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Telehealth for Chiropractors: What's Billable, What's Not, and How to Integrate It
Telehealth expanded dramatically during the pandemic and many payers have made coverage permanent. Here's what chiropractors need to know about billing and integrating telehealth.
What Chiropractic Services Are Billable via Telehealth
The core chiropractic service — spinal manipulation — is not billable via telehealth, because it requires physical contact. However, a significant range of chiropractic-adjacent services are billable via telehealth under most major payers: evaluation and management (E&M) services, therapeutic exercise instruction and supervision, care plan review and modification, patient education and counseling, and certain physical medicine services.
Medicare's telehealth coverage for chiropractic is limited. However, many commercial payers — Blue Cross Blue Shield, Aetna, Cigna, United Healthcare — have broader telehealth coverage that includes E&M services and therapeutic exercise instruction for chiropractic providers.
Documentation Requirements for Telehealth
Telehealth documentation must specify that the service was provided via telehealth, the technology platform used, and that the patient consented to telehealth services. AI SOAP notes in Pryme Practice support telehealth documentation with telehealth-specific templates that include the required consent and technology platform documentation elements.
Integrating Telehealth into Your EHR Workflow
Pryme Practice's telehealth integration supports a seamless workflow — providers can initiate a telehealth visit from the patient's appointment record, conduct the visit within the platform, and complete documentation and billing without leaving the EHR. Scheduling telehealth appointments automatically sends telehealth links to patients when a telehealth appointment type is selected, eliminating the manual step of generating and sending links.
The core chiropractic service — spinal manipulation — is not billable via telehealth, because it requires physical contact.
See How Pryme Practice Brings It All Together
Everything discussed in this article — AI documentation, integrated billing, patient communication, BlueIQ analytics — is live in Pryme Practice today. Book a free 30-minute demo and see it in action.
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