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Best Chiropractic Billing Services in New York

A billing system that is efficient, significantly impacts the revenue and the overall success of a chiropractic practice. With strict guidelines, evolving healthcare regulations and coding, chiropractic billing becomes both complex and well as essential to take care of. A best chiropractic medical billing service in New York plays an important role in supporting chiropractors with all the essential tools they need to thrive in a competitive landscape. Accuracy in billing and maximizing revenue are a few outcomes of a good chiropractic billing. From understanding what chiropractic billing is to how to bill for the services rendered to the role of a chiropractic billing specialist to the AT modifier to understanding CPT codes to finally how Instapay Healthcare Services can help your chiropractic clinic to improve revenue- all this is explained in this guide. Keep reading to find out more!

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Understanding Chiropractic Billing Services in New York

Chiropractic billing services are unique solutions designed to take care of specific needs of a chiropractic practice. These services are not limited to just filing claims, but go beyond taking care of the entire billing cycle. From patient insurance eligibility verification to payment posting and financial analysis, a chiropractic billing service takes care of it all.

A well-known chiropractic billing service in New York state can help your chiropractic practice stay at par with the changing regulations. A good billing service provider helps maximize reimbursements while ensuring complete compliance with insurance standards. A dedicated billing support helps chiropractors focus on patient care rather than keeping them busy with the insurance claim complexities.

How to Effectively Bill for Chiropractic Practice?

Understanding the specific billing codes, the documentation standards and modifier usage, is needed for billing of chiropractic services. Without this knowledge, practice functioning is hampered, claims are denied and reimbursements become difficult. A streamlined chiropractic billing process usually follows this route-



Patient Eligibility Verification

Before starting the chiropractic treatment, it is crucial to verify patient eligibility and establish the specific chiropractic services that are covered under a patient’s insurance plan. This helps in avoiding claim rejections and makes sure that the chiropractic services are rightly reimbursed

Services Rendered Documentation

Chiropractic practitioners receive their full reimbursement when a detailed documentation of services rendered is maintained. Each patient visit needs to be documented with details of diagnosis, specific treatment provided, the duration of the treatment and patient’s progress since they started the treatment. Insurance companies rely heavily on this information documentation to assess the medical need of a chiropractic service.

Use of CPT Codes and Modifiers

In chiropractic billing, coding plays a crucial role. CPT codes (Current Procedural Terminology) and modifiers, such as the AT modifier show the kind of service and medical assistance was rendered. Using these codes and modifiers rightly is crucial as it can help avoid claim denials.

Submission and Tracking of Claims

Once the coding of services rendered is done, the claim is then submitted to the insurance provider. A billing software that is reliable helps simplify this step. It allows us to track and manage claims so that reimbursement is done well in time.

Payment Posting and Following-up

Once the claim is processed, the next step is to post payment to the patient's account. If there is a case of denial and underpayment, a follow-up is done. Following-up is important as it helps recover the lost revenue and maximizes the earnings.




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What Does a Chiropractic Billing Specialist in New York Do?

A chiropractic billing specialist in New York takes care of the billing and revenue management process for chiropractic practices. The list of functions a chiropractic billing specialist undertakes are-

  • 1) Insurance Verification and Authorization :

    All the services that are covered under a patient’s insurance plan and all the needed authorization it needs is obtained by these specialists before the treatment begins. This is a very important step as it helps avoid any penalties in the future by making sure that a patient is receiving the treatment as per their insurance plan.

  • 2) Coding and Claim Preparation :

    Allocating the right CPT codes and modifiers for each service to prepare the accurate insurance claims.

  • 3) Claim Submission and Tracking:

    Filing claims with insurance companies and keeping a track on them to receive timely payment.

  • 4) Claim Denial Management

    Taking care of denied claims by identifying the reasons of rejection, working towards resubmitting or appealing the claim wherever appropriate.

  • 5) Payment Posting

    With accuracy, posting payments and adjusting them with patient accounts.

  • 6) Compliance Monitoring

    Being aware of constant changes in healthcare regulations and varying insurance policies to ensure that the practice is compliant, minimizes claim denials.

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What is an AT Modifier in Chiropractic Billing?

In chiropractic billing, an AT Modifier shows the “active treatment” of a patient. When chiropractic adjustments are to be billed, Medicare requires an AT modifier that can be used to show that the treatment provided is aimed at giving an active therapeutic benefit. AT Modifier is important because of these reasons:


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Medical Care

An AT Modifier helps establish that the chiropractic adjustment is medically needed, and that without it, Medicare claims can be rejected.

