Chiropractor performing spinal adjustment — Medicare billing compliance intelligence for independent chiropractic practices
Medicare Compliance Intelligence

The OIG Is
Watching
Chiropractic.

Monthly AI-powered Medicare billing compliance intelligence for independent chiropractic practices. CPT 98940–98942, AT modifier requirements, subluxation documentation — delivered to your inbox every month so you're never caught off guard.

$171M
Chiropractic improper payments identified by OIG
70K+
Independent practices billing Medicare Part B
40%
Of audited chiro claims lacked AT modifier docs
#1
Active OIG Work Plan priority — chiropractic billing
⚠ OIG Alert

Chiropractic is an active OIG Work Plan audit priority. Improper billing of maintenance therapy as active/corrective care is the #1 documented violation. Every claim needs defensible documentation — before the letter arrives.

Chiropractor reviewing Medicare billing documentation and compliance paperwork for independent chiropractic practice audit defense

Medicare Chiropractic Billing Is Uniquely Complicated.

No other Medicare specialty faces the same documentation burden. The AT modifier. Subluxation proof. Active vs. maintenance therapy distinctions. One wrong entry on one claim can trigger a probe audit on all of them.

OIG Work Plan, 2024–2025: Medicare payments for chiropractic services not meeting coverage requirements remain a significant area of improper payments — with active audit priority on AT modifier documentation and active/corrective care distinctions.

AT Modifier Changes Constantly
What Medicare accepts as proof of active/corrective care changes with every LCD update. Most solo DCs find out they're behind after a denial.
📋
Subluxation Documentation Standards
Medicare requires documented subluxation level, associated signs, and functional improvement. Generic SOAP notes don't hold up in a probe audit.
💸
Recoupment Can Close a Practice
One probe audit can revisit 3 years of claims. A recoupment demand extrapolated across a year of billing can be existential for a solo practice.

What Every Report Covers

Each monthly report is generated by AI trained on the latest OIG releases, CMS transmittals, Local Coverage Determinations, and MAC policy updates — synthesized specifically for your state and payer mix.

CPT Monitoring

98940 · 98941 · 98942 Updates

Spinal manipulation code requirements, documentation thresholds by visit complexity, and Medicare Part B reimbursement changes.Including mid-year CMS corrections.

Modifier Intelligence

AT Modifier Requirements

Active/corrective care documentation standards and what Medicare currently requires to support the AT modifier — updated from actual MAC review outcomes.Plain-English audit standards.

Documentation

Subluxation Documentation

Current Medicare requirements for subluxation level, associated pain, range of motion, and functional limitation — what passes an audit and what gets flagged.State-specific guidance.

Enforcement

OIG Priority Tracking

Active OIG Work Plan items for chiropractic, recent enforcement actions, MAC prepayment review activity, and RAC audit trends in your region.Know before the letter arrives.

LCD Intelligence

Local Coverage Updates

Your MAC's Local Coverage Determinations for chiropractic — what changed, the new documentation expectations, and how to adjust your SOAP notes.MAC-specific, every month.

Action Item

One Thing to Do This Month

Every report ends with a single specific compliance action your practice can implement in 30 minutes or less — no compliance officer required.Straight to the point.

Medicare CPT Codes Monitored Every Month
98940
Spinal manipulation, 1–2 spinal regions
98941
Spinal manipulation, 3–4 spinal regions
98942
Spinal manipulation, 5 spinal regions
AT Mod.
Active/corrective treatment modifier
97012
Mechanical traction therapy
Medicare compliance documentation — chiropractic billing audit risk management and OIG enforcement

"A single probe audit can revisit three years of your billing history."

Medicare Claims Processing Manual — CMS Publication 100-04

Up and Running
in Minutes.

No onboarding call. No contract. No compliance consultant to schedule. Subscribe, complete a 90-second intake, and your first compliance brief lands in your inbox within the hour.

01
Subscribe

$247/month. No contract, no setup fee. Cancel before your next billing date and you won't be charged again.

02
Tell Us Your Practice

A short intake form: your state, Medicare volume, and payers. 90 seconds. That's what personalizes every report.

03
Get Your First Report

Your personalized Medicare chiropractic compliance brief arrives within the hour — state-specific, actionable, plain English.

04
Stay Current Monthly

On the 1st of every month, a fresh brief lands automatically — updated for the latest CMS transmittals and LCD changes.

