Cut administrative delays, reduce claim denials, and build predictable insurance cash flow. CareSphere delivers full-service chiropractic credentialing services and medical billing for California chiropractors, multidisciplinary wellness centers, personal injury practices, and group clinics.
Two core services keep your clinic paid: clean revenue cycle management and fast, accurate payer paneling.
Sub-40 Days A/R | 98% First-Pass Clean Claim Target
Real-time claim scrubbing, aging accounts receivable tracking, electronic remittance advice (ERA), and active provider enrollment status across commercial payers and ASH networks.
Weekly Payer Follow-Up | Direct Contract Ownership
Full management of CAQH enrollment, Medicare PECOS setup, and California commercial payer enrollment directly under your practice’s own Tax ID and NPI.
Chiropractic billing has its own codes, modifiers, and payer rules. Here is how a specialist team changes your numbers.
Many chiropractic clinics lose thousands every month to unbilled modalities, incorrect modifiers, and uncollected legacy A/R. Our certified coders scrub every claim to secure the full reimbursement you are owed.
Standard in-house billing often lets unpaid claims sit for 60 to 90 days. CareSphere actively works your accounts receivable to keep your average collection cycle between 25 and 35 days, so monthly cash flow stays predictable.
In-house credentialing often stalls for months due to paperwork errors and missed follow-ups. We file complete CAQH, Medicare, and commercial applications and follow up every week. Credentialing takes 15 to 180 days in California, depending on the payer, so new associate chiropractors start billing as early as each payer allows.
We keep your clinic aligned with California Board of Chiropractic Examiners (BCE) licensing rules, Medicare PECOS regulations, Covered California health plans, and the California Workers’ Compensation Official Medical Fee Schedule (OMFS).
One team covers your chiropractic credentialing, coding, billing, and injury claims, from the first application to the final payment.
Compare a typical in-house billing setup with a dedicated chiropractic revenue cycle team.
Our revenue cycle team works directly inside your existing chiropractic EHR software. You avoid duplicate data entry and keep your clinical workflow as it is.
Credentialing gets you paid. Local search and paid ads fill your schedule. See our core services and the other specialties we support.
Complete provider enrollment, CAQH management, and primary source verification.
End-to-end RCM, electronic claim scrubbing, and steady recovery of aging A/R.
Commercial, ASH network, and government insurance paneling, plus front desk support.
Local search optimization and Google Map Pack ranking so nearby patients find your clinic.
Targeted search ads that bring new chiropractic patients to your schedule.
Specialized RCM and credentialing for outpatient physical therapy and rehab clinics.
Revenue cycle management for mental health and addiction treatment facilities.
Complete administrative, billing, and growth support for independent medical groups.
Straight answers to the questions California chiropractors ask us most.
Chiropractic credentialing takes 15 to 180 days in California, depending on the payer. Medicare is the fastest at 15 to 85 days, commercial plans take 60 to 120 days, and Medi-Cal managed care plans take 90 to 180 days. Complete applications move faster.
Medicare requires the Active Treatment (AT) modifier on spinal manipulation codes (CPT 98940 to 98942) to show care is active and not maintenance. Our billing specialists review your SOAP notes to confirm medical necessity before adding the AT modifier, which prevents automatic Medicare rejections.
Yes. Our specialists work with California’s Official Medical Fee Schedule (OMFS), submit DWC Form RFAs for MPN authorization, and manage personal injury liens (Letters of Protection and Med-Pay) to protect your practice during settlement negotiations.
Most transitions take 30 to 60 days. During this window, we audit your legacy A/R, set up clearinghouse EDI and ERA connections, align coding templates, and train your front desk staff on intake and verification.
Get your providers credentialed, your claims coded right, and your A/R under control. Book a consultation and we will map out your chiropractic credentialing and billing plan.
