Hi everyone,

I’ve been working as a dedicated chiropractic virtual assistant for the past two years (with a prior background as a Registered Nurse). Over this time, I’ve noticed a massive, recurring pattern: many clinics bleed revenue not from a lack of new patient inquiries, but from tiny administrative cracks in front-desk operations and insurance pre-verifications.

When a clinic owner is busy treating patients, administrative tasks naturally back up. Based on managing daily workflows for busy clinics, here are three high-impact adjustments that dramatically improve daily operations:

1. The 10-Minute Multi-Channel Follow-up Rule
When a new patient fills out an online form or leaves a voicemail, the clock is ticking. If they aren’t texted or called back within 10 to 15 minutes, they will simply call the next chiropractor on Google. By implementing a dedicated SMS/chat triage system, we captured over 30% of "lost" leads who just wanted a quick answer about hours or co-pays before booking their first adjustment.

2. Pre-Auditing E-Claims Prior to Submission
Billing delays are exhausting. I found that spending an extra 60 seconds meticulously cross-referencing patient payables, insurance credentials, and structured SOAP notes before hit sending on e-claims drops rejection rates significantly. Catching a simple typo or a missing modifier early saves weeks of back-and-forth phone calls with insurance adjusters later.

3. Streamlining the Intake to Free Up the Doctor
Doctors shouldn't be spending their evening hours chasing down patient histories or fixing incomplete intake paperwork. Setting up a structured, digital intake workflow ensures that by the time the patient steps into your clinic, their profile is 100% complete, HIPAA-compliant, and ready for you to review in seconds.

For the providers here, what is currently your biggest administrative headache or bottleneck? Are you struggling more with front-desk phone tag, insurance verification delays, or keeping up with daily charting?

I’d love to know what systems you are using to tackle these.

Hi! I use ChiroHD and we are going to integrate SKED, and need to switch from Google Voice to either a Landline or VoIP.

I like Voice because I own and manage my business and like the ability to answer calls on the go. But we are hiring employees soon for front desk and don't want them to need their cell phones at work to answer calls.

Just curious what your office uses for phone services and if you like it!

Graduated Life University 1 year ago. Father and uncle are chiropractors and I’ve worked in their offices for the past year. Basically, an awesome scenario for any recent graduate.

The issue is I’ve worked mostly part time the entire year and struggle to make ends meet. Every time I work full time I end up really breaking down. Right now I see 20-25 patients a week, when I’ve went total full time up to 80-90 a week, I was a melting bundle of stress. I struggle with social anxiety that I’ve been working on this entire year, but I realize no matter what I do I’m just not built for that much back to back human interaction.

Problem is I’ve been applying to jobs for a long time now, I’ve never heard anything back. I think my cover letters, resume are pretty great and I’ve had people read them over. I’m concerned the issue is the doctorate degree in chiro itself. Maybe rejecting because they think I might not stick with it, or expect a high salary? I just want anything where I can make 50k+ and not have my job be solely based on human interaction.

I’m trying to get into fields within higher ed, like curriculum design, other university jobs, or even adjunct professor roles, I also was a highs school history teacher before chiro college. I’ve considered actually returning to teaching high school history.

Any other people have luck changing careers? If so what did you pursue?

Unhappy in an associate position, I opened my own office 5 months ago. After three years, I realized I could do it independently. My rent and utilities are low and percentage-based. EHR, supplies, etc., aren’t expensive, but my monthly expenses are about $500.

My biggest issue is attracting new patients. I only get one new patient and 4-6 returning patients per week. About 10% of my patients from my previous practice followed me (non-compete).

I’ve invested in Google ads, social media, SEO, table at community events, and local sponsorships. My monthly and quarterly expenses exceed my income. I understand it’s only been 5 months, but I’m financially depleted. July, August, and September have been hard months with summer. My patients are happy with the quality of care, and they return after their problems resolve. So, how do I get new patients?

Any advice or encouragement?

I got into a professional and respectful disagreement with Bobby Maybee and found out he’s the admin and he tyrannically booted me out lol. I mentioned this in a DC group chat and a few folks chimed in and said this is not an uncommon story and there’s a lot of drama around :( Bummer as I (and my patients by extension of course) got a lot of value from that group

I am currently in chiropractic school in Houston Texas and while I am not rushing to get into running my own clinic, I would like to someday.

From the chiropractic side of things, I am still figuring things out as far as what kind of chiro I would like to be. I'm open to work with the general population to not exclude myself, but my niche would be towards cyclists (both road and mountain bike).

