by Ray Foxworth, D.C., FICC •
President & Founder, ChiroHealthUSA •
With recent decisions by the U.S. Supreme Court reshaping how healthcare fraud enforcement works, chiropractors have a critical opportunity—and responsibility—to ensure their practices operate compliantly and profitably. (Elberg, Adashi, & Cohen, 2025)
While these rulings may limit the government’s ability to pursue fraud through administrative channels, they also shift more responsibility onto providers to get things right. If your documentation, billing, or discount policies are slightly out of line, this isn’t the time to take chances. It’s time to get your house in order.
At ChiroHealthUSA, we believe compliance and profitability can—and should—go hand in hand. Let’s explore what’s changed, why it matters, and how tools such as ChiroHealthUSA and ChiroArmor can help protect your practice.
The Legal Landscape Is Changing
Two Supreme Court rulings—Jarkesy v. SEC and Loper Bright Enterprises v. Raimondo—have limited the government’s ability to enforce laws through agency-run proceedings. For chiropractors, enforcement actions will likely shift from fast-moving administrative processes to slower, more expensive courtroom battles. That may sound like a break—but in reality, it means more legal ambiguity, more risk, and higher stakes if your practice ever faces scrutiny.
If there’s one message providers should take from these decisions, it’s this: compliance isn’t just about avoiding penalties—it’s about protecting your future.
Clean Up Your Processes from the Front Desk to the Back Office
Compliance isn’t a one-person job. It’s a system—and everyone in your practice plays a role. Every detail matters from front desk staff managing time-of-service collections to doctors documenting services and coding visits correctly.
Now is the time to audit your processes:
- Are your notes accurate and consistent?
- Are your discounts legal and documented?
- Are you billing for services actually rendered?
- Does your team understand the “why” behind the rules?
If you’re not 100% sure, it may be time to bring in reinforcements.
Outsource Your Compliance with ChiroArmor
One of the smartest moves a busy practice can make is outsourcing compliance to a trusted partner. That’s where ChiroArmor comes in. Designed specifically for chiropractic offices, ChiroArmor offers a full suite of compliance services—from documentation audits and HIPAA training, to billing oversight and customized policy creation.
Think of ChiroArmor as your in-house compliance department—without the payroll. They handle the details so you can focus on patient care, confident that your practice is protected from costly mistakes, outdated procedures, or unintentional fraud.
Offer Discounts the Right Way with ChiroHealthUSA
Many practices try to attract or retain patients by offering “special rates” or unstructured discounts. While well-intentioned, these efforts can land you in hot water with insurance contracts and federal regulations.
That’s why thousands of chiropractors use ChiroHealthUSA’s Profitable Discount Strategy. We provide a legal framework for offering compliant, affordable discounts to your cash, underinsured, or non-covered patients.
You stay compliant, your patients get the care they need, and your practice grows profitably and ethically.
Don’t Wait Until It’s Too Late
Supreme Court rulings may slow down enforcement, but they won’t eliminate it. In fact, with more cases likely heading to trial, the financial and reputational risks of non-compliance are higher than ever.
Don’t gamble with your livelihood. Whether you’re fine-tuning your billing procedures, implementing a compliant discount strategy, or outsourcing your entire compliance process, now is the time to act.
ChiroHealthUSA and ChiroArmor are here to help you build a profitable and fully protected practice. Schedule your free compliance Gap Analysis today!
Let’s get your practice in order—the right way.
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Why is the Discount Challenge prize amount $15,024? Because that is the average “per-occurrence” fine for Medicare inducements. That’s not $15,024 per patient, that’s not per provider, that’s PER VISIT. Stinks, doesn’t it? To us, the prize amount is worth the investment if we can help our profession better understand proper discounting.