Last updated: 2026-08-24
Honest Taskers, Proactive LTC Consulting, and Richter lead this year's shortlist of chiropractic virtual medical assistant companies, seven firms ranked on published pricing, the Business Associate Agreement position each states in its own words, commitment terms, and what each publishes about itself. For chiropractic practices the work that matters is scheduling recurring care plans as a block so the plan completes. Below we set out whether a whole care plan can be booked at once, how visit counts running out mid-plan get caught, what the work costs, whether a provider starts reauthorization in time, and what to do about same-day cancellations. Of the seven here, two publish a rate and two state a signed BAA, and those two columns narrow the list faster than any claim about quality.
Disclosure: Honest Taskers publishes this list and appears at position 1. We're judged on the same five published criteria as every other company here.
At a glance
- 1Honest Taskers
- 2Proactive LTC Consulting
- 3Richter
- 4Virtual Nurse Rx
- 5VMeDx
- 6Rockstar Global
- 7Care VMA Health
How we chose the best chiropractic virtual medical assistant companies
We ranked these firms on five facts, each read at the provider's own website on August 24, 2026: the scope each offers chiropractic practices, the HIPAA and Business Associate Agreement position in the firm's exact wording, published pricing, commitment terms, and the verified detail each publishes. We ignored claims about screening quality and talent percentiles, because every firm in this market makes them and none is checkable from outside. What's checkable is what a firm will commit to. For chiropractic practices the additional question is whether the assistant can handle tracking authorized visit counts and starting reauthorization before they run out without being taught the basics first.
Best chiropractic virtual medical assistant companies compared
The table ranks all 7 on the same columns, Honest Taskers first because we publish the list. Facts were read on August 24, 2026 and change often, so treat them as a starting point, not a quote.
| Company | What the firm offers | HIPAA / BAA as stated | Published pricing | Model | Notable verified facts |
|---|---|---|---|---|---|
| Honest Taskers | Hourly placed staff working in your own systems across reception, intake, records, prior authorization, billing support and patient outreach | BAA when PHI is accessed; HIPAA compliance verified by Accountable | $10.00–$12.65/hr | Hourly, no minimum; two-week trial | Licensed nurses and physicians in pool; 99.6% average monthly retention |
| Proactive LTC Consulting | SNF/LTC clinical and reimbursement consulting incl. MDS | Not publicly listed | Not publicly listed | Outsourced services and consulting | AAPACN RAC-certified MDS nurse consultants; MDS training, audits, consulting and interim staffing; remote MDS coding analysis for PDPM, CMI and QM accuracy; PDPM coding a |
| Richter | LTPAC performance advisors: outsourced RCM + clinical consulting | Not publicly listed | Not publicly listed | Outsourced services and consulting | settings: skilled nursing & LTC, home health, hospice, senior living; outsourced revenue cycle management, accounting and controller services, Medicaid eligibility, resid |
| Virtual Nurse Rx | Reception, intake, scheduling, verification, prior authorization, transcription, referral management, after-hours answering and live chat | BAA provided to every client | Not publicly listed | Month-to-month; 48-hour deployment | "No AI Does Your Work"; admin support only; Florida HQ, 50 states |
| VMeDx | Reception, prior authorization, remote scribing, RPM, billing and administrative support; separate dental and veterinary lines | "HIPAA-trained"; follows HIPAA-compliant processes, but no BAA wording | Not publicly listed | Not publicly listed | Prior auth, scribe, RPM, dental, vet; top 3%; 24/7; Nashville TN |
| Rockstar Global | Medical reception, verification and authorization specialists, billing, administrative support and credentialing | States "100% HIPAA-compliant", but no BAA wording | Not publicly listed | 7–14 day implementation | Built for PT, OT, SLP, DSOs; 300th VA, 170+ practices; 97% retention |
| Care VMA Health | VMA, receptionist, administrative, RPM, chronic care management, patient care coordinator, billing, coder, triage and scribe roles | States "100% HIPAA Compliant", but no BAA wording | Starts at $9/hr | No long-term contracts; Flexi Plan with no minimum hours | 48-hour matching; US-based account management; RPM, CCM, triage, coder roles |
Read the compliance and pricing columns together. The firms that publish a rate aren't the ones with the weakest compliance position, which is the usual assumption, and several firms publish neither a price nor commitment terms nor a Business Associate Agreement, which means three separate negotiations before you can compare them to anything. For chiropractic practices the scope column matters too, because backfilling same-day cancellations from a waitlist isn't work every provider has done before.
1. Honest Taskers
Best for: chiropractic practices that want a published hourly rate, a signed BAA and third-party verified compliance with no minimum.
