The complete revenue cycle,
in one morning.
Saturday, May 16 · 8:30 AM – 12:30 PM · Roseville Venture Lab · 316 Vernon St. A working morning for chiropractic practice owners in Greater Sacramento. Five short, hands-on sessions covering every step of the insurance revenue cycle — what each payer should pay you, how to keep claims from being denied, how to win the ones that are, how to recover what you were underpaid, and how to renegotiate stronger contracts. Summit Pass attendees stay for a working session where everything we teach gets applied to your data, with a printed audit waiting at your seat.
The average independent chiropractic practice in Greater Sacramento is leaking $18,000–$22,000 a month.
Not in a single place. In five places at once. Each one quietly, every billing cycle. The numbers below are from our preliminary benchmark pass against 314M+ federally reported payer rates (2.4M+ normalized and live-queryable) and Sacramento-region chiropractic claims data.
Underpayments hiding inside paid claims
The 835 ERA file your clearinghouse drops every payment day shows the dollar amount the payer paid. It almost never matches the contracted rate. Average practice across Greater Sacramento: ~$8,400–$14,200/mo paid short of the contract. ($135K/yr.)
Denials never appealed, or lost on appeal
Industry baseline: 12–15% denial rate, 65% never appealed, and the appeals that do go out win at ~30%. Cite the contracted rate from the payer's own published file and the win rate jumps toward 70%. Recoverable: ~$50K/yr per practice.
Denials caught before submission
Bundling errors, missing modifiers, dx-procedure mismatches, place-of-service flags. A modern scrubber catches 30%+ of denial-bound claims before the payer sees them, and pulls 13 days off your A/R cycle. ~$7K/yr saved.
Down-coded payments most billers miss
The 98941 → 98940 quiet down-code. The unbundled-modality recovery on 97140. The Anthem-vs-Blue-Shield spread. Catching these alone is 30–60K/yr per practice for the typical Sacramento chiro.
Leverage left on the table at contract renewal
Average first-year contract increase from a data-backed renegotiation against your top 3 payers: 4–7%. On a typical $400K/yr Anthem panel that's $20K/yr from one contract alone. Most chiros never ask because they don't know what to ask for.
Total identifiable revenue impact
Across all five problems, for the average independent chiropractic practice in Greater Sacramento. That's ~$18,000–$22,000/month. We'll show it on screen on May 16. Free Open Session demonstrates it on anonymized practice data; Summit Pass attendees see it computed against their own.
If your paid Practice Audit doesn't identify at least $10,000/month in documented reimbursement opportunity, we refund your fee.
Applies across your submitted CPT and payer panel. Full refund on the $497 Summit Pass. You keep the printed Complete Revenue Audit and the negotiation playbook either way.
ReimburseOS identifies documented opportunity based on public contracted rates and submitted practice inputs. Actual recovery depends on payer response, contract terms, documentation, and negotiation outcome.
Read the full Founder's Promise → · Questions? Talk to David →
You were invited for a reason.
There are roughly 185 independent chiropractic practices inside a 50-mile radius of the Roseville Venture Lab. We ran a preliminary benchmark pass against the federal CMS Transparency in Coverage rate filings — the same machine-readable data every U.S. payer is legally required to publish under the 2022 Final Rule. About 142 of those practices showed a statistically significant reimbursement gap, paid 6% or more below the local-market benchmark on 98941, 98942, or 97140, or losing meaningful revenue to systematic down-coding from 98941 → 98940. Your practice was on that list.
The math hides in plain sight.
Independent chiropractic practices
Solo DCs through multi-provider clinics across Greater Sacramento. Sports-injury, rehab, integrated health, decompression, prenatal, pediatric, personal-injury chiropractors.
Flagged statistically underpaid
Paid ≥6% below local-market benchmark on 98941, 98942, or 97140 in our Q1 2026 pass. Or losing systematic revenue to 98941 → 98940 down-coding.
Avg recoverable per month, per practice
Across 314M+ federal Transparency-in-Coverage rates. Typical insurance-billing chiropractic practice in this region. The Summit Pass surfaces yours specifically.
The payers paying California chiropractors the least.
Median negotiated rate per payer for CPT 98941, ranked low to high. Drawn live from the federal Transparency-in-Coverage rate filings.
Can't make Saturday? Run your own NPI in about 15 seconds.
The Free Snapshot pulls your top contracted chiropractic CPT codes — 98940, 98941, 98942, 97110, 97140, 97014, 97112 — from the federal Transparency-in-Coverage rate filings and shows you, payer by payer, where your contract sits versus the local-market benchmark. Anthem CA, Blue Shield CA, Aetna, UHC, Cigna all covered. Results appear in your browser in about 15 seconds. No email required. No credit card. No PHI.
CPT 98941 · spinal manipulation, 3–4 regions
Pulled live from the federal TiC filings for a real California chiropractic NPI (identity masked):
- · Aetna CA → contracted at $14.00 (60% below peer p50)
- · Blue Shield CA → contracted at $40.93 (15% above peer p50)
- · Peer median (CA chiros · 98941) → $35.45
Same CPT, same state, same year. Commercial contracts vary 30–100% on identical work. Federally published rates expose the spread.
Built for independent chiropractors. Not for everyone.
