CHIROPRACTIC
Run a High-Volume Adjustment Practice Without the Medicare Audit Fear
GlaceEMR and GlaceRCM built for the CMT region count, the AT modifier, and the active-care rules a Medicare-heavy panel lives on, billed at a percentage of collections with no base fees, backed by 95%+ first-pass claim adjudication and 99%+ collection of payer-allowed amounts*.
*Of payer-allowed amounts.
WHAT WE HEAR FROM CHIROPRACTORS
One of the Most Audited Specialties, on an EMR Built for Someone Else
Your chart works fine for a single complaint, and it buckles the moment you carry a high-frequency manipulation panel with a Medicare-heavy mix. Four pains come up in the first thirty minutes of almost every discovery call, and each one quietly costs you revenue or audit exposure.
Active versus maintenance is reconstructed at audit
The AT modifier carries the answer, but the goals, duration, and re-eval cadence behind it live in free text. So the determination is reconstructed for the auditor, not documented at the visit.
The CMT region count is wrong as often as right
98940 is one or two regions, 98941 is three or four, 98942 is five. When the region treated and the region billed are different data points, a high-volume schedule leaks six figures a year.
Workers’ comp and auto eat the front desk
Separate authorization rules, fee schedules, and lien-and-letter workflows. Visit limits change by carrier and reduction notices arrive by fax, so your team runs a parallel spreadsheet to keep dollars from disappearing.
Cash-pay and wellness collide with insurance
The GZ modifier needs to flag the non-covered visit, the ABN needs to be on file before the cash visit, and the prepaid wellness balance needs to draw down cleanly. The reconciliation is where small practices lose track of what they collected.
GLACEEMR FOR CHIROPRACTIC
An EMR Built Around the Adjustment, the Plan, and the AT Modifier
GlaceEMR is ONC-certified and has run in private outpatient practices for years, with 30+ years of company history behind it. The chiropractic configuration is wired in before training starts, so the chart your team opens on day one already knows the regions, the codes, and the workflows your day runs on. Every capability below ships today, not as a roadmap promise.
Structured spinal exam built around PART
The spinal exam captures pain, asymmetry, range of motion, and tissue tone as discrete data by region. Subluxation and palpatory findings live in structured fields, so the PART documentation Medicare requires is the byproduct of how you exam, not a separate year-end project.
CMT note by region with automatic count
The spinal-manipulation note captures the regions you adjusted in structured fields, and the count drives the CMT suggestion: 98940 for one or two, 98941 for three or four, 98942 for five. The wrong code stops happening because the documentation and the billing are the same data. Extraspinal surfaces 98943.
AT, GA, and GZ modifier logic
AT applies when the visit is active treatment and the documentation supports it. GA attaches when an ABN is on file. GZ flags non-covered maintenance. The modifier decision happens inside the chart at the visit, not at the clearinghouse three days later.
Treatment plan with active-care goals
The plan captures measurable goals, frequency, and expected duration tied to the Oswestry, the Neck Disability Index, and functional milestones. It carries forward, prompts for re-evaluation on the cadence you set, and makes the active-versus-maintenance call a documented decision instead of a reconstructed one.
X-ray ordering and interpretation in the chart
Order spinal and extremity X-rays from the encounter, capture your interpretation against the 72020-72120 series, and store the images alongside the report. Integrated PACS and a full DICOM viewer mean in-office films and a partner center’s films live in the same chart, each with its own interpretation note.
Cash-pay, wellness, and ABN handling
Wellness packages draw down from a prepaid balance as visits are delivered. Cash-pay visits price at your published rate and accept payment at check-out. The ABN signs before the visit and stores on the case, so the GZ flag is supported. Insurance, cash-pay, and wellness reconcile on the same dashboard.
