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Chiropractic

Built for chiropractic
before “EHR” was even a word.

PracticeStudio has been in chiropractic practices since 1989. We know your workflow, your billing, your re-exam requirements, and your patients. We built Alma AI around all of it.

See Alma AI

We started in chiropractic. In 1989, our first product — DCez — was built specifically for chiro offices at a time when most practices were still keeping paper records. Thirty-seven years later, chiropractic is still in our DNA. We didn’t adapt a hospital system and call it good enough. We grew up here.

The real cost of documentation

You see 20, 30, sometimes 40 patients a day.
The paperwork shouldn’t follow you home.

Re-exams eat your time.

Insurance requires them. They’re documentation-heavy by design. Pulling a prior encounter, capturing what’s changed, justifying continued care — it takes longer than the visit itself.

Visit frequency means note volume.

Chiropractic patients come back twice a week, sometimes more. That’s not one note per patient — that’s 8 notes a month, per patient, every patient. The math adds up fast.

Billing for chiro isn’t simple.

Charge codes, modifier decisions, units, visit limits, Medicare compliance — chiropractic billing has its own rulebook. Generic EHR billing tools weren’t written for it.

Built for how chiropractic actually works

Every part of your practice, connected.

Charting that keeps up with you.

Blueprint-guided encounter screens walk you through the visit section by section. Touch your findings — the documentation writes itself. When the encounter’s done, the note’s done.

Re-exam workflow, handled.

Alma’s AI Re-Exam creates a new encounter using the prior visit as context, then captures what’s changed through ambient audio. You review, approve, and apply.

Billing built for chiropractic.

Chiropractic charge codes, modifiers, visit limits, Medicare compliance rules — all maintained and updated in PracticeStudio’s billing module. Claims go out clean.

Scheduling for high-frequency care.

When patients come in three times a week, your schedule is your practice. PracticeStudio handles recurring visits, waitlists, and multi-provider coordination without fighting you.

Alma AI — Chiropractic

Alma listens to the visit.
You focus on the patient.

Alma’s AI Workflow captures the encounter through ambient audio and converts it into a structured chiropractic chart note — Chief Complaints, HPI, Examination, Assessment, Treatment — with SNOMED codes applied automatically. Not a text transcription. A clinical record, built section by section, ready for your review.

Alma AI Workflow -- Chiropractic Encounter Data

The AI Workflow Encounter Data tab — structured clinical sections with SNOMED coding, ready for provider review and one-click application to the chart.

Structured data, not paragraphs. Alma outputs coded clinical data — the same structured format your Blueprint produces manually. Every section is discrete, editable, and coded.
AI Re-Exam for follow-up visits. Select a prior encounter, record what’s changed. Alma builds the new note with the previous visit as context. One workflow for your most common visit type.
Your data stays in Texas. Alma runs on MicroFour’s own servers in Texas. No OpenAI. No third-party AI contracts. Your patients’ records don’t leave our infrastructure.

See PracticeStudio in a live chiropractic demo.

We’ll walk through a full encounter — from Blueprint selection to finished note — in a demo built around your workflow. No generic slides. No feature parade.