The Chiropractic EHR Built for Chiropractic Care
Subluxation listings. AT modifiers. Manipulation-specific coding. Maintenance care transitions. We built every part of our platform knowing exactly what chiropractic demands, from the first encounter to the final reimbursement.
Precision at every point of care
Chiropractic practices run on specificity. A C4-C5 subluxation with right lateral flexion restriction is clinical data. It drives the note, the code, the claim, and the outcome measure. Our ecosystem captures that specificity at the point of care and moves it forward automatically, all the way to reimbursement.
Point of care
C4-C5 subluxation,
right lateral flexion
The note
Structured SOAP,
not blank text
The code
Manipulation code
AT modifier
The claim
Scrubbed &
submitted clean
The outcome
Reimbursed &
measured
The Chiropractic EHR Ecosystem
One system that thinks like a chiropractic practice
Chiropractic EHR
SOAP notes structured around spinal regions, not blank text fields
Subluxation listings captured with laterality, segmental findings, and adjustment technique as structured clinical data
Oswestry Disability Index, Neck Disability Index, and PSFS auto-prompted at clinically appropriate visit intervals
Documentation maps directly to the adjusting room, every visit, every provider
Trained on chiropractic clinical language, not generic medical dictation
Listens to your encounter and produces a complete chiropractic SOAP note in real time
Captures ‘L3-L4 left rotation, Thompson Drop technique, positive response’ as structured data, not raw text
Review and sign off in under 90 seconds
Practice Management
Scheduling built around adjustment volume, 15-minute slots and multi-provider stagger
Care plan visit counters visible at the front desk before the patient walks in
Automated reminders tied to treatment frequency, not generic appointment alerts
Patient standing in their care plan always visible, always current
Revenue Cycle
AT and GP modifier logic built into the claims workflow, triggered by documentation
Every claim scrubbed against chiropractic-specific denial triggers before submission
Maintenance care billing distinctions and Medicare chiropractic rules embedded by default
First-pass approval rates reflect what was actually documented, automatically
Remote Monitoring
Daily pain scores and functional mobility data collected between visits
Patient data flows directly into the next visit note before the appointment starts
Built for patients managing degenerative disc disease, chronic lower back pain, and post-manipulation recovery
You arrive at the adjusting table knowing the patient’s trajectory, not asking about it
Intake built around chiropractic history, body diagram symptom mapping, accident history, prior surgeries
Contraindication screening fields embedded in the intake flow
Post-visit instructions specific to what was adjusted that day, delivered automatically
Care plan progress visible to patients over time inside the portal
Who We Serve
Solo practice
Solo DC running a high-
volume practice.
We give you documentation speed and clean claims built around a single-provider schedule where every minute counts.
Multi-location
Multi-provider clinic across multiple locations.
Our platform offers you centralized scheduling, provider-level reporting, and compliance consistency whether you run two locations or ten.
Solo practice
Solo DC running a high-
volume practice.
We give you documentation speed and clean claims built around a single-provider schedule where every minute counts.
What your practice looks like
when every tool works together
34%
Reduction in per visit documentation time.
You review chiropractic-specific SOAP notes, not write them.
28%
Improvement in first-pass claim approval.
Every claim leaves scrubbed against chiropractic billing rules.
41%
Of prior authorization delays eliminated.
Eligibility checks run at scheduling, not at check-in.
Chiropractic is its own discipline
Its coding rules, compliance requirements, patient journey, and outcome benchmarks belong to it alone. We built our entire platform around that reality, and we stand behind every part of it.
We will walk you through a live demo built entirely around chiropractic workflows. Not a general healthcare platform with a chiropractic slide at the end.
Practices that made the switch
In their own words
Verified review
After comparing many EMRs, I determined that OmniMD was the best software for my new clinic. I run a high volume family practice clinic. OmniMD is used for scheduling, reminder calls, medical records, insurance and patient billing. It is a very good software, but I am also very pleased with the level of service OmniMD provides with their technical support team
Dawn K. Walker
D.O Walker Family Medicine, PLC
Verified review
Our practice has been very pleased with the outcomes of your billing and collection services. You have been both informative and patient as we continue to become a more efficient practice. We have recognized that collections have been improved due to your diligence and tenacity. Thank you for your kindness and hard work. Their consistent follow-up has made a real difference in our revenue cycle.
Maureen Lacey
Office Manager – Psychiatry Practice
Chiropractic SOAP Notes: Audit-Proof Documentation for Every Visit
Medicare chiropractic documentation rules require that every SOAP note establishing medical necessity contain three specific elements: (1) pain or tenderness at the site of treatment, (2) asymmetry or misalignment of the vertebral segment, and (3) range of motion abnormality. If any one of these three elements is missing from the documentation, the claim is rejected on audit regardless of whether the service was actually provided. OmniMD chiropractic SOAP templates prompt for all three elements before the note can be signed, preventing the documentation gaps that cause Medicare recoupments.
Beyond the three-element Medicare rule, OmniMD templates support segment-level specificity in adjustment documentation. Clinicians select the vertebral level (C5-C6, T4, L5-S1), the thrust direction, and whether cavitation was noted. For subluxation codes (M99.01-M99.05), the template links the documented vertebral region to the correct M99 code automatically: M99.01 for cervical, M99.02 for thoracic, M99.03 for lumbar, M99.04 for sacral, M99.05 for pelvic. This linkage prevents the common error of documenting a lumbar adjustment while the billing code references a cervical subluxation. See the AI medical scribe page for how OmniMD captures verbal SOAP dictation during the encounter.
