From Documentation to Dollars
Billing / Fees / Insurance

From Documentation to Dollars 

How Chiropractors Can Use AI to Reduce Denials

Artificial intelligence is now central to documentation in chiropractic care, delivering on one key promise: finish notes faster. In busy clinics, every minute spent charting is a minute not spent with patients – or building the practice. For clinic owners, the key question isn’t just how to make documentation faster. It’s whether records are defensible and systems protect revenue before claims are submitted.

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Editor's Picks

In my office, pediatric chiropractic often includes addressing issues with breastfeeding. I’m usually not a very formal person and prefer to write in a less “left brained” format; however, I’ve recently been organizing a plethora of case histories from the past year in my practice in preparation for a research paper. I thought it would be fun to travel over to my left brain today and share an especially inspiring case with you.

Lynn Gerner, DC, FICPA, IBCLC
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Over the past several years, allegations of sexual misconduct among chiropractic practitioners have become more commonplace. As a result, chiropractic clinics have to become much more vigilant in implementing policies to avoid sexual misconduct allegations. Exposure risk can be minimized by implementing various risk-management strategies.

Marlene Icenhower, BSN, JD, CPHRM
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Your Practice / Business

Businesses often advertise checklist inspections to encourage customers to enter for services. For example, an auto repair shop may offer a free “50-point engine inspection.” In some cases, the inspections are offered complimentary or used when a customer has already entered for services. This is an example of prevention and early detection of problems; and, to be honest, of increasing business. Currently, we (my interns and I) use a checklist for daily patient visits. The checklist consists of seven primary points.

K. Jeffrey Miller, DC, MBA
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Reader Favorites

As you know, chiropractic physicians are trained to evaluate and manage patients with cervicogenic headaches. Yet we may become overconfident with our diagnosis and misdiagnose the condition if we are not inquisitive during our initial patient interview. This putative case report should be most interesting to our chiropractic specialists, especially those who have earned a DABCI.

James Lehman, DC, DIANM
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Billing / Fees / Insurance

Question: I am typically paid by insurance with no problems, and always include neck and back pain. However, I have had a slew of denials recently, with the denial indicating that my diagnosis is incorrectly coded per the ICD-10 guidelines. What am I doing wrong?

Samuel A. Collins
Whole-Body PBM: Mitochondrial Renewal & Systemic Health Benefits

As modern lifestyles increasingly distance humans from the natural healing spectrum of light, whole-body photobiomodulation restores an essential element of our evolutionary environment. By embracing this modality, chiropractors can place mitochondrial health – the foundation of systemic vitality – at the center of clinical care ... transforming not just spinal health, but also the overall well-being of their patients.

Phil Harrington, DC, CMLSO, FASLMS
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UnitedHealth Group, parent company of UnitedHealthcare, has announced sweeping changes to its prior-authorization (PA) requirements that will eliminate the requirement for chiropractic care and numerous other healthcare services by the end of 2026. Doctors of chiropractic, other providers and patients have long lamented prior authorization requirements because they can delay needed treatment, limit access and even cause some patients not to pursue care.

Dynamic Chiropractic Staff
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Chronic / Acute Conditions
Flexor Hallucis Longus Entrapment: Diagnosis, Correction

While excessive pronation is almost always blamed for the development of functional hallux limitus, a frequently overlooked cause of this condition occurs when the flexor hallucis longus tendon gets trapped in the retrotalar pulley located behind the medial malleolus. This condition is particularly common in classical ballet dancers, gymnasts, figure skaters, and soccer players.

Thomas Michaud, DC
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