A 14-clinic chiropractic group on Route 73 in Marlton, NJ writes off 14% of patient claims every month. Their in-house biller costs $4,800/month plus benefits. Their denial rate sits at 19%. The clinical director sees the gap — $36,400 a year per clinic in pure denied revenue. Same operator, same EMR (a customised Chiro8000 build), same insurance mix (Aetna 38%, Horizon BCBS NJ 27%, Cigna 14%, the rest split across smaller plans). The fix is on the cost-of-billing side, not the clinical side.

This post lays out the exact AB7 Mohali RCM pod deployment for Marlton NJ chiropractic clinics: pricing, scope, ramp time, EMR integration, and the specific deliverables in the first 90 days.

What the AB7 Marlton RCM deployment actually looks like

One dedicated biller from AB7 Mohali RCM team, ICD-10 + CPT-4 trained, sits inside the clinic Chiro8000 (or ChiroTouch / Genesis / EZBIS — every major chiropractic EMR is in AB7 existing playbook). The biller works 07:00 to 16:00 EST, which maps to 17:30 to 02:30 IST in Mohali. The five-hour Eastern overlap means same-day claim turnaround for any chiropractic visit logged before 11:00 EST.

Cost: $1,800/month per dedicated FTE biller. Sixty percent below the $4,800 Marlton W-2 cost. No benefits load. No PTO replacement coverage cost. AB7 handles the HR, the workstation, the encrypted-connection setup, and the HIPAA-business-associate agreement.

Scope per biller per month (the actual deliverable, not the brochure):

800-1,200 patient claims submitted with clean-claim rate ≥ 95%
Same-day denial work for any claim rejected in the prior 48 hours
AR follow-up on aged claims (31-60, 61-90, 91+ buckets)
Weekly denial-trend report showing payer-by-payer rejection patterns
Monthly KPI roll-up: collection rate, days in AR, denial rate, net collection rate

The 90-day deployment plan for a Marlton chiropractic group

Week 1. AB7 pulls the BAA, signs HIPAA training certificates from the Mohali biller, sets up VPN access to the Chiro8000 instance, and reviews the last 90 days of clinic claims to establish the baseline denial rate by payer. No claim submissions yet — only shadowing.

Week 2-3. AB7 biller submits 30% of new claims under live supervision from the clinic existing biller (the W-2 incumbent stays on for the transition). Denials are co-worked. The AB7 biller learns the clinic specific carve-outs (e.g. Horizon BCBS NJ requires CMT modifier 25 with E/M codes on the same visit, ChiroChart sometimes mis-codes 98941 vs 98942).

Week 4-6. AB7 biller moves to 100% claim submission. The incumbent W-2 biller transitions out (paid through Week 6 or longer). Denial rate target: 19% → 14% by end of Week 6.

Week 7-12. AR aging clean-up. The Mohali pod starts working the 91+ bucket that the in-house biller never had time for. Recoveries from that backlog typically pay for the first 6 months of the AB7 engagement on their own.

By end of Day 90: denial rate ≤ 11%, days in AR ≤ 32, net collection rate ≥ 94%. Targets are pulled from the average performance of AB7 14 existing US chiropractic clinic deployments across NJ, FL, GA, and TX.

What this is not

This is not a billing service that takes a percentage of collections. AB7 charges flat $1,800/month per FTE. The clinic keeps 100% of recovered revenue. AB7 margin is on the cost-of-labour delta between Mohali and Marlton, not on a percentage hook.

This is not a generic medical-billing outsourcing engagement. The Mohali biller is dedicated to the Marlton clinic. The clinic payer mix, EMR, and SOPs are documented in a runbook on Day 1, not shared across 12 other AB7 clients.

This is not for chiropractic clinics doing fewer than 200 visits a week. Under that volume, the W-2 biller is still cheaper or break-even. The economics work at scale.

The objection a Marlton clinic owner usually raises

“Mohali is 9.5 hours ahead. Won’t that slow down anything that needs same-day attention?” The honest answer: it speeds up anything that doesn’t need a phone call. While the clinic is closed overnight (17:30 EST onwards), the Mohali biller is in the middle of their working day. Aging-AR follow-up calls to Aetna, Horizon, and Cigna get queued for the next-morning US window. The phone-required work (clinic-to-payer escalations) still happens during the 5-hour overlap.

The work that actually benefits from the time difference: claim submission, denial root-cause analysis, batch corrections, KPI reporting. All of those land in the clinic owner inbox at 07:00 EST, before the first patient walks in.

What happens in the first 60-minute call

The AB7 founder (Ashok Benial) walks the clinic owner through three things on a 30-minute Calendly call:

1. The actual numbers. AB7 needs the clinic last 90 days of denial rate by payer, the current in-house billing cost, and the patient-visit volume. 2. The Marlton-specific deployment template. Which Mohali biller is being assigned (named, with credentials), the BAA timeline, the EMR-integration steps. 3. The 30-day replacement guarantee. If the assigned biller doesn’t work out in the first 30 days, AB7 swaps in a replacement at zero additional cost.

By the end of the call: a written 90-day plan with Week-1 start date, biller name, and target metrics.

Book the 30-minute call