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Major PM/EHR systems integrated
ChiroTouch, Jane, Genesis
1st
Question we ask
Do you actually need custom software
100%
Code and infrastructure yours
When custom work is the right call
390+
Projects shipped
Since 2013
The honest answer first
What practice management software covers, and where it stops
ChiroTouch, Jane and Genesis collectively handle SOAP notes, scheduling, billing and insurance claims for most chiropractic practices in the US, at a price no custom project realistically beats. A solo or small-group practice asking for custom software is usually solving a problem one of these three already solves, and it's worth checking that before spending a dollar on a build.
Where buying wins outright
SOAP note documentation, scheduling, basic billing and standard insurance claim submission are mature, well-supported features across every major chiropractic practice management platform, refined over years of feedback from thousands of practices. There's no version of custom software that competes with that on price for a single practice, and we won't quote one to win the work.
Where the calculation changes
Multi-clinic groups reconciling patient and billing data across practice management instances that were never built to share it. A CPT coding and claims workflow specific enough to your payer mix that generic billing tools leave money on the table. A patient intake or portal experience your vendor's default doesn't cover well.
The question worth asking before calling us
Is this a problem because two systems refuse to talk to each other, or because a billing or intake workflow is costing real staff hours every day — or could switching practice management vendors solve it entirely? The first two are legitimate custom-software problems. The third usually isn't, and it's worth ruling out first.
What we won't do
Quote a custom SOAP-note or scheduling system to compete with ChiroTouch or Jane on features they already do well. That project costs more than most solo practices generate in a year, against a subscription running a few hundred dollars a month, and no amount of custom polish changes that math.
Where custom work actually pays
The narrow cases, described specifically
These are the situations where a chiropractic practice or multi-clinic group gets real value from custom software, drawn from requests that actually make engineering sense rather than a wishlist of features a PM vendor could plausibly add in a future release.
Multi-clinic data reconciliation
A group running several locations, sometimes on different practice management systems after an acquisition, needs a layer that reconciles patient records, scheduling and billing across all of them into one view. No vendor solves this because it's specific to your particular mix of clinics and legacy systems, assembled through a history no other group has replicated exactly.
CPT coding and claims automation
Chiropractic billing has real complexity around CPT and modifier codes, visit limits, and payer-specific documentation requirements, and denials are common when documentation doesn't precisely match the code submitted. A system that checks SOAP note documentation against the CPT code before submission catches denials before they happen instead of after they've already cost staff time to appeal.
Patient intake and portals beyond the vendor default
Most PM systems ship a basic intake form and portal, but they're often generic — no adaptive intake based on complaint type, no integration with your specific care-plan communication style. A portal and intake flow built around how your practice actually onboards patients is a legitimate custom project and often the most visible improvement to the patient experience available.
Recall and reminder automation tuned to care plans
Chiropractic care often runs on structured, multi-visit plans rather than single annual visits, and a generic reminder tool doesn't understand that cadence. A system built around your actual care-plan structure and no-show patterns measurably improves plan adherence in a way an off-the-shelf blast tool doesn't.
Migration off a sunsetting platform
When a PM vendor discontinues a product or a practice is acquired and needs to leave its old system, migrating years of SOAP notes, billing history and patient records without loss or a compliance gap is genuine engineering work, not an export button any vendor's tool reliably provides.
Outcome and progress tracking
Some practices want structured outcome measurement — pain scale trends, functional assessments — tracked over the course of a care plan and reported back to patients or referring physicians in a way their PM system doesn't natively support. This is a smaller, well-scoped custom addition rather than a full platform build, and often the easiest of these projects to justify on ROI.
