Welcome to Issue 15 of Chiropractic Economics, which takes a comprehensive look at coding and reimbursement strategies. For this issue, I am honored to have Medicare and documentation expert Kathy Weidner of KMC University weigh in on the articles and suggest possible solutions to improve practice efficiency and streamline revenue.
Navigating the future of chiropractic: Coding, compliance and reimbursement
As the chiropractic profession evolves, so must our approach to coding, compliance and care delivery. From the rise of cash-based practices to the integration of dry needling, today’s doctors of chiropractic face both unprecedented opportunities and complex regulatory terrain. As a chiropractic coding and compliance expert, now in my 42nd year in the profession, I’ve seen firsthand how data, documentation and adaptability can make or break a practice. Here’s what every healthcare provider should know.
Cash-based practice: Coding still counts
Many DCs are shifting to cash-based practice models to escape the constraints and headaches of dealing with third-party payers. But let’s be clear: Just because you’re not billing insurance doesn’t mean you can ignore coding. Accurate CPT and ICD-10 coding remains essential for clinical clarity, continuity of care and legal protection. All healthcare providers are beholden to their licensing board rules and malpractice carriers. A well-documented encounter is a defensible one.
Reimbursement data: The road to parity
Data is our most powerful tool in the fight for fair reimbursement. Yet, gathering and interpreting it remains a challenge. Chiropractic services are often undervalued, and without robust data to demonstrate outcomes and utilization trends, we remain at a disadvantage. The key is using that data proactively—not just reactively when denials roll in.
Emergency sales: When the unthinkable happens
What happens when a provider is suddenly unable to practice—due to illness, injury or worse? DCs rarely discuss emergency practice sales until it’s too late. Every practice should have a contingency plan that includes valuation, succession and legal documentation. Think of it as a HIPAA-compliant “living will” for your business. Preparation today can prevent chaos tomorrow.
Data-driven coding: Thrive, don’t just survive
Leveraging EHR data and coding analytics can transform your revenue cycle. Identify your most-used codes, track denial trends and align documentation with payer expectations. Technology isn’t just a billing tool—it has become a strategic asset.
Dry needling: A revenue and results booster
Dry needling is gaining popularity—and scrutiny. Proper coding (often CPT 20560/20561), scope-of-practice awareness and informed consent are critical. When done right, it enhances outcomes and adds value. When done wrong, it invites denials and disciplinary action.
Coding and reimbursement, along with compliance, are my passions.
Give proper attention to these important business elements and practice feels safe, profitable and fun. In a constantly evolving healthcare landscape, it’s not just about keeping up—it’s about leading with clarity, confidence and compliance.
I hope you find Kathy’s perspective on coding, compliance and reimbursement helpful as you continue fine-tuning your documentation best practices.
To your health, prosperity and success!
GLORIA N. HALL
Editor-in-chief
