● Integrated & Multidisciplinary ●
Turn your chiropractic clinic into an integrated practice — the right way
Adding nurse practitioners, medical services, or regenerative medicine can transform a chiropractic practice — or bury it in compliance risk and payroll it can’t support. The difference is structure, sequencing, and financial modeling done before the first hire.
Sound Familiar?
Integration is a business model change, not a hire
The legal structure question
Corporate practice of medicine rules in many states mean a DC can’t simply employ medical providers. The compliant path usually runs through an MSO structure — and getting it wrong isn’t a paperwork problem, it’s an existential one.
Providers hired before economics modeled
An NP’s salary, supervision costs, malpractice, and credentialing timeline are all knowable in advance. Practices that skip the model routinely spend six months funding payroll with no billable ramp plan.
Two clinics under one roof
Medical and chiropractic services have different documentation standards, billing rules, and compliance exposure. Without integrated operations they compete instead of compounding.
● Two Ways to Engage ●
Same executive expertise. Two engagement models.
Both engagements bring senior healthcare-executive expertise to your integrated practice. The difference is the number of hours per week your outside expert is involved — and who executes the plan.
Fractional Executive
We lead it with your team
A COO, CFO, or CEO-level operator embedded in your practice on a weekly cadence — running leadership meetings, working directly with your staff, and owning outcomes. Executive-caliber leadership at roughly 20–30% of the cost of a full-time hire.
Consulting
We build it, you run it
A focused engagement built around analysis and a clear, prioritized roadmap. Often the better value when you already have the leadership in place to execute a well-built plan — project-based, defined scope, defined deliverables.
How We Work
Five steps. Every engagement.
Every engagement — fractional or consulting, any specialty — follows the same five-step operating discipline.
Where We Focus
How we take practices through integration
From feasibility to a running, compliant, profitable integrated practice — in a sequence that protects you at every step.
■ Feasibility & financial modeling
Revenue projections by service line, provider compensation, malpractice, credentialing timelines, and a realistic break-even model — typically 3–6 months for a well-planned integration — before any commitment is made.
■ Compliant structure design
MSO and management-fee architecture aligned with your state’s corporate practice of medicine doctrine, coordinated with your healthcare attorney — so ownership, control, and cash flow all sit where the law requires.
■ Provider recruitment & supervision
NP/PA scope-of-practice and supervision requirements, collaborative agreements, and compensation structures that keep medical providers productive and retained.
■ Credentialing & billing integration
Payer enrollment sequencing, incident-to rules, documentation standards, and a billing operation that keeps medical and chiropractic claims clean and separate where they must be.
■ Regenerative & ancillary lines
Clear-eyed guidance on PRP, regenerative medicine, weight loss, and other cash-pay lines — including the regulatory scrutiny they attract and the marketing claims you cannot make.
■ Cross-referral operations
Patient flow design so chiropractic, medical, and rehab services reinforce each other — the integration dividend most practices never actually collect.
“Integration done right multiplies a practice. Done casually, it multiplies risk. Sequence and structure are everything.”
Questions
Frequently asked questions
How do I add a nurse practitioner to my chiropractic practice?
What is the MSO model for integrated practices?
Is adding regenerative medicine worth it?
What does medical integration cost to launch?
The Integrated Practice briefing series
Five sourced, data-driven reports on the business of running a integrated chiropractic practice.
Enrollment, incident-to, split or shared visits, and split billing for integrated chiropractic: what CMS rules require and where clinics get it wrong.
Break-even math, compensation, and realistic ramp timelines for adding an NP, PA, or MD to a chiropractic practice, built on published wage data.
How a chiropractor legally adds an MD or NP: the corporate practice of medicine doctrine, the MSO two-entity model, and where these structures fail.
FDA and FTC rules for regenerative medicine in chiropractic practices, what enforcement has targeted, and how to build a program that holds up.
Roles, scheduling, and culture in an integrated chiropractic clinic: the schedule template, internal referral workflow, and staffing that hold up.
Book your complimentary discovery call now
Thirty minutes. No pitch. An honest read on where your practice stands.
Free Consultation