Chiropractic billing software delivery, by the numbers
03
- week delivery cycles
- 14-22
Chiropractic billing carries rules a generic multi-specialty tool doesn't scrub for by default - CMT-code selection, AT-modifier use, per-visit payer caps, ABN handling for maintenance care. When those rules live in a biller's head instead of the claims workflow, the first sign of a problem is a denial or, worse, an audit flag. We build the claims logic to catch it before submission.
Capabilities
What we build
01CMT-code claims scrubbing
Claims checked against CMT-code logic for 98940-98942 before submission, so miscoded visits get flagged and corrected instead of coming back denied.
02AT-modifier compliance checks
Rules that catch AT-modifier misuse at entry - a leading Medicare audit trigger for chiropractic claims - instead of after a payer or auditor flags it.
03Per-visit payer cap tracking
Payer-specific per-visit limits tracked automatically, so a claim is flagged before it exceeds a cap rather than a biller catching it by memory.
04ABN handling for maintenance care
ABN logic built into the workflow for maintenance-care visits, so the paperwork and patient notification exist before the visit is billed.
05Claims submission and tracking
Electronic claims submission with status tracking end to end, so a rejected or pending claim is visible without logging into a separate clearinghouse portal.
06Denial management and resubmission
Denied claims routed back with the specific rule that triggered rejection attached, so resubmission is a correction, not a re-investigation.
How we work
From billing audit to live claims software
- Weeks 1-3
01Discovery and billing-rule mapping
We map your current denial patterns, payer mix, and the CMT-code and modifier rules your practice bills against. You leave with a written scope and a fixed-price quote.
- Weeks 3-8
02Claims logic and data architecture
We design the CMT-code scrubbing rules, AT-modifier checks, payer-cap logic, and ABN workflow around the payers you actually bill.
- Weeks 8-18
03Build in two-week sprints
You review working software at each sprint. Claims scrubbing, submission, and denial-management components are built and tested incrementally.
- Final 3-4 weeks
04Testing against real claims and rollout
The system runs against real claims data so your billing team can validate scrubbing accuracy before it replaces your current process.
Why us
Why chiropractic practices choose RaftLabs
01Senior engineers build what they scope
The engineers who map your billing rules also build the claims logic. No offshore handoff after the contract is signed.
02Fixed price before development starts
We scope the work, calculate the cost, and lock it in writing before any development starts.
03Founded 2015, 100+ products shipped
A track record building compliance-conscious healthcare and billing platforms that handle sensitive claims data correctly from the start.
04You own the source code
No vendor lock-in after delivery. The codebase, and everything built into it, is yours.
Have a chiropractic billing software project?
Tell us where your denials keep coming from, and we'll scope a fixed-cost build around your actual claims data.