Included with GlaceEMR vs usually an add-on
When you price out another EMR, count what is included before you compare the headline number. The rows below are upsells or separate vendors almost everywhere else, each with its own renewal date and its own price increase every twelve months. They ship with GlaceEMR.
| Capability | Most EMRs | GlaceEMR |
|---|---|---|
| Outcome assessments (Oswestry, NDI, VAS, Roland-Morris) | Third-party vendor | Included, auto-scored |
| Integrated PACS and DICOM viewer for in-office films | Add-on license | Included |
| Workers’ comp and auto case management | Manual spreadsheet | Included |
| Self-check-in kiosk with pain diagram, English and Spanish | Third-party vendor | Included |
| GlaceOffice administration suite (HR, PTO, inventory, credentials) | Separate subscription | Included, free for clients |
| Native iOS and Android apps for providers and staff | Mobile-web only | Included |
A solo DC can grow to a multi-provider group across multiple locations on the same platform, with no per-location upcharge and no contract to renegotiate when you add a satellite next quarter. Role-based access for chiropractic assistants, front desk, providers, billers, and managers runs throughout, with every action logged and LUKS full-disk encryption at rest in production.
FROM ADJUSTMENT TO PAID
One Path, Audit-Ready End to End
You adjust, the region count drives the CMT suggestion, the AT, GA, GZ, RT, and LT modifiers attach from the documentation for your review, the scrubber checks every claim against payer rules, and your named billing specialist works the queue to resolution. The same chart and the same team carry the dollar from the treatment room to the deposit, so the documentation and the modifier finally agree with each other on every claim.
GLACERCM FOR CHIROPRACTIC
A Billing Service That Knows the Chiropractic Mix
GlaceRCM bills your claims in your EMR or ours, charged at a percentage of collections with no base fees and no monthly minimums. We would rather run it on our platform, where the scrubber sees the full chart, but if you are staying on your EMR our billing team works your claims there. The service is built for the chiropractic code mix and the audit-heavy Medicare panel, and the numbers below reflect that focus.
95%+
First-pass claim adjudication. Most claims pay on the first submission, with no rework and no calendar lost to denial follow-up.
99%+
Collection rate of payer-allowed amounts*. The dollars the payer contractually owes you actually arrive, because we work the queue to resolution.
$0
Implementation fee, setup charge, and monthly minimum. We get paid when you get paid, so our interests and yours line up from day one.
*Of payer-allowed amounts.
Scrubbing tuned to CMT, modifiers, and modalities
Payer-specific rules check CMT by region, extraspinal, manual therapy, modalities, therapeutic exercise, X-ray, and same-day E/M with -25 before submission. The AT, GA, GZ, RT, LT, and -25 logic runs at scrub time, so claims that need a fix get fixed before they go out.
Medicare scrutiny is our daily work
CMT is one of the most audited line items in outpatient Medicare. Our team works the documentation queue every day and knows what the reviewer wants: the structured PART finding, the active-care goal language, the re-eval cadence. When a CERT or TPE letter shows up, the response packet is already drafted from the chart.
Workers’ comp and auto handled in-house
Workers’ comp adjuster panels, auto liability carriers, and PIP claims are part of the same service. Authorization tracking, lien letters, IME response packets, reduction-notice rebuttals, and the medical-necessity narratives that move a denied claim are not someone else’s problem.
A named billing specialist
A dedicated account manager who knows chiropractic payer mix in your state, the codes you bill, and your top denials. Not a ticket queue, not an offshore call center. They pick up the phone when you call, and they know your practice by name within a month of go-live.
Percentage of collections, no base fees. Provider credentialing, payer enrollment, daily patient statements, and a US-based billing call center are part of the service, not separate line items. Your patients call our team about a balance or a cash-pay wellness package, not your front desk, so the assistant rooming your 9 AM patient is not on a billing call. Denials are worked to resolution through appeals, second-level reviews, and peer-to-peer, and a write-off happens only when you sign off.
AI AND PATIENT ENGAGEMENT
The Documentation, the Coding, and the Phones
Every AI capability is a suggestion you review and select. Notes wait for your signature and codes wait for your approval before either reaches a claim, so the clinical judgment and the billing decision stay with you, every time. The AI is built on HIPAA-compliant infrastructure from Amazon, Google, Anthropic, Deepgram, ElevenLabs, and other enterprise AI providers, with multi-vendor architecture that preserves operational redundancy and keeps the platform improving over time.
