AI-Powered Acupuncture Billing & RCM

Stop Losing Revenue
to Acupuncture Billing Chaos

Reduce denials, accelerate reimbursements, and increase collections with AI-powered acupuncture billing backed by certified revenue cycle specialists. Starting at 2.99%. Live in 7 days.

  • Up to 98% first-pass claim acceptance - industry avg is 75%
  • CPT 97810/97813 specialists for all acupuncture practice types
  • Live in under 7 days - no migration, no downtime, no setup fees
  • Solo practitioners, group practices & wellness centers across 40+ states
See How It Works
300+ acupuncture practices across 40+ states trust Sirius
Acupuncture billing specialist - Sirius Solutions Global
+30%
AR Reduction
98%
Clean Claims Rate

Trusted by Acupuncture Practices Across 40+ States

98%Clean Claims Ratevs 75% industry avg
18dAvg AR Daysindustry avg is 45 days
30%AR Reductionfor clients within 90 days
94%Collection Ratevs 72% industry avg

Practice Management Software Supported

Jane App
Acusimple
Unified Practice
SimplePractice
DrChrono
Nexus EHR
Tebra
eClinicalWorks

And 50+ more systems supported

No Migration Required

Works with Your Existing Practice Software

No migration. No downtime. Live in days. We connect directly to your practice management system without disrupting a single patient appointment.

  • Go live in under 7 days from contract signing
  • Zero data migration - we work inside your existing system
  • 24/7 technical support during and after onboarding
  • Dedicated integration specialist for your practice
<7 Days
Go-Live Time
Zero
Migration Required
The Revenue Leak Problem

Is Your Acupuncture Practice Leaving Money on the Table?

Most acupuncture practices lose 10-15% of collectible revenue every month - from billing gaps that are completely preventable.

Time Documentation Errors

CPT 97810 and 97813 are time-based. Missing start and end times, vague session notes, or unspecified personal contact minutes trigger automatic denials across every major payer.

Modifier Mistakes

A missing Modifier -25 bundles your E/M visit into the acupuncture payment. A missing Modifier -AT on Medicare means automatic rejection - no matter how perfect everything else looks.

Medicare Rules Ignored

Medicare only covers acupuncture for chronic low back pain lasting 12+ weeks. Claims without ICD-10 support, -AT modifier, and functional improvement documentation deny every single time.

Payer-by-Payer Chaos

BCBS Texas bills differently than BCBS California. Aetna rules do not match Cigna. One billing approach across all payers is one of the fastest ways to inflate your denial rate.

15%
Revenue Lost Monthly
$40K+
Lost Per Practice / Year

Collection Rate Comparison

Industry Avg Clean Claims
75%
Sirius Clean Claims
98%
Industry Avg Collection
72%
Sirius Collection Rate
94%
Industry Avg AR Days
45d
Sirius AR Days
18d

Our acupuncture clients recover an average of 15% more revenue within the first 90 days of going live.

What We Do

Everything Your Practice Needs to Get Paid Right

From the moment a patient schedules an appointment to the last dollar collected, we manage your entire acupuncture revenue cycle.

Insurance Verification and Eligibility

Insurance Verification & Eligibility

Real-time benefits verification before every appointment. Visit limits, deductibles, waiting periods, acupuncture benefit caps, and prior auth triggers - all confirmed upfront so denials never catch you off guard.

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Prior Authorizations and Predeterminations

Prior Authorization & Management

We own every authorization request from submission to renewal. Some payers require auth after a fixed number of visits - we track every window and alert your team before approvals expire. Zero treatment interruptions.

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CPT Coding and Charge Entry

CPT Coding & Charge Entry

Certified coders review every encounter for correct CPT codes (97810, 97811, 97813, 97814), unit counts, modifiers, and diagnoses. Accurate coding means maximum reimbursements and audit-ready documentation every time.

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Claim Scrubbing and Submission

Claim Scrubbing & Submission

Every claim checked against 2,000+ payer-specific rules before it leaves your practice. Modifier conflicts, time documentation flags, frequency violations, and Medicare -AT errors caught before they ever reach the payer.

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Denial Management and Appeals

Denial Management & Appeals

We investigate every denial, identify root causes, and submit appeals with complete documentation. Medicare -AT issues, Modifier -25 bundling, medical necessity rejections - our specialists recover revenue your in-house team would write off.

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AR Follow-Up and Collections

AR Follow-Up & Collections

Systematic AR follow-up that never lets a claim age past its threshold. Commercial, Medicare, Workers' Comp, and Personal Injury AR all tracked and actioned. We prevent write-offs before they happen.

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Powered by Sirius AI

6 AI Agents Working for Your Acupuncture Practice 24/7

Our proprietary acupuncture billing AI works in parallel with certified human specialists - catching errors, preventing denials, and optimizing revenue around the clock.

