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How Much Does Chiropractic Practice Management Software Cost?

Practice management software (PMS) comes with such a wide variety of features and so many cost variables, estimating your needs and costs presents a bit of a challenge. If this is your first PMS solution and you aren't sure what you need or where to begin, this is a great chance to use your network. Talk to other chiropractic offices to help build your understanding of what features you need. You'll also discover whether any vendors or systems knock it out of the park or left the DC with a terminal case of buyer's remorse.

What to Look For

You need to consider a variety of factors when making your PMS decision, including practice size, cloud- or software-based, your practice's workflow, and the unique needs of your chiropractic office.

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Practice size influences your choice in a variety of ways. First, cost depends highly on this, as you must pay a fee for every user you have (though you often receive discounts when the number of users exceeds 10). In addition, the system itself may be designed to handle a certain number of users.

System type, meaning whether it is cloud- or software-based, depends on a variety of factors. Typically, smaller practices prefer a cloud-based solution, while larger practices prefer a software-based system. If you do not have a strong Internet connection, however, avoid the cloud. If your connection is strong, and you plan to access your PMS system with mobile devices like tablets, then cloud is the way to go.

Preferably, your system complements your practice's workflow. You want an intuitive, easy-to-use system that supports you rather than slowing you down. In addition, integrated EHR software makes billing and practice management simple, as there is no need to worry about whether your systems work together.

Vendors offer a wide variety of medical practice management software systems. The trick is to find a system designed to fulfill the needs of chiropractors, which means it has customizable templates, as well as ones preloaded specific to chiropractic care. Look for:

  • ICD-10 codes
  • Integration with x-ray, MRI, and CT equipment
  • Electronic goniometer compatibility

Additional features to consider for any healthcare provider include whether it:

  • Captures patient demographics
  • Determines patient's financial responsibility for point of care payment
  • Generates administrative reports
  • Maintains a list of insurance payers
  • Performs billing functions
  • Preregisters patients by checking benefit and insurance eligibility
  • Schedules appointments

Chiropractic Practice Management Software Costs

Costs for PMS systems vary widely based on features, practice size, number of users, and whether you choose cloud- or software-based solutions. A reliable estimate comes from a vendor; ask plenty of questions and make your needs clear during these discussions. Questions to ask should center on technical assistance, maintenance fees. Also, ask for a full list of hidden costs and which features come standard.

We offer three examples below that help demonstrate the variability you find in systems and pricing.


The Autumn8 system allows chiropractors to go paperless, create patient statements, and post electronic EOBs with a single click. If you're curious, they offer a free trial period. A monthly subscription starts at $199 per month, and comes with Autumn8, A8Notes, check-in software, and technical support. Choose the software solution with six months of support for $3,495. The same package with lifetime support clocks in at $6,995.

Chiro QuickCharts

The Chiro QuickCharts system comes with a variety of standard features, including certified EMR, customizable notes software, and patient check-in. It is compatible with a variety of devices, including tablets, PCs, and touch. The provider offers monthly payments, and practices may choose from EHR or the Complete Chiropractic Software Suite. The EMR only option costs $4,395. Practice Management begins at $4,895, and both systems together start at $8,995.


The CollaborateMD system works well for small and group practices. It is ICD-10 ready, and allows unlimited users, upgrades, and updates, with on-demand support. They offer three plans; each cost listed is per month, per provider:

  • Plan 1: $159 per month
  • Plan 2: $209 per month
  • Plan 3: $229 per month

Extra Costs

If you choose a software-based solution, you must also provide equipment to host your software. Pricing on these items has decreased considerably in recent years, thanks to improvements n technology, but expect to pay an additional $1,500 to $2,000 for a server, Ethernet wires and switches, and a backup hard drive. You may also require extra training for your team to properly utilize all of your new system's features, which usually runs between $1,000 and $2,000.

Finally, look for a solution with easy access to tech support, either through an online chat feature, email, or phone call.

Author: Angela Escobar

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