GlaceScribe
Ambient SOAP notes structured the way chiropractic writes, with interval history, spinal exam, regions adjusted, modalities delivered, and the home-care plan. Up to four speakers for the case manager or parent in the room, English and Spanish patient-facing. Documentation finishes when the adjustment finishes, with no 9 PM charting.
GlaceIQ
30+ AI features tuned to your day: active-care threshold and re-eval alerts, the CMT region-count suggestion at sign-off, Medicare documentation-gap detection before the claim drops, red-flag referral prompts, and outcome-trend surfacing at the visit. You review and select each one.
GlacePhoneSmart
An AI phone agent answers as your practice in English or Spanish, books into real scheduler slots, runs recall and reminder campaigns, fills cancellations, and surfaces voicemail summaries. Patients reach the practice at 11 PM with a flare-up and still get an appointment for tomorrow morning.
A practice-branded portal, mobile app, kiosk, SMS, and email round out the stack, with English and Spanish on every patient-facing surface. The active-care patient who keeps every appointment and the maintenance patient who comes back twice a year both stay in touch, both fill out the pain diagram before they walk in, and both make their copay or wellness payment without anyone at the front desk lifting a finger. Replies route back into the chart as structured tasks, so treatment-plan recalls and home-exercise check-ins get worked on the cadence the care plan calls for instead of piling up in an inbox somebody reads on Monday.
SWITCHING IS EASIER THAN YOU THINK
Coming From Another EMR
Most chiropractic practices we onboard are leaving a legacy platform that never fit the manipulation-and-modifier reality. The transition is the part you dread most, and it is the part we have done hundreds of times. Implementation is $0, data migration is included, and your account manager runs the move and stays your account manager after go-live.
DAY 1
A chart that already looks like yours
You log in to migrated patient history, active treatment plans, current outcome scores, and recent visits, with your spinal-exam template, CMT note by region, modality favorites, treatment-plan formats, and home-exercise library already wired in. EMR go-live happens in under one week. The first few visits run slower because the workflow is new; by the end of the day, your hands start to remember where everything lives.
DAY 30
Charting faster, claims flowing
You are charting faster than on the old system because the templates match how you document, and GlaceScribe carries most of your daily SOAPs. Your first month of submissions is on the dashboard with the CMT region-count and AT-modifier capture cleaner than before. You have walked the denial queue with your account manager, and the recall and re-eval workflows are live, filling tomorrow’s schedule from the recall list.
DAY 90
The switch starts paying for itself
Your first quarter’s dashboard shows cleaner CMT claims, faster posting, fewer denials parked in the 60-to-90 bucket, and workers’ comp authorizations tracked instead of guessed. The active-versus-maintenance determination is documented at the visit, not reconstructed at audit. GlacePhoneSmart has visibly cut front-desk call volume, and recall campaigns have closed treatment-plan gaps for hundreds of patients. The conversation turns from migration triage to using the platform harder next quarter.
Data migration covers historical records, exams, treatment plans, outcome scores, documents, X-ray images, active problems, current orders, and outstanding balances, handled by Glenwood from your prior vendor’s data export in 2 to 5 business days so your staff does not have to clean charts. The RCM transition runs 4 to 8 weeks with payer enrollment in parallel, and we recommend a 30-to-90-day overlap with your previous vendor so the practice keeps operating normally. Provider training is delivered in pieces around your real schedule, a 2-to-4-hour core clinical session then targeted follow-ups, with unlimited online training for every role during onboarding and continued access for new hires later. Glenwood has been independent and privately held since 1994, when our founder helped his physician wife acquire a private practice in Connecticut: 30+ years in market, no outside investors, no roadmap roulette. Support runs 7:00 AM to 8:00 PM Eastern on weekdays, with 24×7 on-call coverage for urgent issues, so the practice with a problem at 6:30 AM Pacific still reaches a person.