You will get value
- · Independent California chiropractic practices
- · Multi-location chiro groups
- · DC-owned professional corporations
- · ≥25% insurance billing (Anthem CA, BSCA, Aetna, UHC, Cigna, workers' comp, Medicare Advantage)
- · Solo DCs through 10-provider clinics
You probably won't get value
- · Hospital-employed DCs
- · Kaiser-affiliated DCs (closed network)
- · Cash-pay-only practices (we don't price out-of-network)
- · Pure denial-management seekers (try Denial OS instead)
- · Chains/MSOs not negotiating their own contracts
Chiropractic is our first beachhead — the rate model lives inside a broader platform covering 50,133 provider NPIs, 27 commercial payers, and 20 states. See the methodology →
One morning. Five superpowers.
Doors at 8:00 with coffee and pastries. The free Open Session runs 8:30–11:00 and walks through every stage of the revenue cycle, with each segment showing real chiropractic data on screen. Summit Pass attendees stay until 12:30 for the working session — that's when we apply everything to your practice's actual codes — followed by a Mikuni Sushi catered lunch.
8:00 — 8:30 · Doors, coffee, espresso, pastries from Fourscore Coffee House, check-in & networking
All attendees. Find your seat. Summit Pass attendees: your printed Complete Revenue Audit is waiting at your seat with your name on it. Meet the other practice owners in the room before we start sharp at 8:30.
8:30 — 8:50 · Welcome & the revenue-cycle map
A 20-minute walkthrough of the five revenue problems every independent chiropractic practice quietly absorbs — payer rates you can't see, denials that come back without explanation, claims that pay short, and contracts that haven't moved in years. By the end of these 20 minutes you'll know where each problem hides in your books and what we're going to do about it for the next four hours.
8:50 — 9:15 · What every payer should pay you · Live rate audit (98940 / 98941 / 98942 / 97140)
We pull the actual contracted rate Anthem CA, Blue Shield CA, Aetna, and UHC have on file for chiropractic codes in Greater Sacramento — straight from each payer's own published rate file (federally required since 2022, almost no chiro has read it). You'll see the 98941-paid-as-98940 down-coding pattern, the 97140 unbundling recovery, and the Anthem-vs-Blue-Shield spread. Real numbers, real local benchmarks. (Powered by ReimburseOS.)
9:15 — 9:40 · Catch denials before submission · Live claim scrub
We paste a real chiropractic claim into the scrubber and watch every denial risk surface immediately — bundling errors, missing modifiers, diagnosis-procedure mismatches, place-of-service issues, and the payer-specific quirks that cost the most. The point is simple: most denials are preventable if you check the claim before submission. Most billers don't have time. The scrubber does it in seconds. (Powered by Sentry OS.)
9:40 — 10:05 · Win the denials you receive · Live appeal-letter generation
We paste a real denial explanation-of-benefits and a complete, math-backed appeal letter is drafted on screen in under a minute — including the paragraph that cites the actual contracted rate the payer is required to publish. That single citation is what moves the typical chiropractic appeal win rate from around 30% up toward 70%. You'll see the letter formatted, ready to fax. (Powered by Denial OS.)
10:05 — 10:30 · Recover the underpayments you don't notice · Live 835 ERA scan
The 835 ERA is the file your clearinghouse drops every time a claim pays. Inside it: the exact dollar amount the payer paid you. We feed a real 835 in and immediately see every claim that came back short of the contracted rate — with the dollar shortfall calculated per claim and the appeal queued automatically. This is the claim-by-claim audit no biller has time to do manually. The numbers usually surprise everyone in the room. (Powered by Reclaim OS.)
10:30 — 11:00 · Renegotiate stronger contracts · Live leverage memo + Negotiation masterclass
We generate a renegotiation memo on screen — what your peers in Greater Sacramento are getting paid for the same codes, where your practice ranks, what to ask for, and the projected first-year revenue lift if your ask lands. Then a 15-year medical-billing veteran walks you through how to actually deliver it: the leverage packet that goes to the payer, the formal rate-review request letter, and the script for the negotiator phone call. (Powered by Leverage OS.)
11:00 — 12:00 · Summit Pass Working Session · Your practice, on screen
Summit Pass attendees only. Open Session attendees depart at 11:00; Summit Pass attendees stay. We run your practice's codes through everything we just demonstrated — your rates compared to the local market, a sample claim scrubbed, a sample denial appealed, your underpayment estimate computed, and a renegotiation memo drafted for your top payer. About 6–8 minutes per practice. You walk out with a printed Complete Revenue Audit that has your practice name on it. This is the segment that pays for the ticket — and where the bulk of your documented reimbursement opportunity gets surfaced.
12:00 — 12:30 · Mikuni Sushi catered lunch · extended Q&A · 90-day platform onboarding
Mikuni Sushi catered lunch, included with your Summit Pass. Open Q&A across the table. We help every Summit Pass attendee log into Practice OS at the lunch table and walk through the dashboard, so when you walk out at 12:30 the platform is already running on your real claims for the next 90 days.
Co-hosted with the people who care about Greater Sacramento.
Roseville Venture Lab
316 Vernon St. A public–private collaboration between the City of Roseville and community sponsors. Hosting the May 16 Summit.
City of Roseville
Co-host of the Summit. The City's economic development team supports local independent practices. We work with them to put 40 practices in a room and deliver real, actionable revenue intelligence.
Roseville Area Chamber of Commerce
Active member supporting independent business growth across the Greater Roseville region. Working with the Chamber's Talent Pipeline programs and sister organizations.
Answers, before you ask.
Saturday, May 16. Roseville Venture Lab. 8:30 AM.
Free RSVP. 40 seats per cohort. Invited practices first. Co-hosted with the City of Roseville.
Reserve Your Free Seat