American Chiropractic Billing

American Chiropractic Billing is a medical billing and revenue cycle management company built specifically for chiropractic and multi-specialty practices. Operating out of Portland, Oregon and serving clients in all 50 states since 2020, ACB functions as a focused back-office outsourcing partner for practices that want stronger collections without expanding internal staff. The fee model is performance-based: ACB charges a share of what it actually collects, and agreements run month-to-month with no long-term contracts. The core service is end-to-end chiropractic medical billing. ACB handles claim submission for spinal manipulation codes, Medicare CMT compliance including AT modifier requirements and active-treatment documentation, active-versus-maintenance care coding, and bundling edits for therapy add-ons like manual therapy (97140). Practices running multiple disciplines get full billing coverage across massage therapy, physical therapy, acupuncture, and nurse practitioners, all managed by the same coordinator. MVA and Workers' Compensation cases are also a primary part of the service: first-party auto claims are billed electronically and confirmed received within 24 hours, and attorney cases for personal injury practices are handled directly. A defining feature of ACB's back-office approach is direct EHR integration. Rather than asking practices to export data or log into a separate portal, ACB coordinators work claims inside the practice management system the client already runs. No software migration, no new credentials for front-desk staff, and no change to existing workflows. Every client practice is assigned one dedicated billing coordinator, not a support queue or rotating call center. That single point of contact knows the practice's payers, fee schedules, and documentation patterns and is reachable directly. The company reports an average 20% increase in total collections across its client base, with individual practices noting timely collections improving by 25% or more and reclaiming over 10 hours of administrative time per week. For chiropractic and multi-specialty practices considering outsourcing their billing to a specialized RCM provider in the USA, American Chiropractic Billing offers a low-risk starting point: no contracts, no call centers, and a billing team that operates inside your existing software. Reach the team at (888) 498-5848 or visit acbilling.com to discuss your practice's case mix and see how they handle your specific payer mix.