WE KNOW YOUR CODES
We Have Billed Your Mix Before
You already know your codes. We have built the workflows, the scrubber rules, the documentation prompts, and the denial templates around them, so the reimbursement you earned is the reimbursement you collect. The list below is the short version of what runs every day inside the platform for a chiropractic practice:
- 98940, 98941, 98942: CMT by spinal-region count (1-2, 3-4, 5 regions)
- 98943: extraspinal CMT
- AT, GA, GZ modifiers: active treatment, ABN on file, non-covered maintenance
- 97140, 97014, 97032, 97035: manual therapy, e-stim (unattended and attended), ultrasound
- 97110, 97112: therapeutic exercise, neuromuscular re-education
- 72020 through 72120: spinal X-ray series, ordering and interpretation
- RT, LT, -25: laterality and same-day E&M with CMT
QUESTIONS WE HEAR EVERY WEEK
Chiropractic Practice FAQ
Short answers below; the longer conversation happens on the demo. Tap any question to expand the answer.
Does GlaceEMR handle the AT modifier and active-versus-maintenance documentation Medicare requires?
Yes, that workflow is the centerpiece of the chiropractic configuration. The treatment plan captures measurable goals, expected duration, and re-evaluation cadence in structured fields. Every CMT visit prompts the active-versus-maintenance decision against the documented plan, and the AT modifier applies when the active-care criteria are met. The PART finding lives in discrete fields by region. When the patient transitions to maintenance, the GZ modifier flags non-covered care and the ABN signature requirement surfaces on the case. The documentation an auditor wants to see is the documentation the visit produced, not a reconstruction your billing team has to assemble after the CERT letter arrives. Most practices that switch see their first-pass Medicare CMT adjudication climb noticeably inside the first two billing cycles, because the modifier and the documentation finally agree with each other on every claim.
How does the CMT region count flow from the chart to the claim?
The spinal-manipulation note captures the regions you actually adjusted as discrete data: cervical, thoracic, lumbar, sacral, pelvic. The count drives the CMT code suggestion at sign-off. Two regions becomes 98940. Three or four becomes 98941. Five becomes 98942. Extraspinal work adds 98943. GlaceIQ reviews the documentation as you sign and surfaces the suggested code; you accept or adjust. The wrong code on the claim stops happening because the chart and the bill are the same data, and the underbilling that quietly costs a high-volume practice six figures a year stops with it. RT, LT, and -25 modifiers attach automatically when the documentation supports them, for your review before submission.
Does GlaceRCM work workers’ comp and auto liability claims?
Yes, both lines are part of the standard service, not a separate engagement. Our team works workers’ comp adjuster panels and auto liability carriers as a daily part of the queue. Authorization tracking, lien letters, IME-response packets, reduction-notice rebuttals, and the medical-necessity narratives that move a denied workers’ comp claim are handled in-house. Visit-limit tracking shows the remaining authorized visits inside the chart at every encounter, so you do not deliver care your case has already exhausted authorization for. PIP and med-pay lines are part of the same workflow. If your practice carries a heavy workers’ comp or PI mix, this is one of the places switching to GlaceRCM tends to pay for itself quickly.
How do you handle cash-pay, wellness packages, and the ABN workflow?
Wellness packages draw down from a prepaid balance as visits are delivered, and the patient sees the remaining balance on the portal. Cash-pay visits price at your published rate and accept payment at check-out through the integrated payment processor. The ABN is signed before the maintenance visit, stored on the case, and surfaces the GZ-flagged claim when applicable. Insurance, cash-pay, and wellness reconcile on the same dashboard at end of day, so the office manager never has to chase what was collected against what authorization. The same patient can move between an active-care insurance plan and cash-pay maintenance without the chart losing track of which visit was which.
Is GlaceScribe HIPAA-compliant, and where does the AI run?
Yes, fully HIPAA-compliant. GlaceScribe runs on HIPAA-compliant AI infrastructure from Amazon, Google, Anthropic, Deepgram, ElevenLabs, and other enterprise AI providers, all under business associate agreements. The multi-vendor architecture preserves operational redundancy, so a single upstream incident does not stop your visits. Up to four simultaneous speakers are supported, English and Spanish patient-facing, and all coding and order suggestions surface for your review before any signing. Nothing reaches the chart until you approve it, and nothing carries your signature until you sign it. Audio is processed in transit, the resulting note is stored in your single-tenant chart database with LUKS encryption at rest, and the data never trains a shared model that mixes your patients with anybody else’s.
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See What Glenwood Can Do for Your Practice
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