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If there’s one thing we’ve learned from talking to chiropractors, it’s that they care deeply about patient outcomes. But as practices grow, it’s not usually clinical skill that becomes the bottleneck: it’s operations.
Across hundreds of conversations, chiropractors have told us the same story: Their days are consumed by disconnected systems, manual work, documentation anxiety, unpredictable schedules, and revenue they suspect they’re losing but can’t easily see.
Technology is supposed to support the business of care. But too often, it quietly adds risk, friction, and burnout instead.
That’s why we entered the chiropractic market the same way we built our foundation in physical therapy: by listening first, building alongside operators, and committing to long-term partnership, not just surface-level features.
As Mike Dwyer, Prompt’s Co-founder, puts it: “Our goal is to give chiropractors a platform they actually love, technology that makes their work easier, their practice financially stronger, and their patients healthier.”
The result is a fully unified, AI-powered platform built for modern chiropractic practices. Here are the 5 biggest challenges chiropractors tell us disappear after switching to Prompt.
For most chiropractic practices, the real problem isn’t too many tools. It’s the hidden human cost of trying to run a clinic on disconnected systems.
Scheduling lives in one place. Notes in another. Billing somewhere else. Communication happens over email, text, sticky notes, or memory. Staff duplicate work. Owners become the glue. And when one key person is out, the whole clinic feels disorganized.
This shows up as nights and weekends spent verifying basics instead of growing the business. Practices depend on heroics instead of systems.
Dr. Scott Bremer, DC, described what this looked like before Prompt. “I used to have 3-hour sessions after the workday on Thursday to review the week of what was done, what wasn't done, what's being billed properly, what wasn't,” he says.
Prompt eliminates this operational drag by replacing patchwork workflows with one system for scheduling, documentation, billing, communication, and collections, all visible in real time, across providers and locations.
With shared dashboards, role-based permissions, and end-to-end visibility, owners no longer have to manually check work or act as the connective tissue between systems. Billers and clinicians work on the same note. Collections flow back into the EHR automatically. Everyone operates from a single source of truth.
“The fact I can hit just one section and it’s all there is incredible to me,” Dr. Scott says. “What a big difference that has made for me.”
AI quietly supports this by reducing operational overhead. Instead of owners managing the system, the system surfaces what needs attention without relying on memory, follow-ups, or after-hours reviews.
Even with great staff, many systems simply can’t be trusted to scale. Server-based crashes, slow performance, broken integrations, and fear of migration don’t matter much in a solo practice. They become existential risks once a practice adds volume, locations, or multiple disciplines.
Prompt is built as infrastructure, not a bundle of features. It’s cloud-based, fast, and designed around a unified data model so scheduling, notes, billing, and reporting all speak the same language. There’s no double entry, no fragile integrations holding the business together, and no guessing whether the system will hold up as complexity increases.
That trust changes how owners think about growth. “I don’t know if I would ever even attempt another company of this size with this many locations with different software,” Dr. Scott says. “The oversight is the hardest part.”
Prompt’s AI only works because the foundation is reliable. AI doesn’t patch over broken systems. It amplifies unified ones. That’s why clinics often describe Prompt as what they graduate into once growth breaks their legacy tools.
For chiropractors, documentation anxiety isn’t about typing faster. It’s about whether notes hold up over time, across re-exams, care plans, and payer scrutiny.
Copy-paste documentation is one of the fastest paths to denials and audits, but many chiropractors don’t realize the risk until revenue is already leaking.
Prompt reframes documentation as risk reduction, not speed. AI scribing and smart rewrite tools create visit-specific notes that reflect the actual patient conversation and progression of care. Prior-visit context is pulled forward without duplicating language. Re-exams, care plans, and longitudinal progress are clearly visible, for both clinicians and auditors.
For Dr. Austin Robinson, DC, efficiency comes without compromise. “On other EHRs I’ve had, it takes a while to finish a note, but with Prompt it’s very streamlined,” he says.
AI scribing allows clinicians to stay present with patients while ensuring documentation reflects medical necessity over time, reducing audit fear while improving care continuity.
One of the biggest “aha” moments in conversations with chiropractors is this: most lost revenue never shows up as a denial.
It’s underbilling driven by uncertainty and fear of getting coding wrong. Providers do the work, but leave money on the table every single day.
As Pedro Teixeira, VP of AI Engineering at Prompt explains, “Because people are uncomfortable with their CPT coding, they will underbill. They perform more services than they’re getting compensated for.”
Prompt surfaces these issues before claims are submitted. AI-assisted coding validation reviews what was documented, flags underbilling, applies payer-specific rules, and alerts providers to issues in real time without adding work or risk.
For multi-provider clinics, the impact is immediate. “Per visit, at the very least… it’s 25% more just because nothing is being pushed out,” Dr. Scott says.
The work was already done. Prompt makes sure clinics actually get paid for it.
Gaps in schedules, missed visits, and manual calling don’t just hurt the business; they interrupt patient progress.
Prompt automatically reaches out to underbooked patients who can easily schedule their visits online. When cancellations happen, the system proactively reaches out to the right patients to fill open spots in the schedule.
The volume impact is real. “I probably can see easily 10 extra visits a day,” Dr. Scott says.
And the automation runs quietly in the background: “The software sending out unsolicited offers when there’s an opening has made a big impact both on the number of patients we’re seeing and the amount of money we’re generating,” Dr. Scott says.
AI scheduling optimization ensures the right patients fill the right slots, improving POC adherence, patient outcomes, and revenue without adding staff.
Chiropractors haven’t always been treated fairly by software vendors. Overpromises, slow innovation, and tools that break under real-world complexity are common experiences.
Prompt was built to change that. Our founders Mike Dwyer and Adam Baliatico set out in 2017 with a mission to drive extraordinary outcomes for healthcare providers and their patients. Chiropractic care is a critical part of that mission.
We believe in chiropractic care, and we’re committed to being a long-term technology partner that removes burnout, reduces risk, protects revenue, and supports growth, quietly and reliably.
If you’re ready to eliminate these 5 pain points and build a stronger, more resilient practice, schedule time with one of our chiropractic experts today.
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