SiriusVerify™
Real-time acupuncture eligibility - visit limits, deductibles, prior auth triggers
SiriusCode™
AI-powered CPT 97810/97813 coding with certified acupuncture coder oversight
SiriusScrub™
Acupuncture claim scrubbing - modifier conflicts, time flags, Medicare -AT checks
SiriusGuard™
Compliance monitoring and payer audit flag detection, always on
SiriusCollect™
Automated AR follow-up - commercial, Medicare, Workers' Comp, and PI billing
SiriusAudit™
Continuous revenue audit - catches undercoding, missed units, and payer-specific trends
 Active 24/7

SiriusVerify™

Checks acupuncture insurance eligibility and benefits before every appointment - visit limits, annual maximums, deductibles, waiting periods, prior authorization triggers, and coverage details. Denials never catch you off guard.

100%
Acupuncture eligibility verified before every appointment
 Real-time benefits
Denial prevention
All acupuncture payers
AI + Acupuncture Coder Verified

SiriusCode™

AI-driven CPT code suggestions cross-checked by certified acupuncture billing coders. Every procedure code (97810, 97811, 97813, 97814), unit count, modifier, and diagnosis verified for maximum reimbursement and full compliance.

98%+
First-pass CPT coding accuracy
CPT 97810-97814 compliant
Modifier accuracy
Audit-ready
Pre-Submission

SiriusScrub™

Claims checked against 2,000+ payer-specific acupuncture billing rules. Modifier -25 conflicts, missing -AT modifiers, time documentation gaps, and frequency violations caught before submission - never reach the payer.

2,000+
Payer-specific rules checked per claim
Modifier -AT/-25 checks
Zero rework
Frequency violations
Always On

SiriusGuard™

Monitors every transaction for compliance issues, payer audit flags, and unusual billing patterns. Keeps your acupuncture practice fully protected without slowing down your revenue cycle.

0
Data breaches in 6+ years of operation
HIPAA compliant
Audit flag detection
256-bit encryption
Automated Follow-Up

SiriusCollect™

Automated follow-up that never lets an acupuncture claim age past its threshold. Tracks every outstanding balance across commercial, Medicare, Workers' Comp, and PI payers - and handles patient payment plans seamlessly.

18 days
Average AR days (vs. 45-day industry average)
Medicare & commercial
Workers' Comp & PI
Faster collections
Continuous

SiriusAudit™

Runs a continuous audit against your acupuncture billing history. Identifies patterns of undercoding, missed add-on units, incorrect modifier usage, and payer-specific trends before they compound into significant losses.

+20%
Average additional revenue found in first 90 days
Unit undercoding
Missed add-ons
Payer trends
14+ Acupuncture Practice Types

Every Practice Type. Billed Right.

Acupuncture billing is not one-size-fits-all. Each practice type carries unique CPT codes, payer rules, and documentation requirements. We have specialists for every one.

Our Process

Live in 7 Days. Not 7 Weeks.

Our onboarding is straightforward and stress-free. Most acupuncture practices are submitting cleaner claims within a week of signing.

1

Free Acupuncture Billing Audit

We review your billing process, aging AR, denial trends, and CPT coding patterns. 30 minutes reveals exactly where revenue is leaking and what it will take to recover it.

2

Revenue Analysis & Strategy

Your dedicated account manager builds a custom revenue cycle strategy with benchmarks, quick wins, and a 90-day improvement roadmap specific to your practice type and payer mix.

3

System Integration

We connect directly to Jane App, Acusimple, SimplePractice, DrChrono, or any other platform. No data migration, no downtime. Average integration time is under 2 days.

4

Billing Optimization & Go-Live

First claims go out with our full team monitoring every submission. We track performance and resolve payer-specific edge cases in the first 30 days to ensure clean-claim momentum.

5

Continuous Revenue Improvement

Monthly performance reviews, updated reporting, and proactive optimization. As payer rules evolve, we adapt your billing strategy to protect and grow your revenue.

Why Choose Us

The Sirius Difference for Acupuncture

Your team should be focused on patients, not paperwork. Here is why more acupuncture practices choose to outsource.

Why choose Sirius for acupuncture billing
+20%
Revenue Uplift
6+ Years
Specializing in acupuncture RCM across all practice types

AI + Human

Every claim processed by AI, reviewed by a certified acupuncture billing specialist. Speed and accuracy - not one or the other.

24 hrs
Claim submission turnaround
2.99%
Starting rate - no hidden fees
300+
Acupuncture practices served across 40+ states

Fully HIPAA Compliant

256-bit AES encryption, zero data breaches in 6+ years, PCI-DSS Level 1 certified. Your patient data is treated like our own.

Real-Time Visibility

Live dashboard showing every claim, payment, and denial. Know exactly where your revenue stands - at any moment, from anywhere.

Partner Success

Trusted by Acupuncture Professionals

Real results from real acupuncture practices - not projections.

