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Success Story

Expediting Commercial Payer Credentialing & Boosting Modality Rates

How Code Credentia completed panel credentials 45% faster and optimized physical therapy modifier billing.

Medical billing physician reviewing data

The Power of Comprehensive RCM Services in Elite Chiropractic Center's Success Story

Outsourcing medical billing and credentials to **Code Credentia** allowed Elite Chiropractic Centerto eliminate critical billing administrative burdens, recover aged claims, and drive substantial growth. Below, we detail the challenge face by the practice and the direct solution delivered by Code Credentia.

The Challenge

Elite Chiropractic Center wanted to expand services and onboard new therapists. However, their internal enrollment attempts dragged on for months, leaving providers unable to treat in-network patients. Additionally, physical therapy modalities (such as traction and electrical stimulation) were frequently denied for lacking appropriate modifier -59.

The Solution

Code Credentia took over all credentialing tasks, updating CAQH profiles and submitting applications to major commercial insurance panels. Simultaneously, our billing division set up rules in their clearinghouse to audit chiropractic physical modalities against strict CMS policies before claims went out.

Through the Partnership with Code Credentia, Elite Chiropractic Center Achieved Remarkable Results:

  • Successfully completed commercial panel enrollments in just 75 days—45% faster than average.
  • Enrolled all new practitioners, allowing the clinic to expand service capacity immediately.
  • Increased modality billing collections by 15% through correct modifier documentation.