MedSynthea + ChiroTouch for Chiropractic Billing
Connect MedSynthea to ChiroTouch via REST API to automate Chiropractic revenue cycle workflows end-to-end — from eligibility verification through CPT 98940-98943 coding and ERA payment posting, with 0% PHI in system logs.
Deploy Chiropractic Automation with ChiroTouch in 4 Steps
REST API integration — no EHR vendor changes required.
Authenticate ChiroTouch
Authorize MedSynthea via REST API. No vendor changes required — standard OAuth2/SMART credentials used.
Map Chiropractic Workflows
Configure CPT 98940-98943 (Manipulation) fee schedules, payer contracts, and visit limit exceeded prevention rules.
Activate AI Agents
9 agents begin processing Chiropractic encounters from ChiroTouch: eligibility, coding, scrubbing, and claim submission.
ERA Write-Back
Approved payment data posts back to ChiroTouch via REST API write-back, closing the billing loop automatically.
Chiropractic Revenue Cycle Challenges MedSynthea Solves in ChiroTouch
Chiropractic billing is governed by CPT 98940-98943 (Manipulation) coding complexity and strict payer LCD policies.
Visit limit exceeded
ChiroTouch practices in Chiropractic face repeated denials for visit limit exceeded. MedSynthea reads clinical notes from ChiroTouch via REST API and flags documentation gaps before claim submission.
CPT 98940-98943 (Manipulation)
MedSynthea's CODE agent validates all CPT 98940-98943 (Manipulation) codes pulled from ChiroTouch clinical documentation against NCCI edit tables and payer-specific modifier rules.
Chiropractic claims have an 18% denial rate — among the highest in outpatient medicine — primarily due to payers flagging maintenance care as non-covered when functional improvement plateaus are not documented (ACA 2024).
9 AI Agents Working Inside ChiroTouch for Chiropractic
Each agent reads from and writes back to ChiroTouch via REST API for a closed-loop Chiropractic billing workflow.
Scheduling Agent
Analyzes appointment patterns, flags high-risk no-show appointments, captures scheduling context (procedure type, referral source, insurance class) that affects downstream coding and billing decisions
In ChiroTouch: reads CPT 98940-98943 data via REST API
Eligibility Agent
Queries 900+ payer databases in real time, validates active coverage, extracts benefit-level details (co-pay, deductible, out-of-pocket), identifies coverage gaps and prior auth requirements before the encounter begins
In ChiroTouch: reads CPT 98940-98943 data via REST API
Documentation Agent
Converts encounter audio into structured clinical text using specialty-aware transcription models. Links every transcribed segment to the specific audio timestamp it came from, creating an immutable evidence chain. Formats output for the NOTE agent to structure into reviewable clinical documentation
In ChiroTouch: reads CPT 98940-98943 data via REST API
Coding Agent
Reads structured clinical documentation, applies specialty-specific ICD-10 hierarchies and CPT code families, validates against payer-specific LCD policies and NCCI edit tables, applies correct modifiers, and proposes a complete reviewable code set linked to the clinical evidence that supports each code
In ChiroTouch: reads CPT 98940-98943 data via REST API
Scrubber Agent
Scores every claim against 200+ denial variables before submission. Identifies modifier conflicts, missing prior authorizations, LCD coverage gaps, eligibility issues, and payer-specific policy violations. Routes high-risk claims for human review before they reach the payer, preventing denials at the source
In ChiroTouch: reads CPT 98940-98943 data via REST API
Prior Auth Agent
Identifies prior authorization requirements from eligibility data and payer rules, assembles supporting clinical documentation, submits PA requests via payer APIs or electronic portals, tracks approval status in real time, and routes approvals back to the clinical workflow and Billing agent
In ChiroTouch: reads CPT 98940-98943 data via REST API
Billing Agent
Submits validated claims to payer clearing houses or direct payer APIs, monitors submission acknowledgement in real time, tracks claim status through the payer adjudication process, flags abnormal hold times for follow-up, and passes accepted claims to the FLW agent for ongoing tracking
In ChiroTouch: reads CPT 98940-98943 data via REST API
Denial Agent
Receives denial notifications, categorizes each denial by type (clinical necessity, coding, eligibility, authorization), retrieves original claim and clinical documentation, identifies the specific correction needed, assembles an appeal package with targeted documentation, and submits the appeal via payer portal or mail within the payer's filing window
In ChiroTouch: reads CPT 98940-98943 data via REST API
Reconciliation Agent
Receives 835 EDI ERA files and EOB documents from payers, matches each payment line to the original claim, posts payments to the appropriate account, flags underpayments against contracted rates, identifies incorrect adjustment codes, calculates patient balance responsibilities, and generates reconciliation reports for financial review
In ChiroTouch: reads CPT 98940-98943 data via REST API
Other Specialties Supported in ChiroTouch
MedSynthea automates all major specialties within ChiroTouch via REST API.
Chiropractic Billing in Other EHR Systems
ChiroTouch + Chiropractic Integration — Frequently Asked Questions
How does MedSynthea integrate with ChiroTouch for Chiropractic billing?
MedSynthea connects to ChiroTouch via REST API, reading clinical encounter data and writing approved CPT 98940-98943 (Manipulation) codes and documentation back into the EHR automatically — without any custom software engineering.
Does MedSynthea support ChiroTouch for Chiropractic prior authorization?
Yes. MedSynthea's PA agent reads Chiropractic encounter data from ChiroTouch via REST API, assembles required clinical documentation, and submits prior authorization requests automatically for Chiropractic procedures.
What Chiropractic CPT codes does MedSynthea validate in ChiroTouch?
MedSynthea's CODE agent validates CPT 98940-98943 (Manipulation) against payer LCD policies and NCCI edit tables, then writes approved codes directly into ChiroTouch with full evidence traceability — every code linked to source clinical notes.
How long does ChiroTouch + MedSynthea setup take for a Chiropractic practice?
Most Chiropractic practices complete ChiroTouch integration in under 2 weeks. MedSynthea authenticates via REST API — no EHR vendor code changes required. Configuration covers fee schedules, payer contracts, and Chiropractic-specific denial rules.
Connect ChiroTouch to MedSynthea for Chiropractic Billing
Zero custom engineering. REST API authentication. Live Chiropractic automation in under 2 weeks.
Book a Demo