The CarePlanTrack magazine

The Adjusting Table

Care plans, documentation, payer rules and the working economics of solo and two provider chiropractic and manual therapy clinics.

Nine articles, written by Jimenez Julien, updated

Bone white chiropractic reception counter with a slate card reader and a teal appointment card in soft daylight

comparison

Per Visit Fees vs Prepaid Care Plans vs Monthly Memberships

Three ways to charge for a course of manual care, and three different sets of consequences: how each one handles refunds, unearned visits, discounts, dual fee schedules, and patients who have Medicare.

7 min read

Empty chiropractic adjusting table with teal face paper in a quiet bone white room under late afternoon light

mistakes to avoid

Seven Care Plan Mistakes That Leave Prepaid Visits Unfinished

A care plan rarely falls apart at visit twenty. It falls apart in the first week, in how the visit count was quoted, how the re exam was left undated, and how the first missed appointment was handled.

6 min read

Open paper patient chart, glasses and a teal file divider on a bone white desk in soft even office daylight

regulation and compliance

Medicare Chiropractic Rules: AT Modifier, ABN, and PART Notes

Medicare pays a chiropractor for exactly one thing: manual manipulation of the spine to correct a subluxation. Here is what the AT modifier asserts, when an ABN is required, and what PART must show.

6 min read

Anatomical spine model on a bone white clinic wall with a teal waiting bench blurred in the background

trends and outlook

Visit Caps, Managed Networks, and the Shift to Cash Care Plans

Coverage for manual care keeps narrowing through annual visit caps and network utilization review, even as clinical guidelines keep recommending it. Here is what that squeeze is doing to small clinics.

8 min read

Bone white clinic back office desk with a printed appointment ledger, slate keyboard and a teal mug in morning light

numbers and benchmarks

How to Calculate PVA, Care Plan Completion, and Unused Visits

Patient visit average, care plan completion rate, and unused prepaid visits are three separate numbers with three separate denominators. Here is how each one is built and what quietly breaks it.

8 min read

Every article here is written from the working side of a chiropractic or osteopathic practice: the plan, the note, the payer rule and the visit that never got rebooked. If you would rather see the software behind it, book a CarePlanTrack demo for your clinic.