High-Precision Backend Claim Management for Standalone Chiropractic Practices.
“Edward was the biller for my solo practice for 7 years until I sold it with a net collection rate of 99.42%”
– Dr. Steven H Swedberg, MD*
What Washington Doctors Say
“I worked with Edward for three years and his help with billing was prompt and excellent. As billing needs to be accurate I can say that Edward was indeed accurate in all his billing and coding.”
-David Riggs OD
“When the Medicare people came with their audit, he stood firm. Working with me, we gave them what they wanted.”
– Dr. Vincent Muoneke, MD
Most independent chiropractic clinics deal with a billing environment that is stricter than it looks: Medicare’s narrow coverage rules, AT modifier requirements, active care versus maintenance care, documentation to support medical necessity, and payer-specific rules around therapies, exams, and modifier use all have to line up cleanly for claims to move forward.
I provide a boutique medical billing service with the personal touch and responsiveness of a dedicated local partner.
The Billing Reality of Chiropractic Practices
- In 2022, national data from Crowe showed initial denial rates rising to about 11% of all claims for the average health system—more than one in ten claims rejected on first pass.
- Premera reported that nearly 15% of claims submitted to private payers are denied initially, and Medicare Advantage claims were denied at an even higher 15.7% rate.
- In ophthalmology, many of the most preventable denials come from familiar operational breakdowns: missing or incorrect modifiers, documentation gaps, eligibility and patient-information errors, and billing mistakes tied to the global period.
- Most practices do not lose money because one claim denied. They lose money because denied claims are not worked quickly, refiled correctly, or appealed aggressively enough to recover what should have been paid.
How does it work?
How I Keep Denials Exceptionally Low
Preventable ophthalmology denials happen because of a lack of clear systems between the front office and the back office, wrong modifiers, incorrect patient or insurance information, missing documentation, and services billed incorrectly inside the global period. Coming from an IT and automation background, I actively engineer your clinic’s data workflow so clean, complete insurance and clinical information flows directly into my billing stream.
Here is exactly how I actively run your account:
- Billing Review and Workflow Audit: I review your current billing flow, denial patterns, AR, and write-offs to identify where revenue is leaking and which errors are recurring.
- Front-End Guardrails: I give your front desk simple, usable intake steps so the information reaching billing is cleaner from the start—accurate demographics, better insurance data, and fewer preventable eligibility mistakes.
- Daily Billing and Denial Management: I handle claim submission, clearinghouse edits, denial follow-up, corrected claims, and appeals so problems are fixed quickly instead of aging out in AR.
- Ongoing AR Recovery: I track unpaid and underpaid claims, work payer follow-up, and keep old balances from quietly turning into write-offs.
- Transparent Reporting: You receive clear updates on denials, recoveries, and collections so you can see exactly what is being fixed and what cash is coming back into the practice.
*In one long‑term solo eye practice I supported, the practice’s analytics showed roughly 99.42% of charges collected and about 0.58% not paid on first submission during my tenure. Actual results depend on your payer mix, case mix, documentation, and how much change you are willing to implement, so I do not promise a specific rate—but this is the level I design the system to aim for.
Why Work With Me
Deep Industry Experience
Insurance Denial Cleanup
Hands on Solo Practice Focus
I’ve run every part of the billing and revenue cycle for small practices for 15+ years— credentialing, claims, denials, AR, Medicare, and payer rules. I know how to keep money from slipping through the cracks.
I handle claim submission, denial follow‑up, and AR with a focus on the issues that hit cashflow hardest.
I work with a small number of private Washington clinics so I stay personally involved in your claims and AR. Your account is never handed off to a junior biller or call center—you always know who is watching your money.