What payers look for in a chiropractic record
Most chiropractic denials trace back to three things: a treatment plan without measurable goals, progress notes that repeat the previous visit, and visits that continue past the point the plan predicted improvement.
We do not change clinical decisions. We do report what the record is missing, the objective findings, the response to care, the reassessment date, so the treating physician can document it before the claim goes out.
- Treatment plan goals with measurable functional improvement
- Reassessment intervals and documented response to care
- Modifier use for maintenance versus active treatment
- Personal injury and auto claim documentation requirements
Balances that sit because nobody owns them
Chiropractic offices often carry small, old balances: a co-pay never collected, an auto carrier that paid part of a bill, a lien case waiting on settlement. Each is small. Together they can equal a month of income.
We work those balances by category rather than by date, so auto and lien cases are handled on their own timeline instead of being buried in a general aging list.