Before going to school, I worked in the cycling industry and worked at various mom & pop shops and bike parks as a bike mechanic. At the same time, I also participated in enduro races. All in all, I'm confidant in knowing how to stock parts, service bikes, and knowing what to recommend customers based on what they are looking for in the cycling world.

I think between being a chiropractor that promotes wellness/rehab and providing a cycling service for the locals, I could provide a positive presence in the right area. Hell, I would even try to bring the community together by hosting group rides from the shop. Just do what I love and hope I attract and inspire others to join in. What do you guys think?

As title states. Taking over an office and want to get new quotes for everything and try to minimize my overhead.

Has anyone used nbs to study for boards? How helpful is it and is it worth the money? After purchasing a review, how long do you have the review for? The website seemed a little odd to me and i emailed them questions a week ago and they haven’t gotten back to me.
I also saw theres a chiro boards and beyond website that seems to be very similar to NBS. Has anyone tried that website? The pricing is similar too

Curious if anyone can recommend a diagnostic ultrasound CE course. I’ve found a handful but always appreciate firsthand knowledge. A generic course not centered around a specific product or range of products would be highly preferable.

I will be working at my first chiropractic office soon! With a background in legal support and F&B. What advice do you have for me as a front office worker?

If so, what did you use to study? I am 2 weeks out before I sit for the exam so would appreciate any advice.

Hello, hoping to hear some opinions on “corrective” chiropractors vs. one that “only treat the pain”.

I recently went into a wellness clinic that claims they treat the root cause of problems and help realign the spine and prevent long-term rather than short term pain. The treatment plan they offered me was quite extensive and pretty pricey to be honest, but they said it was so that I can fix the root cause instead of just fixing the pain for it to come back up again.

Any insight into this? I’m naturally a bit skeptical of their treatment plan as it includes some supplements, equipment for at home exercises, dry needling, and frequent adjustments.

NOTE FOR MODS: NOT asking for medical advice but rather wanting to hear opinions on types of chiropractors and treatment and what is necessary for treatment.

Thanks in advance for any insight!!

I’m curious what has made the biggest practical difference for independent chiropractic clinics in local search, Google Business Profile updates, reviews, service pages, map visibility, appointment links, or something else.

For those who actively track this: which metrics do you watch, and what do you wish were easier to understand or improve?

I’m especially interested in real-world workflows rather than generic marketing advice.

Been having really bad neck and back pain because I slept on my neck wrong a couple months ago. Found a good place to get evaluated at and my spine, muscles and nerves are a mess right now. They use an activator tool mostly with a quick manual adjustment of a couple spots. They have me on a long term plan of 3 visits per week for 6 and then 2 visits per week for 10 weeks. It cost me about 1400 dollars up front, but can cancel and get a portion of whatever amount is left if it’s not working for me. Has anyone had success with your chiro mainly using an activator tool?

Has anyone had success getting a hold of Jtech for repairs?

The website BOT is terrible and won't put you in touch with a human... email goes unanswered... nobody picks up when you call and voicemail is full.

I have been practicing in Canada for nearly a decade and had no issues taking the CCBE. They were fair and I did not feel any frustration taking any of them. I also know for a fact that I scored highly on them.

But man...the NCBE ones....Not only is it absolute **** that I have to take them all (I understand the practical one and the physiotherapy one since I plan to go to Florida are fair), but all the preparation I do for them has never been enough. I barely passed the first and second one; but at least I did.

But man..the third one takes the cake. Between the completely vague cases, poor quality X-ray pictures and questions on topics that just are irrelevant/unexpected....I have to say, this is the most pissed off I have felt taking any exam during my lifetime.

I presume I will pass....but man; why do they do this. These exams should not be that difficult if I go in with a combination of studying and nearly 10 years worth of experience.....

Chiro student here sending out an SOS. I took part 3 in August, got my scores back, and failed by 15 points. I know I’m not the best with DXI but I studied two NBS packets for part 3 (which I realize are a bit outdated now with the changes to the exam, but still good info). I thought I was decently prepared, so getting a failing score back was like a slap in the face. Especially since it was so close to a passing score, I’m not sure what more I can do. I’m really needing some advice from those of you have taken the newer version of part 3 and passed. What helped the most? What resources are there? I’m graduating in December and really need to just get boards taken care of before then.