The OIG Has Chiropractic
in Its Crosshairs

Chiropractic has appeared on the OIG Work Plan for improper billing multiple years running. Independent practices are the most exposed — no compliance staff, no early warning system, and a single documentation pattern repeated across a year of claims.

$171M
In chiropractic Medicare improper payments identified across multiple OIG audit cycles
40%
Of audited chiropractic Medicare claims lacked required AT modifier documentation
3 yr
Medicare look-back period — one probe audit can revisit three years of your billing history
100%
Probe findings can be extrapolated across all similar claims in the look-back period
Chiropractic spinal treatment and Medicare compliance — independent chiropractic practice billing audit risk and OIG enforcement

One Tier. Everything Included.

$247
per month · cancel anytime
Medicare Compliance Intelligence

Everything an independent chiropractic practice needs to stay ahead of Medicare billing requirements — without a compliance consultant on retainer.

  • Monthly AI-generated compliance brief, state-specific
  • CPT 98940, 98941, 98942 requirement monitoring
  • AT modifier documentation standard updates
  • Subluxation documentation standard changes
  • OIG enforcement priority tracking
  • Local Coverage Determination (LCD) updates for your MAC
  • One plain-English action item per report
  • Email delivery by the 1st of every month
Start for $247/month →

No contract · No setup fee · Cancel anytime

What This Replaces
  • Compliance consultant: $300–$500/hr
  • Healthcare attorney review: $400–$800/hr
  • Billing compliance software: $400–$800/mo
  • Manual CMS transmittal monitoring: hours/month

Risk-Free First Month: If your first compliance report doesn't surface at least one billing risk or documentation gap you weren't already aware of, email us and we'll refund your first month. No questions asked.

ChiropractorBillingClarity is an educational information service. Reports are not legal advice. Consult a healthcare attorney for guidance on specific compliance matters.

Independent chiropractor reviewing Medicare compliance documentation at desk
Chiropractic spinal adjustment treatment — Medicare CPT 98941 documentation requirements
Healthcare compliance documents and medical billing records for chiropractic Medicare audit
The AT modifier section alone was worth the subscription. I had three documentation habits that would have been flagged in any probe audit. Fixed all three the same day I got the report.
Dr. M. Caruso, DC
Solo Practice — Columbus, OH
I've been billing Medicare for 12 years and still learned something in the first report. The subluxation documentation update was something my billing service had never flagged.
Dr. R. Hendricks, DC
3-Physician Practice — Houston, TX
Worth it for peace of mind alone. I sleep better knowing someone is watching the OIG work plan changes so I don't have to. $247 is nothing compared to one recoupment letter.
Dr. S. Okonkwo, DC
Solo Practice — Orlando, FL

Frequently Asked

Is this legal advice or compliance consulting?+
No. ChiropractorBillingClarity is an educational intelligence service. Our reports synthesize publicly available CMS transmittals, OIG Work Plan items, Local Coverage Determinations, and MAC bulletins into plain-English summaries. We don't provide legal advice, audit defense, or billing consulting. For specific legal matters, consult a qualified healthcare attorney.
How is this different from my billing service?+
Your billing service submits claims. ChiropractorBillingClarity monitors the compliance landscape — OIG enforcement priorities, LCD changes, AT modifier updates, subluxation documentation standards — so you know what your claims need to contain before you submit them. Most billing services respond to denials after they happen. We help you not get denied in the first place.
How does the monthly report work?+
After you subscribe and complete a short intake form (state, payer mix, Medicare volume), we generate your first personalized compliance brief within the hour. After that, a fresh report lands on the 1st of every month — automatically updated for the latest CMS transmittals, OIG publications, and MAC LCD changes relevant to your state.
What if my MAC or state isn't covered?+
All 50 states and all MAC jurisdictions are covered. Reports are tailored to your state's Medicare MAC — including which LCD applies to your chiropractic claims and what your specific MAC has been publishing recently.
Can I cancel anytime?+
Yes. No contract, no cancellation fee. Cancel through Stripe before your next billing date and you won't be charged again. You'll continue to receive reports through the end of your paid period.
Do you handle audit defense or appeals?+
No. We're a compliance intelligence service. If you've already received a recoupment demand, you need a qualified healthcare attorney or certified compliance consultant. What we do is help you avoid getting to that point.
Chiropractic care and Medicare billing compliance — independent chiropractic practice OIG audit protection
Independent Chiropractic Practices · Medicare Part B

Stop Guessing.
Start Knowing.

$247/month. Cancel anytime. Your first compliance report in your inbox within the hour.

Start for $247/month →