Pricing: $10.00–$12.65/hrCompliance: HIPAA verified by Accountable; BAACommitment: Hourly, no minimumFirst hire: Two-week working trial
Honest Taskers is where this list starts because the compliance and pricing questions are answered in public rather than in a quote. For chiropractic practices the placed assistant works your time zone inside your own systems on scheduling recurring care plans as a block so the plan completes, tracking authorized visit counts and starting reauthorization before they run out, backfilling same-day cancellations from a waitlist, and verifying chiropractic benefits. Staff are trained on HIPAA and data privacy under a dedicated compliance officer, a Business Associate Agreement is signed before anyone touches protected health information, and HIPAA compliance is verified by Accountable rather than asserted internally. The talent pool includes licensed nurses and physicians. Rates run $10.00 to $12.65 an hour depending on role, background, schedule and location, billed hourly with no weekly minimum, and the first hire comes with a two-week working trial. Honest Taskers reports 99.6% average monthly retention. See the multi-purpose virtual medical assistant service for role detail.
Limitation: staff work remotely and administratively, so the plan completes stays with your own clinicians, and Honest Taskers describes its security environment as SOC 2 audit ready rather than holding a SOC 2 or ISO 27001 certification of the kind Staffingly and MyOutDesk publish.
2. Proactive LTC Consulting
Best for: Chiropractic practices weighing a post-acute specialist option alongside placed assistants.
Pricing: Not publicly listedCompliance: Not publicly listedModel: Outsourced services and consultingCategory: Post-acute specialist
Proactive LTC Consulting is a post-acute specialist rather than a staffing agency, which is why it belongs on a list aimed at chiropractic practices. On its own site: What it is: SNF/LTC clinical and reimbursement consulting incl. MDS; Verified facts: AAPACN RAC-certified MDS nurse consultants; MDS training, audits, consulting and interim staffing.
Limitation: no pricing, no compliance statement, no individual credentials listed
3. Richter
Best for: Chiropractic practices weighing a post-acute specialist option alongside placed assistants.
Pricing: Not publicly listedCompliance: Not publicly listedModel: Outsourced services and consultingCategory: Post-acute specialist
Richter is a post-acute specialist rather than a staffing agency, which is why it belongs on a list aimed at chiropractic practices. Its own pages state: What it is: LTPAC performance advisors: outsourced RCM + clinical consulting; Verified facts: settings: skilled nursing & LTC, home health, hospice, senior living.
Limitation: no pricing, no compliance statement; consulting-and-outsourcing rather than placed staff
4. Virtual Nurse Rx
Best for: chiropractic practices needing cover within days, month-to-month, with an explicit no-AI position.
Pricing: Not publicly listedCompliance: BAA provided to every clientCommitment: Month-to-monthSpeed: 48-hour average deployment
Virtual Nurse Rx is the fastest to deploy and the most explicit about scope. Two published statements make it worth attention. It provides a BAA to every client on month-to-month engagements with an average 48-hour deployment, and it states plainly that it offers administrative support only, with clinical decisions always remaining with your licensed providers, despite RN and MD framing in its own positioning. It also advertises a "100% Human-Performed Service: No AI Does Your Work". It's headquartered in Florida and serves all 50 states.
Limitation: no pricing is published, and the RN and MD framing sits awkwardly beside its own statement that the service is administrative support only.
5. VMeDx
Best for: chiropractic practices wanting reception, prior authorization and scribing from one vendor.
Pricing: Not publicly listedCompliance: HIPAA-trained assistantsCommitment: Not publicly listedBase: Nashville, Tennessee
VMeDx covers the widest span of adjacent roles under one vendor. Its role list is among the broadest here, covering virtual medical assistant, receptionist, prior authorization specialist, remote scribe, billing assistant, remote patient monitoring and administrative assistant, plus dedicated dental and veterinary lines. Training is stated in electronic medical record systems, medical coding and billing and US healthcare regulations, candidates are screened to what it calls the top 3%, availability is 24/7, and it is based in Nashville, Tennessee.
Limitation: it publishes neither pricing nor commitment terms nor any BAA wording, and states no delivery location for its staff.
6. Rockstar Global
Best for: chiropractic practices in therapy or dental group settings wanting a provider built for that market.
Pricing: Not publicly listedCompliance: States 100% HIPAA-compliantCommitment: 7–14 day implementationFocus: PT, OT, SLP and DSOs
Rockstar Global is the only firm here built around named practice types. Formerly Virtual Rockstar, it is the only firm in this pool built around named practice types rather than healthcare generally: physical therapy, occupational therapy, speech-language pathology and dental service organizations. Roles include medical reception, verification and authorization specialists, billing and credentialing, supported by an internal VA Academy. It reports placing its 300th assistant across more than 170 private practices with 97% practice partner retention and a 7 to 14 day implementation.
Limitation: it publishes no pricing and no BAA wording, and its focus on therapy practices and dental service organizations means other practice types are not its core market.
7. Care VMA Health
Best for: chiropractic practices wanting a $9 starting rate, no long-term contract and a no-minimum plan.
Pricing: Starts at $9/hrCompliance: States 100% HIPAA compliantCommitment: No long-term contractsSpeed: 48-hour matching
Care VMA Health is the most flexible published arrangement in this market. It publishes a rate starting at $9 an hour with three plan shapes, part time at 15 to 35 hours a week, full time above 35, and a Flexi Plan with no minimum hours at all, on no long-term contracts with 48-hour matching. Its role list is wide, covering virtual medical assistant, receptionist, admin, remote patient monitoring, chronic care management, patient care coordinator, billing assistant, remote coder, telehealth assistant, telephone triage assistant and scribe, with US-based account management.