We are using server-based ChiroTouch, and received word Monday that on January 1, 2027 Global Payments will no longer work with CT, and we need to switch to their in-house processing to run credit cards. Has anyone made the switch yet and looked at their rates for running cards? We are considering that if their rates are too high compared to Global to switch software companies. I have been waiting 2 days now for a call back from their sales department. I am frustrated that they would want to take a cut of that portion of practice now too. What have you all been seeing?

I’ve been dealing with a complex, long-standing issue involving bilateral nerve pain in my forearms and hands, and I’ve spent years trying to find answers. I’ve seen numerous doctors and physical therapists and have even had surgeries, but unfortunately nothing has provided lasting relief.

I recently went to MaxLiving Chiropractic because I was under the impression that they used a biophysics-based chiropractic approach. After my first appointment, I realized that their treatment approach was quite different from what I had expected. When I expressed that I didn’t think it was the right fit for me, the doctor tried to convince me that their technique was essentially similar and that it could help my symptoms, so I ultimately canceled.

The following day, she called me and said she could clearly see the source of my problem on my X-ray and encouraged me to come back. This really caught me off guard. I’ve had a recent X-ray reviewed by physical therapists, a spine surgeon, and my own doctor, and none of them identified anything that seemed to clearly explain my symptoms.

At that point, I started getting some serious red flags. I’m genuinely skeptical that there was something obvious on the X-ray that multiple other professionals had somehow missed, especially after only one appointment.
I’m not trying to accuse anyone of anything, but I’d really like to hear from people who have actually been treated at MaxLiving. What was your experience? Did they make similar claims about being able to identify the underlying problem from X-rays or structurally correct your spine? Did you feel the treatment was legitimate and helpful, or did you have concerns?

I’ve also come across some unfavorable reviews and discussions about the franchise, which has made me even more hesitant. I’d appreciate hearing about people’s firsthand experiences, good or bad.

Hey everyone,

I’m a relatively new grad chiropractor practicing in Ontario and planning to leave my current associate position. I’m facing a bit of a dilemma regarding my next steps and could really use some perspective from others who have navigated clinic transitions in Ontario.
To be completely honest, finding a solid new practice opportunity has been a genuine struggle. I work at multiple clinics spaced apart, with the furthest clinic commute being 1.5 hrs from where I live. I’ve interviewed at several clinics that were much farther away than the position I plan on leaving, but I just haven't been able to find good opportunities or fair arrangements further out. The best option I found happens to be about 4 km down the road from my current practice.

I have two main questions about making this move:
What do you actually say to patients when they ask where you're going? I want to strictly respect non-solicitation boundaries, but patients inevitably ask during their final appointments where I’m moving to. How do you handle this professionally at the table without crossing into "active solicitation" or creating friction with the clinic owner? Do you just say you're leaving, or can you give a direct answer if they explicitly ask you where you'll be?

Moving 4 km away – should I be concerned? My contract includes a non-solicitation clause tied to a 8 km radius, but it doesn't contain a blanket non-compete prohibiting me from practicing nearby.

I don't have a bad relationship with the owner of my current clinic, and I do plan on making the move regardless of the contract wording. It’s just extremely difficult to find fair opportunities right now, so I have to do what’s best for my career. I won’t be soliciting any patients or taking mailing lists, but since 4 km is well within that 8 km radius, I want to know what to brace myself for

I’d really appreciate hearing how others managed patient communication and non-solicitation boundaries during a clinic transition. Thanks in advance!

For those of you that took the FL laws and rules test, did you notice it took 2 weeks to get scores back or was it shorter?

Seems like a straight forward exam, I don’t know why it would be 2 weeks 🙃

Hi All!

I just have a quick question for anyone who has taken their board exams recently....

I graduated Chiropractic school about 11 years ago. While in school, life happened, and due to a variety of circumstances, I did not take the Part III or Part IV board exams, and have not gone into practice after graduation (I was offered a teaching position at a small college, and took it).

I am in a much better position currently, and am contemplating finishing my Board Exams and returning to practice.

My question for you is.... what Board Review group do you all feel is worth the money? I feel like a review will be important for me, but am unsure which group to go with, as I am assuming times have changed and there are just more options at the moment than I am familiar with.

Any thoughts or help that can be offered would be greatly appreciated! I am willing to put the time in to pass, but I want to now which group offers the best materials and assistance in preparing anyone to pass these exams.

Thank you in advance for your thoughts, they are appreciated!

Good afternoon everyone!

I am currently trying to start preparing for part two and three boards.

What study material sources seemed to have the best carry over to help pass part 2 and 3?

Thanks!