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ChiroTouch billing services

ChiroTouch billing services from Remitwright place a dedicated biller in your ChiroTouch account to work the Claims Worklist, the clearinghouse your practice uses, ERA posting and open balances by payer.

See where claims are getting stuck. No patient data needed.

Medicare pays a chiropractor only for active, corrective care of a subluxation, so before a Medicare claim leaves, the biller checks that the visit note supports the AT modifier, and makes sure the patient signed an ABN before any maintenance visit was given. See the full list of billing software we work in, by type.

Independent: Remitwright is not affiliated with or endorsed by ChiroTouch. ChiroTouch is a trademark of its owner, named here to describe the system we work in.

Last reviewed by the Remitwright billing team. Editorial policy

  • EHR and practice management

Every day

What your biller does in ChiroTouch every day

  • Work the Claims Worklist: claims ready to send, claims returned by the clearinghouse, and submissions that still need reconciling against what the payer paid
  • Read the visit note before each Medicare claim goes out, and put the AT modifier on 98940, 98941 or 98942 only when the record shows active or corrective treatment
  • Check that the note names the subluxation level and every spinal region treated, since an unclear chief complaint and treated regions missing from the note are among the denial reasons Medicare lists
  • When the doctor documents that care has become maintenance, confirm the patient signed an ABN before the first maintenance adjustment was given, and hold any maintenance visit given without one
  • Run real-time eligibility and benefits checks before a new episode of care, and record the plan's chiropractic benefit details on the patient's account
  • Release claims through CT ProClear or CT MaxClear, whichever your practice runs, and work the rejections and status updates that come back
  • Review the ERA postings ChiroTouch applies to patient accounts automatically, then work the discrepancies and outstanding balances the payment matching turns up
  • Keep personal injury and workers' compensation cases on their own A/R track, with the claim number, adjuster and case status recorded on each account
  • Generate statements only for balances confirmed against the remittance, and read the advanced A/R views for a one-page written report

Access

Access and security

Your data, your systems

Patient data stays in your systems. Your biller works inside your own software, clearinghouse and payer portals and never exports, downloads or stores claim files, remittances or patient lists on Remitwright devices or systems.

  • BAA signed before any access
  • A user you create and can remove
  • MFA on every login that supports it
  • No claim files or patient lists exported
How access works

In ChiroTouch

  • You keep your ChiroTouch subscription and your patient data; the biller works on a named user your administrator creates and can switch off at any time
  • A signed BAA is in place before the first login, and the login uses multi-factor authentication where your ChiroTouch setup offers it
  • We ask for billing access plus enough chart access to read the note behind each claim; the biller never edits a clinical note
  • Claims, remittances and reports stay in ChiroTouch and its clearinghouse; no patient lists or files are copied into systems of ours

Where the biller steps in

What ChiroTouch does not do, and the biller does

  • Compliance Scan and code bundles help the doctor finish a clean note. Whether the care is still corrective or has become maintenance is a clinical question the record has to answer, so the biller flags notes that leave it open and leaves the documentation to the doctor

  • An AT modifier on the claim does not prove the visit was medically necessary. A Medicare contractor can still deny it on review, so the biller keeps the treatment plan, re-exams and progress measures together for any records request

  • Medicare Part B covers the spinal adjustment and nothing else a chiropractor orders: X-rays, massage therapy and acupuncture are not covered. CMS does not require an ABN for care Medicare never covers but strongly encourages one before the service, so the biller checks for that notice or another written arrangement before the patient is billed

  • Personal injury and workers' compensation claims run on case rules, adjusters and correspondence that the health plan workflow does not hold; the biller tracks each case by hand

  • Payment matching surfaces discrepancies and open balances. Deciding whether a short payment is a deductible, a contract error or a denial worth appealing is the biller's job

Worked example · hypothetical

Worked example: when active care turns into maintenance

A Medicare patient starts care for an acute low back subluxation. The initial exam records the subluxation level, two PART findings including a range of motion abnormality, and a treatment plan with goals and objective measures. Visits are billed with 98941 and the AT modifier, and ChiroTouch applies each ERA to the patient's account as it arrives.

At the re-exam, the doctor writes that the patient has stopped improving and that care is now supportive. From that visit on, the biller leaves AT off, because Medicare does not pay for maintenance therapy, and checks that the patient signed an ABN before that next adjustment was given.

One earlier visit has a note that does not name the region treated. The biller holds that claim and raises it with the doctor before it goes out, rather than releasing a claim the record cannot support.

Questions

Questions about billing in ChiroTouch

Which ChiroTouch clearinghouse do you work in?

Either one. CT ProClear runs on TriZetto's clearinghouse and CT MaxClear connects to the Change Healthcare clearinghouse; ChiroTouch offers both to ChiroTouch Advanced customers. The biller works the rejections, claim status and remittances in whichever your practice uses.

Do you decide when care becomes maintenance?

No. That is the doctor's clinical call, and it has to be written in the record. The biller reads each Medicare note for it, uses the AT modifier only when the note shows active or corrective care, and asks the doctor when a note leaves the question open. The specialty rules are set out on our chiropractic billing services page.

Do you handle personal injury and workers' comp claims?

Yes. ChiroTouch supports personal injury and workers' compensation billing next to health plan claims, and the biller keeps those cases on their own A/R track, with the claim number, adjuster and status recorded on each one.

What does Medicare not pay a chiropractor for?

Part B pays for adjustments of the spine to correct a subluxation, done by hand or with an activator. It does not pay for X-rays, massage therapy, acupuncture or other services a chiropractor orders. An ABN is not required for care Medicare never covers, but CMS strongly encourages giving one before the service, so the patient knows in advance that the bill is theirs.

What access do you need?

A ChiroTouch user with billing access, read access to the notes behind each claim, the clearinghouse login if it is separate, the payer portals you use, and a signed BAA before any of it.

Next step

See where claims are getting stuck. No patient data needed.

Three quick questions. No patient data. A billing specialist reads every request and replies in writing, with notes on how the work would run inside ChiroTouch.

  • Three questions, about two minutes
  • No patient data, no software to buy
  • A written reply from a biller, not a sales deck

What happens next

  1. You answer three questions

  2. A billing specialist reads them

  3. A written reply by email

Prefer email? sales@remitwright.com

Get a billing review

See where claims are getting stuck. No patient data needed.

Step 2 of 3

What do you bill for?

A little about your volume
How many providers? (Medical practice)

Trips per month? (NEMT)

Active clients? (Home care / home health)

Orders per month? (DME)

How many clinicians? (Behavioral health / therapy)

Claims per month, roughly? (Something else)

What's the biggest problem right now?

Where should we send the review?

Add details (optional)

We work inside your system; this tells us which login to ask for.

Please don't include patient information in this form.

  • No patient data requested
  • No obligation
  • Reply in writing
Get a billing review
Billing review

Get a billing review

See where claims are getting stuck. No patient data needed.

Step 1 of 3

What do you bill for?

A little about your volume
How many providers? (Medical practice)

Trips per month? (NEMT)

Active clients? (Home care / home health)

Orders per month? (DME)

How many clinicians? (Behavioral health / therapy)

Claims per month, roughly? (Something else)

What's the biggest problem right now?

Where should we send the review?

Add details (optional)

We work inside your system; this tells us which login to ask for.

Please don't include patient information in this form.

  • No patient data requested
  • No obligation
  • Reply in writing

BAA signed before any access, a user you create, MFA on. Patient data stays in your systems. How access works