You are doing the therapeutic exercises. Are you billing for them?
Therapeutic exercises performed but never billed, AT modifier mistakes on Medicare actives, and care plans priced below cost. Book a free 15-minute assessment and we will walk through where chiropractic dollars typically slip.
15 minutes. Custom financial scorecard for your practice.
At a glance
Is This Right for You?
This is for chiropractic practice owners who:
Want ongoing financial oversight? Our Fractional CFO service for chiropractic practices may be a better fit.
What We Analyze
Where Chiropractic Practices Lose Revenue
We trace every dollar from claim submission to bank deposit in your chiropractic practice.
Coding Accuracy & Optimization
- •Adjustment code selection audit (98940-98943)
- •Therapeutic exercise and neuromuscular re-education billing review
- •E/M coding for new patient exams and re-exams
- •Modifier usage accuracy (AT modifier for Medicare)
Medical Necessity Documentation
- •Functional outcome measure documentation compliance
- •Treatment plan documentation sufficiency
- •Progress note quality for medical necessity support
Payer-Specific Compliance
- •Medicare AT modifier usage and active-vs-maintenance documentation
- •Workers comp documentation and billing compliance
- •Personal injury lien management and case tracking
Patient Financial Experience
- •HSA/FSA processing accuracy audit
- •Care plan payment processing and tracking
- •Out-of-pocket cost communication and collection
- •Aged patient balance recovery
Results
What Chiropractic Practices Recover
| Finding | 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
Real results from a practice like yours
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 Revenue Cycle Analysis for Chiropractic Practices
Find out where your chiropractic practice revenue goes.
Take the free financial assessment. 15 minutes. No obligation.