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Compliance

Rightly using an AT Modifier ensures that chiropractic practices are meeting Medicare’s billing requirements.

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Transparent Documentation

Each service that is billed through an AT Modifier should be backed-up by a document showing the patient’s need for active treatment, in contrast to maintenance care, which is not covered by Medicare.


What is CPT in Chiropractic Billing?

Current Procedural Terminology or as widely called as CPT is a standardized coding system used to describe medical services and procedures. In chiropractic billing, CPT codes are used to document and bill specific chiropractic adjustments, therapies, and evaluations. CPT codes that are commonly used in chiropractic billing are-


  • 98940: Chiropractic manipulative treatment (CMT), spinal, one to two regions.
  • 98941: CMT, spinal, three to four regions.
  • 98942: CMT, spinal, five regions.

Accuracy of using the right CPT codes is critical in billing as it directly affects reimbursement rates. Insurance companies heavily rely on these codes to determine the cost of services that will be rendered and assess the medical care of the approved treatment.


By accurately using CPT codes and combining them with AT modifiers, chiropractic practices ensure compliance and minimize claim denials.


How Is Instapay Healthcare Services Helping Improve Chiropractic Medical Billing Revenue?

As a chiropractic billing specialist in New York, Instapay Healthcare Services offers solutions that streamline chiropractic billing processes. Moreover, it also reduces administrative burdens and maximizes revenue of the chiropractic practice. A few ways Instapay Healthcare Services supports chiropractic practices in New York is:

Complicated regulations with constant changes

Complete Revenue Cycle Management

Handling the entire billing cycle from start to finish, Instapay Healthcare Services are chiropractic billing specialists aimed at taking care of your practice’s revenue cycle. From patient eligibility checks to claim submissions to payment posting and revenue analysis, with end-to-end solutions, chiropractors have a smooth cash flow and reduced claim denials.

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Experts in Chiropractic Billing

As a top chiropractic billing service in New York, Instapay Healthcare Services is adept in CPT codes, AT Modifiers and distinct chiropractic billing. This expertise makes sure that claims are submitted with precision and are complying with insurance regulations.

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Claim Submission Accuracy

Having a systematic approach towards coding, documentation and claim submissions, Instapay Healthcare Services reduces chances of claim rejections. By tracking and addressing errors promptly, we ensure that claims are accepted and processed quickly.

time consuming tasks of insurance verification

Claim Denial Management and Appeals

An active approach in denial management means understanding why a claim was rejected, identifying the issue and submitting an appeal when necessary. This proactive handling of denials reduces revenue loss and improves overall financial performance.

Reports and Analytics

Instapay Healthcare Services provides chiropractic practices with detailed reports on billing performance, revenue trends and analysis payment patterns. These insights helps chiropractors make informed decisions, helps them identify problematic areas and optimizes revenue.

Dedicated Customer Support

With Instapay Healthcare Services, chiropractors and their practices receive constant support from a dedicated team. This means effective communication, timely resolution of billing issues, and continuous improvements in billing processes.

FAQs :

Chiropractic billing services assist chiropractic practices by managing insurance claims, coding, billing processes, and ensuring accurate payment for services received.

An AT modifier is used to indicate the active treatment and is necessary in Medicare reimbursement of chiropractic adjustments. Without it, claims can be denied.

A chiropractic billing specialist handles the billing processes for chiropractic practices, including coding, claim submission, denial management, and compliance.

Instapay Healthcare Services offers specialized billing support to chiropractic practices. This helps them with claim accuracy, denial management, and revenue optimization that improves cash flow.


Chiropractic billing mainly uses CPT codes such as 98940, 98941, and 98942 to describe spinal manipulative treatments and other services.


Accuracy in coding allows claims to be processed smoothly, reducing the risk of denials and underpayments. This ultimately maximizes revenue for chiropractic practices.



To maintain financial stability and have improved financial health, chiropractic billing services are needed for chiropractic practices. These services increasingly become important especially in a complex healthcare environment like that of New York. With the help of experts in chiropractic billing like Instapay Healthcare Services, practices streamline their billing processes, ensure compliance, and significantly enhance revenue. By focusing on accurate coding, efficient claim management, and proactive denial handling, Instapay Healthcare Services makes it easier for chiropractors to focus on patient care, while optimizing financial outcomes and taking the administrative burden off.

Unlock the full potential of your practice with Best Chiropractic Billing Services in New York! Let our experts handle your billing for accurate claims, faster reimbursements, and improved revenue. Contact us today to get started!
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