Acupuncture billing that counts every unit. Needling time, electrical stimulation, visit limits and Medicare’s chronic back pain coverage, each billed to its payer’s rules.

The AI drafts the codes and units from the treatment note and your acupuncturist approves them. From there our billing team takes the claim to the deposit.

  • Practices of 1–20 acupuncturists
  • Works inside your EHR
  • Commercial, Medicare, Medicaid

What we fix

What acupuncture practices miss. We bill all of it.

Every claim, start to finish

From your note to your bank. Every step on the record.

You see who touched each claim, and when.

Your dashboard

Every number, live. Down to each visit.

Collections, denials, days to payment and open AR.

Try the live demo
ClaimsSample
The Marlow portal’s claims list for a sample practice: each claim’s status, payer and amount.

Denials and appeals

We fight every denial. Even the $58 ones.

In acupuncture, the usual ones are plans that cover it only for certain conditions, and visit limits.

How we fight denials
Every denialOur process
  • 01Fix and resendSame claim
  • 02Appeal with the recordsBilling manager signs
  • 03Chase claims with no replyStatus, then a call
  • 04Check what was paidAgainst your contract

Start with a free acupuncture audit.

Free · no obligation · no patient data in the form.

Start the audit
  1. Sign a short BAAWe email it to you.
  2. Upload two reports12 months of 835s and your AR aging.
  3. Get your practice profileDenials ranked by dollars, walked through on a call.

The rules we bill by

Acupuncture is billed by the minute and by the condition.

These are the coding and Medicare rules our team bills by. Commercial plans set their own visit limits and covered conditions.

  • 97810 · 97811

    Units of face-to-face time

    97810 is the first 15 minutes of personal contact and 97811 each further 15 minutes with needle reinsertion. Time with the needles in and the patient alone doesn’t count.

  • 97813 · 97814

    With electrical stimulation

    The same structure with e-stim. Only one initial code is billed per session: 97810 or 97813, not both.

  • 12 + 8, up to 20

    Medicare’s chronic low back pain coverage

    Medicare covers up to 12 visits in 90 days for chronic low back pain, 8 more if the patient improves, and no more than 20 a year.

  • Supervision

    Who can bill Medicare

    Licensed acupuncturists can’t bill Medicare on their own. Medicare visits are billed under a supervising physician, PA or NP.

Sources: CMS MLN Matters MM13288 · NCD 30.3.3, acupuncture for chronic low back pain. Rules as of November 2026; commercial plans and Medicaid set their own.

Questions owners ask.

Do you bill dry needling?

Yes. Dry needling has its own codes (20560 and 20561) and can’t be billed with acupuncture on the same day for Medicare. We check that before the claim goes out.

Can you bill Medicare for our acupuncturists?

When they work under a physician, PA or NP who bills Medicare, yes, for chronic low back pain within the visit limits. We set up the billing provider with you.

Do you check each patient’s acupuncture benefits?

Yes. We check coverage, visit limits and authorization rules before the first visit, so patients know what their plan pays.

What will this cost us?

3.5–5.5% of collections · annual agreement · 45-day opt-out. Payers pay you directly, into your bank account. We invoice our fee monthly from posted collections. See pricing.

How long does switching take?

About 30–45 days, with a parallel run before go-live. Your EHR, bank account and payer contracts stay the same. See how switching works.

What if it isn’t working for us?

If it isn’t working in your first 45 days, you can leave, no questions asked. After that it’s an annual agreement, which sets out the notice and how your files come back to you.

Every needle, billed right. Let’s look at yours.

Book a call

3.5–5.5% of collections · annual agreement · 45-day opt-out

Rather start with your numbers? Get a free billing audit.

Book a call

Talk to Eli or Jullian.

Tell us a little about your practice, then pick a time. We’ll go through your billing numbers and say plainly where we can help.

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Providers at your practice

Pick the closest size.

No patient information here. A 30-minute call, no obligation.