Insurance reimbursements keep shrinking. Do you know your real cost per visit?
Cash plans, insurance, workers comp, PI. Chiropractic revenue comes from everywhere. We make sure you can see where the profit actually is.
A 4-minute test your accountant hopes you skip.
At a glance
Is This Right for You?
This service is for chiropractic practice owners who recognize these problems:
Need strategic financial leadership? Our Fractional CFO service for chiropractic practices may be a better fit.
What's Included
How We Work With Chiropractic Practices
Chiropractic-specific accounting that goes beyond reconciliation.
Cash vs Insurance Revenue Tracking
- •Revenue breakdown by payment type (insurance, cash plan, self-pay, PI, workers comp)
- •Effective reimbursement rate per visit by payer
- •Cash plan profitability analysis
- •Patient lifetime value by acquisition channel
Provider Production & Compensation
- •Revenue per provider per visit and per hour
- •Associate compensation modeling (collections-based vs salary)
- •Visits per day tracking and capacity analysis
Equipment & Service Line Economics
- •Equipment depreciation schedules and replacement planning
- •Service line profitability (adjustments, decompression, therapy, supplements)
- •Lease vs buy analysis for new equipment
Prepaid Plan Accounting
- •Deferred revenue tracking for care plans
- •Utilization and breakage rate analysis
- •Revenue recognition compliance
Results
What Chiropractic Practices Experience
| Metric | Typical Outcome |
|---|---|
| Revenue from therapeutic services | $86,000 additional annual revenue from proper coding of existing therapeutic services |
| Associate restructuring | Revised schedule and compensation turned $25K loss into $44K annual contribution |
| Care plan repricing | $32,000 annual increase from market-rate care plan pricing |
Case Study
See The System In Action
Solo chiropractor with one associate, single location, $720K annual revenue. Revenue had been flat for three years despite a full schedule. Insurance reimbursements were declining and the cash-pay transition was not going fast enough to offset the drop.
What we found:
- •Only 38% of visits included billable therapeutic services beyond the adjustment. The national average for comparable practices is 55 to 65%, representing $86K in uncaptured revenue
- •The associate was generating $185K in collections on $210K in compensation and overhead — a net loss of $25K per year that was hidden in combined financials
- •Medicare patients (17% of visits) were being coded without the AT modifier on 40% of active treatment visits, resulting in $18K in unnecessary denials per year
- •Cash care plans were priced at $1,200 for 24 visits ($50/visit) but insurance was reimbursing $68 per visit — the practice was voluntarily taking a 26% discount on its best-paying patients
The results
$86,000 additional annual revenue from proper coding of existing therapeutic services
Revenue from therapeutic services
Revised schedule and compensation turned $25K loss into $44K annual contribution
Associate restructuring
$32,000 annual increase from market-rate care plan pricing
Care plan repricing
“I was giving my cash patients a 26% discount compared to my insurance rates and calling it a cash plan. Nobody had ever shown me that math before.”
— Practice Owner, Southeast
Common Questions About Accounting for Chiropractic Practices
Don't pay for reports. Pay for progress.
Take the 4-minute financial assessment—and find out if your books are helping or hurting your chiropractic practice.
The test your accountant hopes you skip.