rules that shape how you actually get paid.
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%