What it costs
Chiropractic software development pricing
Real ranges for the narrow set of projects where custom development is the right call. If your request doesn't map to one of these, the honest advice is probably to talk to your PM vendor first, since the fix may already be a setting nobody turned on.
| Engagement | Commitment | Timeline | What's included |
|---|---|---|---|
| Buy-vs-build assessment | Scoped per engagement | 1 call | A free conversation where we tell you honestly whether your problem needs custom software or a configuration change with your existing vendor. |
| Multi-clinic data reconciliation | Fixed scope | 7 – 12 weeks | A system that reconciles patient, scheduling and billing data across multiple practice management instances for a multi-clinic group, presented as one consolidated view. |
| CPT coding & claims automation | Fixed scope | 5 – 9 weeks | Documentation-to-code validation and claims submission wired into your specific payer mix, reducing denials caused by mismatched documentation before they happen. |
| Custom patient portal & intake | Fixed scope | 5 – 9 weeks | Adaptive intake and a portal built around your care-plan structure and communication style, integrated with your existing PM system's data rather than run separately. |
| Care-plan reminder & recall automation | Fixed scope | 3 – 6 weeks | Reminder logic built around structured, multi-visit care plans rather than a generic single-visit blast tool that ignores your actual care-plan cadence. |
| Platform migration | Fixed scope | 5 – 10 weeks | Moving SOAP notes, billing history and patient records off a sunsetting platform without data loss during the transition, verified record by record. |
Ranges assume US-based senior engineers and include HIPAA-aware architecture review rather than quoting it separately. A single-practice integration need lands toward the bottom of each range; a multi-clinic group with legacy systems and multiple acquired platforms lands toward the top.
Billing realities
Why chiropractic billing is harder than it looks from outside
Chiropractic billing carries more built-in friction than general medical billing, and most of the custom automation requests we get in this vertical trace back to one of these specifics rather than a generic desire to modernize.
CPT and modifier codes are unforgiving
Codes for spinal manipulation carry specific documentation requirements, and a mismatch between what the SOAP note describes and what the code claims triggers a denial that costs staff time to appeal even when the care itself was entirely appropriate. Automating a documentation-to-code check before submission is one of the highest-ROI projects in this vertical because denials cost both money and staff time twice — once at submission and again on appeal.
Visit limits vary by payer and plan
Many insurance plans cap covered chiropractic visits per year, and tracking a patient's remaining visits accurately, per payer, is a real operational burden when done manually across a full patient panel with dozens of different plans represented.
Maintenance care is often not covered
Distinguishing medically necessary care from maintenance care matters for billing, and the distinction has to be documented consistently or claims get denied on medical-necessity grounds regardless of whether the care was clinically warranted. This is a documentation and workflow problem before it's a coding problem, and it's easy to conflate the two.
Multi-clinic groups multiply the complexity
A group with clinics in different states faces different payer rules and sometimes different scope-of-practice regulations per state, and a billing system built for one location doesn't automatically generalize to the group without real reconciliation work behind the scenes.
The honest starting point
Before automating claims, get a clear picture of your actual denial rate and its causes, broken down by payer and by reason code where possible. A system built to fix a documentation problem that's actually a coding-knowledge gap on staff won't move the number — the audit has to come first, or the automation project solves the wrong problem entirely.
Choosing a platform
ChiroTouch, Jane, or Genesis: what actually differs
This isn't a decision we make for you, but it shapes what a future integration project looks like and what it costs down the line. All three are legitimate choices for most chiropractic practices, and the right pick depends more on your practice's specific workflow and growth plans than on any single headline feature.
ChiroTouch
The most widely used platform specifically built for chiropractic, with deep SOAP note templates tailored to chiropractic documentation and a large existing base of practices built up over a long market presence, which makes staff hiring and training somewhat easier since more candidates already know it.
Jane
Cloud-native and popular with multidisciplinary practices that combine chiropractic with massage therapy, physiotherapy or other modalities under one roof, since its scheduling and billing handle mixed provider types more naturally than platforms built chiropractic-first and retrofitted for other disciplines later.
Genesis
Positioned toward practices wanting a more configurable documentation and billing workflow, often chosen by groups with specific reporting or outcome-tracking needs that a more rigid template-based system doesn't accommodate as well without custom work.
Cost and total ownership
Sticker price differences matter less than training time, migration effort if you're switching, and how much a specific vendor's API access model constrains a future integration or automation project down the road.