The objective section of the SOAP note includes structured fields for orthopedic and neurological test findings: Spurling test, Straight Leg Raise, Kemp test, Valsalva, and cervical compression. Outcome measures (Oswestry Disability Index, Neck Disability Index, Visual Analog Scale) appear as discrete scored fields tied to the treatment plan, providing the longitudinal outcomes data that payers now request during utilization reviews.
From Dr. Giri Rajtosh Purohit, Product Owner: “The documentation gap that generates the most chiropractic audit exposure is not missing the treatment itself in the note — it is missing one of Medicare three required subluxation elements. A note that documents adjustment at L4-L5 but omits the ROM abnormality fails the audit even if the chiropractor clearly observed it. OmniMD closes that gap at the template level, before the encounter closes.”
Chiropractic CPT Codes 98940-98943 and the AT Modifier in OmniMD
Chiropractic Manipulative Treatment (CMT) codes are determined by the number of spinal regions treated in a single encounter. The five definable spinal regions are cervical, thoracic, lumbar, sacral, and pelvic. The count of treated regions controls which CPT code applies. OmniMD region selector in the encounter template populates the correct CMT code automatically and flags discrepancies between the documented regions and the selected code before the claim is submitted. See the AI medical coder page for how OmniMD handles code suggestion across all specialties.
| CPT Code | Service | Spine Regions | Key Billing Note |
|---|---|---|---|
| 98940 | Chiropractic Manipulative Treatment (CMT) | 1-2 spinal regions | Most commonly under-billed when 3-4 regions are treated. OmniMD region-count selector prevents systematic down-coding by prompting for each treated segment. |
| 98941 | CMT, moderate complexity | 3-4 spinal regions | Requires documentation of each treated region. Full-spine adjustments involving cervical + thoracic + lumbar = 3 regions minimum; most qualify for 98941 at minimum. |
| 98942 | CMT, high complexity | 5 spinal regions | All five regions (cervical, thoracic, lumbar, sacral, pelvic) must be documented individually. OmniMD template prompts for each region before 98942 auto-populates. |
| 98943 | CMT, extraspinal | Extremities, ribs, cranium | Shoulder, knee, wrist, rib, and cranial adjustments. Billed separately from spinal CMT on the same date. OmniMD handles same-date CMT + extraspinal billing splits. |
| 97014 | Electrical stimulation (unattended) | Therapeutic modality | Common add-on. OmniMD alerts when payer LCD bundles this with CMT, preventing billing of codes that will be automatically denied for that payer. |
| 97110 | Therapeutic exercises (constant attendance) | Therapeutic modality | Billed per 15-minute unit. Requires constant DC presence. Distinct from 97530 (therapeutic activities), which allows supervised setup rather than constant attendance. |
| 97140 | Manual therapy | Therapeutic modality | Soft tissue mobilization or joint mobilization below CMT threshold. Billable same day as CMT if performed on a different body region and documented separately in the SOAP note. |
ICD-10 Codes for Common Chiropractic Conditions
Chiropractic billing requires ICD-10 code specificity at the region and laterality level. OmniMD chiropractic templates surface the correct diagnosis codes within the encounter workflow, flagging deprecated codes and prompting for the current specificity when the selected code has been retired. The most common example is M54.5 (low back pain), which was retired and split into three active codes in 2022. Practices still using M54.5 generate denials on every low back pain claim. See the medical billing software page for how OmniMD handles ICD-10 code library updates across all payers.
| ICD-10 | Description | Chiropractic Documentation Note |
|---|---|---|
| M54.50 | Low back pain, unspecified (replaces retired M54.5) | Use M54.50 for general LBP. M54.51 for vertebrogenic origin (facet/disc-related), M54.59 for other specified. OmniMD flags M54.5 as deprecated and auto-suggests M54.50 at selection. |
| M54.2 | Cervicalgia (neck pain) | Most common cervical diagnosis. Pair with M99.01 (cervical subluxation) for CMT medical necessity. OmniMD template links subluxation code to the CMT CPT automatically. |
| M99.01 | Segmental dysfunction, cervical region (subluxation) | Primary subluxation code for cervical CMT. M99.02 = thoracic, M99.03 = lumbar, M99.04 = sacral, M99.05 = pelvic. Selected region must match the CMT region documented in the SOAP note. |
| M47.816 | Lumbar spondylosis without myelopathy or radiculopathy | M47.817 = lumbosacral, M47.812 = cervical. Region distinction matters for claim specificity. OmniMD superbill pre-loads region-specific code from the documented treatment area. |
| M50.121 | Cervical disc derangement with radiculopathy, mid-cervical region | Disc codes require disc level and laterality documentation. OmniMD cervical template captures disc level and radicular symptom pattern to support these higher-specificity codes. |
| S13.4XXA | Sprain of ligaments of cervical spine, initial encounter | Primary diagnosis for whiplash and MVA PI cases. The 7th character advances from A (initial) to D (subsequent) to S (sequela) as treatment progresses. OmniMD auto-advances encounter characters by visit number in the PI case record. |
| G44.209 | Post-traumatic headache, unspecified, not intractable | Common secondary diagnosis in MVA and cervicogenic headache cases. Supports CMT medical necessity for upper cervical adjustments when headache is a documented complaint. |
| M79.3 | Panniculitis (myofascial) | Soft tissue inflammation. Supports 97140 (manual therapy) billing for myofascial release and soft tissue work separate from the spinal CMT code on the same encounter. |
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