Specialty billing
Chiropractic medical billing
Chiropractic billing is maintenance-vs-active care sensitive, modality-heavy, and often under commercial visit limits. Medflux helps clinics document active treatment phases cleanly, code CMT levels correctly, and pursue denials without endless front-desk phone time.
Billing challenges
What trips up Chiropractic claims
- CMT codes (98940–98942) must match regions treated and documented.
- Therapy modalities billed with CMT face bundling and medical-necessity review.
- Medicare and many commercials scrutinize maintenance care vs. active treatment.
- PI and attorney cases need different documentation and billing paths than standard commercial claims.
How we help
Medflux approach
- CMT and modality coding review aligned to daily notes.
- Visit-limit and auth awareness for plans that cap chiropractic benefits.
- Denial management focused on medical necessity and frequency edits.
- A/R follow-up that prevents therapy-day claims from aging past timely filing.
FAQ
Chiropractic billing questions
We follow Medicare’s covered CMT framework and documentation expectations. Excluded services are not forced onto Medicare claims.
PI billing can be included when your clinic runs those cases, with separate tracking from standard insurance A/R.
By aligning billed care to documented functional goals and phase of care – and by not billing active-care codes when the note describes maintenance only.
Next step
Find out what your practice is leaving on the table.
A free review of your recent claims and denials — plain findings, no pressure theater.