Verified
"Our Medicare claims were getting denied constantly - missing -AT modifiers, incomplete functional improvement notes. Sirius corrected everything within weeks. Medicare revenue alone increased by over 20%."
+20%Medicare revenue in 60 days
JP
Dr. James Park
Licensed Acupuncturist - Seattle, WA
Verified
"We have four providers and billing was inconsistent across all of them. Sirius standardized everything, cut our AR days from 58 to 21, and the monthly reports actually help us understand the business."
58→21AR days cut - 4 providers
SC
Dr. Sarah Chen
Wellness Clinic Owner - 4 Providers
Verified
"I had no idea I was undercoding. Wrong unit counts on add-on codes, missing Modifier -25 on intake visits. Sirius ran an audit and found thousands I was leaving on the table every single month."
$52K+Recovered from undercoding
MT
Dr. Michael Torres
Integrative Medicine - Phoenix, AZ
Client Success Stories

Real Results. Real Acupuncture Practices.

These are the kinds of outcomes our clients experience when they stop losing revenue to billing inefficiency.

Traditional Acupuncture - Texas
Solo Practice

$72K in Aging AR - Recovered in 90 Days

A solo acupuncturist had $72,000 in AR aging past 90 days. Medicare denials were going unanswered due to missing -AT modifiers. The front desk had no capacity to appeal.

$54,800
Recovered
67→22
AR Days
↓43%
Denial Rate
Integrative Wellness - California
4-Provider Clinic

Missing Modifier -25 Across 200+ Claims - $38K Recovered

Four-provider integrative clinic losing revenue on E/M visit bundling. Modifier -25 was absent on hundreds of same-day evaluation claims. Revenue was silently eroding every single month.

+19%
Collections
72→97%
Clean Claims
20+ hrs
Staff Time Saved
Medicare cLBP Specialist - New York
2-Location Acupuncture Group

$110K in Medicare Revenue Found Across 2 Locations

Growing acupuncture group billing Medicare for chronic low back pain with incomplete -AT documentation, missing functional improvement notes, and incorrect ICD-10 pairings across both locations.

+26%
Medicare Revenue
95%
Medicare Acceptance
0
Audit Flags
Trust & Compliance

Certified. Audited. Accountable.

Every badge below is independently verified - not self-claimed.

HIPAA Compliant
5-Star Reviews
CMS Certified
PCI-DSS Level 1
Trustpilot Rated
ONC Certified
35%
A/R Reduction
96%
Collection Ratio
98.5%
First Pass Clean Claims
50+
Specialties Covered
Questions

Questions About Acupuncture Billing?

Clear answers to the most common questions acupuncture practices ask before making the switch.

We manage your entire acupuncture revenue cycle - insurance verification, prior authorizations, CPT coding, claim submission, denial management, and AR follow-up. You focus on patients. We get you paid.
Starting at 2.99% of collected revenue. No setup fees, no hidden charges, no long-term contracts. You only pay when you get paid.
Three layers: real-time eligibility verification before every appointment, accurate CPT coding by certified acupuncture coders, and claim scrubbing against 2,000+ payer-specific rules. Most denials are prevented before submission.
All major platforms - Jane App, Acusimple, Unified Practice, SimplePractice, DrChrono, Nexus EHR, Tebra, eClinicalWorks, and 50+ more. No migration required - we work inside your existing system.
Most practices are submitting cleaner claims within 7 days of signing. Our integration specialists connect to your software with zero downtime or data migration required.
Yes - we specialize in Medicare acupuncture billing for chronic low back pain (cLBP). We ensure every claim includes the required ICD-10 codes, Modifier -AT, functional improvement documentation, and provider qualification verification. Medicare's 12-visit and 8-visit extension rules are tracked per patient, per cycle.
Our coders are certified in 97810 (acupuncture, initial 15 min), 97811 (acupuncture, each additional 15 min), 97813 (electroacupuncture, initial 15 min), and 97814 (electroacupuncture, additional 15 min), along with all associated E/M codes, modifiers, and diagnosis pairings required per payer.
We investigate every denial, identify the root cause, correct the actual problem, and resubmit with documentation that supports it. Our specialists recover revenue most in-house teams write off.
No. Month-to-month agreements only. We earn your business by delivering results - not by locking you in.
Yes. Workers' Comp and PI acupuncture billing require state-specific fee schedules, dedicated prior authorization workflows, and strict timeline compliance. We handle these cases with dedicated processes built specifically for each state's requirements.
Real-time dashboards showing every claim, payment, and denial. Monthly reports covering collection rates, AR days, and denial trends by payer. Multi-location practices get consolidated reporting across all sites.
Yes - payer enrollment, CAQH profile management, NPI registration, and re-credentialing to ensure your acupuncturists can bill all accepted insurance plans without delays or gaps in coverage.
256-bit AES encryption at rest and in transit. Fully HIPAA compliant, PCI-DSS Level 1 certified, zero data breaches in 6+ years of operation.
Acupuncture practices across all 40+ states. Our remote billing team delivers the same expert service regardless of where your practice is located, and we stay current with each state's payer rules and Workers' Comp fee schedules.
Get your free acupuncture billing audit
Ready to Recover Revenue?

Get Your Free Acupuncture Billing Audit

In 30 minutes, we will show you exactly where your acupuncture practice is losing revenue - and exactly how to recover it. No obligation, no sales pressure.

  • Free comprehensive acupuncture billing audit - no strings attached
  • Revenue recovery report specific to your practice type and payer mix
  • Response within one business day
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HIPAA-compliant. Your information is never shared.