Schedule a Consultation
Insurance Credentialing Services for Chiropractors
Chiropractic care is the largest alternative medical profession in the United States. According to the American Chiropractic Association (ACA), chiropractors treat over 35 million Americans (adults and children) each year. But if demand is so high, why are chiropractors still fighting for recognition and fair reimbursement? And why do a vast majority of chiropractors still operate as small businesses or sole proprietorships in the USA? Sadly, the answer lies in their credentials. Chiropractors are not medical doctors; perhaps that’s why they are stigmatized.
But with our credentialing services for chiropractors, we are about to change that. Just like any healthcare practitioner, chiropractors are licensed therapists who deserve to be recognized for their work and compensated fairly by insurance payers. So, at MediBillMD, we make chiropractic credentialing easy.
Chiropractic Credentialing
Insurance credentialing for chiropractors is a formal process during which payers verify a chiropractor’s education, licensure, and professional history to decide if they are eligible to become in-network providers. We simplify and smoothen this months-long process by maintaining effective communication with you and the insurance payer.
Re-Credentialing
Insurance payers want all their in-network providers to re-credential every 2 to 3 years to confirm if they are maintaining active licenses and delivering safe and quality patient care. But for chiropractors, this means going through the tiresome process all over again. Thankfully, our insurance credentialing services for chiropractors include re-credentialing.
CAQH Review & Maintenance
According to HRSA, over 17 million people are employed in U.S. healthcare, including physicians, nurses, and chiropractors. But only 2.5 million maintain an active profile on CAQH, a centralized, national online repository for provider data. The reason? Frequent account upkeep is cumbersome. At MediBillMD, we create and update CAQH profiles.
Clearinghouse Enrollments
Your best suit is treating neuromusculoskeletal issues. The payer’s best suit is assessing reimbursement requests. No wonder there is frequent miscommunication between you two. But what if a middleman stepped in to exchange healthcare data, scrub claims, and ensure secure transfer of online payments? That’s why our chiropractic credentialing services include clearinghouse enrollment.
Common Credentialing Challenges for Chiropractic Providers
Resource
Constraints
Nearly half (49%) of the chiropractors in the United States are solo practitioners. Meaning, they lack the technical staff, capital, and time needed to manage credentialing and patient care simultaneously. Also, since they cannot bill the insurance payer unless they are credentialed, it means that chiropractic credentialing will stall their income for months.
Missing/Expired
Documents
Payers follow strict National Committee for Quality Assurance (NCQA) standards. Hence, a chiropractic credentialing application is not considered “submitted” unless it is 100% complete with all supporting documents. Moreover, chiropractors in most states must renew their license biennially. So, tracking license expiry dates and maintaining complete credentialing packets is challenging.
Varying
Requirements
From government (Medicare & Medicaid) to commercial payers and from one state to another, chiropractic credentialing requirements vary significantly. For example, Medicare wants providers to credential and enroll via PECOS, whereas many commercial payers use CAQH. Similarly, malpractice insurance premiums vary by state. Navigating each payer’s unique requirements is burdensome.
Credentialing
Delays
If they told you that insurance credentialing for chiropractors was quick and easy, they misled you because most often it's a pain in the neck, and the kind that lasts up to 6 months! Application backlogs, disruptions in source verification, missing documents, non-compliance, or sudden policy shifts can delay chiropractic credentialing and patient care.
Why Partner with MediBillMD for Chiropractic Credentialing?
At MediBillMD, we believe a chiropractor’s focus should be on patient alignment, not administrative misalignment. Our chiropractic insurance credentialing specialists serve as an extension of your practice, skillfully navigating the labyrinth of state-specific mandates and unique payer requirements to submit applications that stand out. And our work doesn’t end there; we manage the entire lifecycle, assigning each of our clients a personal point of contact to relay frequent status updates and ensure faster approvals.
