C3+

🚨 Chiropractors: A Reminder to Protect Your Practice 🚨

A recent lawsuit filed by Allstate against a Texas chiropractic network is making headlines in the healthcare and insurance world. The insurer alleges that over 1,200 auto-injury claims totaling more than $22 million involved standardized treatment plans, excessive services, and improper billing practices.

While the allegations in the case have not yet been proven in court, stories like this serve as an important reminder for all healthcare providers—especially those treating auto accident and personal injury cases—to stay vigilant about compliance and documentation.

✔ Make sure your care is medically necessary and individualized
✔ Ensure accurate documentation and coding
✔ Be cautious with Letters of Protection (LOPs) and billing structures
✔ Maintain proper supervision of staff and assistants
✔ Charge reasonable and defensible fees for services provided

When billing practices become questionable, it doesn’t just impact one clinic—it can bring increased scrutiny to the entire profession.

At the end of the day, ethical billing, strong documentation, and compliance protect your patients, your license, and your practice.

👉 Take a moment to read the article here:
https://www.insurancebusinessmag.com/us/news/claims/allstate-sues-texas-chiropractic-network-over-25-9-million-auto-claims-scheme-567795.aspx

Allstate sues Texas chiropractic network over $25.9 million auto claims scheme 1,253 claims, $22 million+ in charges, and what Allstate describes as 'cookie-cutter' care

Check us out!

🎥✨ We’re on TikTok! ✨🎥

C3 Plus is officially on TikTok and we’d love for you to follow along!

We’ll be sharing quick, helpful videos on topics that matter to chiropractic clinics, including:
✔️ Billing tips
✔️ Compliance guidance
✔️ Credentialing help
✔️ Front desk training
✔️ Common insurance mistakes
✔️ Practice growth ideas

Our goal is to help your clinic stay paid, compliant, and confident while giving you easy tips you can actually use in your practice.

👉 Follow us here:
https://www.tiktok.com/.plus?_r=1&_t=ZT-94UmU5suIkX

Let us know in the comments what topics you’d like us to cover! 🎥💬

If you’re a chiropractor and you’re not paying attention to credentialing… you should be. 👀

Credentialing isn’t just paperwork — it’s the backbone of getting paid correctly and staying compliant.

Here’s something many providers don’t realize:

👉 Chiropractors cannot opt out of Medicare.

Under Medicare rules, Doctors of Chiropractic are mandatory participating providers for covered chiropractic services (specifically spinal manipulation under Medicare Part B). Unlike some other provider types, chiropractors are not permitted to privately contract with Medicare beneficiaries for covered services by “opting out.”

That means:
✔️ If you treat a Medicare patient for a covered chiropractic service
✔️ You must bill Medicare
✔️ You must follow Medicare documentation and coverage rules
✔️ You cannot bypass Medicare and charge the patient privately for covered adjustments

Failing to credential properly — or misunderstanding Medicare participation rules — can lead to:
• Payment delays
• Recoupments
• Compliance issues
• Audit exposure

Credentialing isn’t optional. Compliance isn’t optional. And Medicare rules definitely aren’t optional.

If you’re unsure about your Medicare status, revalidation dates, or payer enrollments, now is the time to review them. Staying proactive protects your license, your revenue, and your clinic. 💼📋

🚨 New Year = New Insurance Rules! 🚨

Chiropractic offices — The new year is NOT the time to assume everything stayed the same.

With the start of a new year, patients often have:

✔️ New insurance plans
✔️ New member ID numbers
✔️ New deductibles
✔️ Reset benefits
✔️ New referral requirements
✔️ Updated prior authorization rules

Even if it’s the same insurance company, their plan details likely changed.

📌 Best Practice Checklist for Your Front Desk:

🔎 Always request a copy of the new insurance card (front AND back)
📞 Re-verify benefits — don’t rely on last year’s notes
📄 Confirm if a new referral or authorization is required
💰 Check updated deductible and out-of-pocket amounts
🗓 Confirm visit limits for chiropractic care

Skipping these steps can lead to claim denials, delayed payments, and frustrated patients.

The beginning of the year sets the tone for your entire revenue cycle. A few extra minutes verifying coverage can save months of AR cleanup later.

Start the year strong. 💪

Send a message to learn more