Migration between them is possible but not trivial
Switching platforms means moving years of SOAP notes, billing history and patient records, and that deserves its own budget and timeline rather than an assumption that a vendor's import tool handles it cleanly on the first try, particularly with older installations.
Our honest recommendation
If a multidisciplinary practice model or a custom claims automation project is already on the roadmap, weigh that against each platform's integration flexibility now, since retrofitting that need onto a rigid system later tends to cost more than choosing with it in mind from the start.
How an engagement runs
From a scoped problem to a system that fits your practice
The first conversation is free and its only job is figuring out whether you actually need custom software — a real share of the practices that reach out don't, and we say so upfront rather than after a paid discovery phase. If custom work is the right call, the next phase audits your current practice management system, billing patterns and denial causes so the build targets the actual problem rather than a guess based on a general assumption about chiropractic billing. From there we build the specific piece that's needed — a reconciliation layer, a claims automation tool, a portal — test it against real patient and billing data rather than a clean demo dataset, and hand over a system your staff can run without calling us for routine changes.
Related
Related
Practice software succeeds or fails on integration and data handling. These pages cover both.
Questions
Frequently asked questions
What teams ask before a first call.
Buy, for a solo or small-group practice. ChiroTouch, Jane and Genesis already handle SOAP notes, scheduling and billing better and cheaper than a custom build, refined over years of feedback from far more practices than any single build could draw on. This is the honest answer for most practices that ask us this question, not a hedge before an upsell, and we say it whether or not it costs us the engagement.
Custom development starts making sense for multi-clinic groups reconciling data across systems, CPT coding and claims automation tuned to your payer mix, or a patient portal your vendor doesn't offer. If none of those describe your situation, the money is better spent on your existing platform's subscription or on training staff to use features they may not know they already have.
Multi-clinic data reconciliation is the largest of the projects we are usually asked for; CPT coding and claims automation and a custom patient portal are smaller. Care-plan reminder automation and platform migrations are comparable or smaller again.
What moves the number is how many clinics have to agree, and whether your PM vendor exposes an API or you are working around an export. A scoping call settles it in one conversation.
Yes, all three. Integration work — connecting a practice management system to a claims workflow, a custom portal, or another clinic's data during a multi-location build — is usually the most defensible category of custom project in chiropractic software, because it's specific to your particular combination of systems rather than something a vendor could generically ship to every customer at once.
Each platform's integration options differ in maturity, and we scope the specific approach for your platform and version before quoting rather than assuming they all expose the same access or the same documentation quality. That scoping step is what separates a realistic estimate from a guess.
Sometimes, and it's worth diagnosing the actual cause first. If denials stem from documentation not precisely matching the CPT code submitted, a system that checks the two against each other before submission genuinely helps and pays for itself quickly. If denials stem from a staff knowledge gap about payer-specific rules, or from a genuine ambiguity in whether care was medically necessary versus maintenance, software won't fix that — training and clearer internal policy will, and no amount of clever engineering substitutes for it.
The audit phase of an engagement exists specifically to tell these causes apart before anyone commits budget to the wrong fix, which is the single most common way a claims automation project underdelivers on its promised return.
There's no such thing as HIPAA certification for software — HIPAA compliance is a set of administrative, physical and technical safeguards your practice is responsible for as a covered entity, not a badge a vendor earns and displays. What we build is designed to support those obligations: encryption at rest and in transit, access logging, role-based access control, and a signed business associate agreement where required by the arrangement.
Be skeptical of any vendor claiming HIPAA certification outright. It's usually a sign they're describing their compliance posture loosely rather than precisely, and it's worth asking exactly what they mean by the claim.
Usually with a data reconciliation layer, because merging patient records, scheduling and billing across two different practice management systems is the immediate operational problem, and no vendor sells a tool that understands your specific combination of systems built up through your particular acquisition history.
Full standardization onto one PM platform, if you pursue it, is a separate project that can happen on its own timeline once the reconciliation layer has stabilized day-to-day operations and nobody is scrambling to keep two systems in sync by hand.