Still in doubt? We have the numbers to prove it. With our expert chiropractic credentialing services, we have successfully enrolled 100+ chiropractic clinics across the USA in their desired insurance networks. As a testament to their trust, they consistently return to us for their re-credentialing, transforming a one-time service into a lifelong professional partnership.
The secret to MediBillMD’s stellar performance is our credentialing team with a combined industry experience of over 30 years. They possess deep knowledge and expertise in various payers’ differing chiropractic credentialing requirements, thereby creating online profiles, applications, and packets that are precise and act as a catalyst for network enrollments.
A single point of contact for all your chiropractic insurance credentialing needs! We don’t just facilitate personalized communication; we ensure that you receive verified information and the most sound advice right on time. At MediBillMD, we provide a dedicated account manager to each of our clients to proactively monitor the credentialing process.
Pending applications are worse than rejected applications. We know how excruciating the waiting game can be, especially when your revenue is on the line. That’s why our chiropractic credentialing team rigorously monitors the status of all submitted applications and sends out bi-weekly updates via emails, reports, or calls to the relevant clients.
Transparency is our core value. That’s why we provide real-time insight into every stage of your chiropractic credentialing application. Through our Teamwork dashboard, you get round-the-clock access to your credentialing information and status. Every document is securely stored, and every update is vigilantly reflected to ensure you never feel left in the dark.
Know that every day your application sits in a 120-day queue is a day you aren’t getting paid. With our credentialing services for chiropractors, we treat the process like the revenue-critical task it is. Using a “first-pass submission” logic, we cut the waiting time in half. So, why settle for months of uncertainty when we can get you credentialed in 45 days?
Keeping network statuses upright for over 70,000 chiropractors nationwide! That’s right. MediBillMD’s footprint extends to all 50 states, and so do its chiropractic credentialing capabilities. Whether you provide care at an integrated clinic in Denver or run a solo practice in Pender, our insurance credentialing services for chiropractors are available to all.
Get in Touch with a Chiropractic Credentialing Expert
Have questions about your chiropractic credentialing? Our specialists are ready to guide you through every step, from essential documentation gathering to securing insurance panel approvals. Reach out to get the best credentialing services for chiropractors in town.
FAQs
Medical credentialing is a notoriously long and tedious process. From documentation collection to source verification and application tracking to final enrollment, it can take anywhere between 2 and 6 months for providers to become part of their preferred insurance panels. Therefore, we recommend starting the chiropractic insurance credentialing process at least 90 days before you plan on seeing the beneficiaries.
For chiropractic credentialing, you will need your complete educational and professional documents along with reference letters, tax forms, and malpractice insurance. This will be your credentialing packet, which you can directly submit to the payer. However, if you opt for third-party chiropractic credentialing services, you will also need to submit a list of insurance payers you intend to credential with.
Yes. MediBillMD’s insurance credentialing services for chiropractors include Council for Affordable Quality Healthcare (CAQH) account setup and ongoing maintenance. So, not only can we create your provider profile and make it payer-ready, but we can also re-attest it every 120 days to prevent account expiration.
Insurance credentialing for chiropractors can take anywhere between 45 and 120 days, depending on the payer’s timeline and the smoothness of the process.
Once the payer receives your chiropractic credentialing application, they will review it to verify the details. This is known as primary source verification. Relevant bodies, boards, and persons will be contacted to corroborate your educational and work history. If all goes well, the application will be approved, and you will receive a notification for enrollment.
Many payers, including Medicare and top-tier commercial payers, have a built-in credentialing application tracker on their portals. You can check the status of your chiropractic credentialing application there. But when you opt for professional credentialing services for chiropractors, the company monitors the status and gives you bi-weekly follow-ups.
There can be many reasons for delays in credentialing for chiropractors. Some delays could be from your end. For example, when the payer reaches out to you for additional documents, but you take a long time to get back to them. However, some delays could be the payer’s fault. For instance, a massive backlog of credentialing applications or a slow primary source verification process.