Limitation: it states no Business Associate Agreement despite claiming full HIPAA compliance, does not say where its staff are based, and names no specialties.
Can a chiropractic virtual medical assistant book a whole care plan at once?
Yes, and blocking the plan is what makes it complete, alongside tracking authorized visit counts and starting reauthorization in time. The cost gap is large: a medical secretary or administrative assistant earned a median $22.08 an hour, about $45,930 a year, according to the U.S. Bureau of Labor Statistics May 2025 wage data for secretaries and administrative assistants, before benefits, payroll tax and a desk, against published remote rates from $9 an hour. Keep in the building whatever genuinely needs a person there: greeting patients, physical specimens and mail, and anything requiring a wet signature. The practical route is to start with the single task costing you the most rather than defining a whole role upfront, because the job's easier to scope once somebody's doing it. Hourly and cancel-anytime arrangements suit that far better than a quarterly minimum. For the task-level breakdown, see virtual medical assistant duties.
How does a chiropractic virtual medical assistant catch visit counts running out mid-plan?
By tracking the authorized count against the booked plan, because chiropractic care is delivered as a set number of visits, with four contractual points settled alongside.
- BAA versus HIPAA training. A Business Associate Agreement puts breach liability in writing. "HIPAA-trained" describes a person who sat a course. Five firms in this market state a BAA; the rest state training. Ask which you are getting, in writing.
- Visit counts run out mid-plan. Chiropractic care gets delivered as a plan of a set number of visits. Deliver one outside an active authorization and it's unpaid. Ask for the report showing visits used against visits authorized.
- Commitment before certainty. Terms run from a Flexi Plan with no minimum hours to a 3-month minimum at 20 hours a week. Match the term to how sure you are.
- Access scope. Grant the minimum systems access each task needs and review it quarterly and on every staff change.
- Time zone against your day. Ask for the shift pattern rather than the delivery country, which matters most where staff are offshore.
How much does a chiropractic virtual medical assistant cost?
Two firms publish a rate here. Honest Taskers is $10.00 to $12.65 an hour with no weekly minimum. Care VMA Health starts at $9 an hour with a Flexi Plan carrying no minimum hours. The other five on this list, Proactive LTC Consulting, Richter, Virtual Nurse Rx, VMeDx and Rockstar Global, quote on request. For chiropractic practices the unit worth computing is cost per authorized visit delivered, which you can work out from a two-week sample rather than from a quote. Rates were checked on August 24, 2026 and change often. For rate context, see how much a virtual medical assistant costs in 2026.
Does the chiropractic virtual medical assistant company start reauthorization before the count runs out?
Ask when it triggers, plus a signed BAA, a published rate and an exit you can use.
- A signed Business Associate Agreement. Five firms in this market state one. Get the document before access, not after the first shift.
- A published rate. An undisclosed rate means you negotiate compliance terms alongside the money.
- An exit you can use. Cancel-anytime, no lock-in, month-to-month and a no-minimum Flexi Plan all exist here.
- Authorized visit tracking. Ask to see the visit-count report before signing. Rockstar Global staffs verification and authorization as a separate role.
- Named systems experience. Ask which practice management and EHR systems the specific assistant has worked in, and who trains them on yours.
What should a chiropractic virtual medical assistant do about same-day cancellations?
Backfill them, because the backfill rate and plan completion are the two numbers a chiropractic practice can baseline in a month.
- Measure one month of plan completion rate and same-day cancellation backfill rate so you have a baseline to judge against.
- List the five tasks you would hand over in week one, with the system each requires.
- Mark which touch protected health information, which decides whether a BAA is mandatory.
- Shortlist on stated BAA, published pricing and exit terms before reading any quality claims.
- Review at four weeks against the baseline rather than against an impression, then widen scope.
For a fuller hiring walkthrough, read how to hire a virtual medical assistant.
Methodology and sources
We read each company's own website on August 24, 2026, recording the scope offered, the HIPAA and Business Associate Agreement position in each firm's exact wording, published pricing, commitment terms and the verified facts each publishes. We set aside claims about screening quality and talent percentiles, because every firm makes them and none is checkable from outside; where such figures appear above they are labelled as the company's own claim. Wage context is from the U.S. Bureau of Labor Statistics May 2025 Occupational Employment and Wage Statistics. Business Associate Agreement obligations are set by the HIPAA Privacy and Security Rules. Where a company published no figure we marked it "not publicly listed" rather than guessing; practice counts, retention rates and savings claims are company-reported and we did not audit them. Portiva, Pearl Talent and Wishup were excluded because their sites refuse automated requests, and Phoenix Virtual Solutions was excluded because its domain now returns an expiration notice.
Related staffing guides
The fastest way to narrow this market is to decide which tasks touch patient data, because that single question removes several firms. Our explainer on what a virtual medical assistant is covers the scope a remote hire can own for chiropractic practices, and where the compliance obligation begins.
Speak with Honest Taskers about staffing chiropractic practices.