DCez
Chiropractic. Our origin story.
Chiropractic EHR

Built for chiropractic
before “EHR” was
even a word.

DCez has been in chiropractic practices since 1989. We know your workflow, your billing, your re-exam requirements, and your patients. We built Alma AI around all of it.

1989
We started in chiropractic. Our first product — DCez — was built specifically for chiro offices at a time when most practices were still on paper. 37 years later, chiropractic is still in our DNA. We didn’t adapt a hospital system and call it good enough. We grew up here.
The Real Cost of Documentation

You see 30, 50, sometimes 70 patients a day.
The paperwork shouldn’t follow you home.

Chiropractic documentation has a math problem. The three cards below are why.

Re-exams eat your time.

Insurance requires them. They’re documentation-heavy by design. Pulling a prior encounter, capturing what’s changed, justifying continued care — it takes longer than the visit itself. DCez handles it automatically.

Visit frequency means note volume.

Chiropractic patients come back twice a week, sometimes more. That’s not one note per patient — that’s 8 notes a month, per patient, every patient. The math adds up fast. The documentation shouldn’t.

Chiro billing isn’t simple.

Charge codes, modifier decisions, units, visit limits, Medicare compliance — chiropractic billing has its own rulebook. Generic EHR billing tools weren’t written for it. DCez was.

Built for How Chiropractic Actually Works

Every part of your practice, connected.

DCez isn’t a general-purpose EHR with a chiropractic skin on top. It’s built from the ground up around how chiro offices actually run — the scheduling, the charting, the billing, and the re-exams.

Charting that keeps up with you.

Blueprint-guided encounter screens walk you through the visit section by section. Touch your findings — the documentation writes itself. When the encounter’s done, the note’s done.

  • Chiropractic-specific blueprints
  • Touch-driven encounter screens
  • SOAP, narrative, and structured output
  • Document & media management
Re-exam workflow, handled.

Alma’s AI Re-Exam creates a new encounter using the prior visit as context, then captures what’s changed through ambient audio. You review, approve, and apply. Your most common visit type — your easiest workflow.

  • Prior encounter pulled automatically
  • Ambient audio captures what’s changed
  • Side-by-side comparison view
  • One-click application to chart
Billing built for chiropractic.

Chiropractic charge codes, modifiers, visit limits, and Medicare compliance rules — all maintained and updated in DCez’s billing module. Claims go out clean.

  • Chiro-specific charge codes & modifiers
  • Visit limit tracking
  • Medicare compliance rules built in
  • Remittance & ERA processing
Scheduling for high-frequency care.

When patients come in three times a week, your schedule is your practice. DCez handles recurring visits, waitlists, and multi-provider coordination without fighting you.

  • Recurring visit templates
  • Multi-provider scheduling
  • Waitlist management
  • SMS text reminders
Alma AI — Chiropractic

Alma listens
to the visit.
You focus on
the patient.

Alma’s AI Workflow captures the encounter through ambient audio and converts it into a structured chiropractic chart note — Chief Complaints, HPI, Examination, Assessment, Treatment — with SNOMED codes applied automatically.

  • Not a text transcription — a clinical record, built section by section
  • Every section is discrete, editable, and coded
  • AI Re-Exam for your most common visit type
  • Built on MicroFour servers in Texas — no OpenAI, no third-party contracts
See Alma in Action
AI Workflow

Ambient audio during the visit becomes a structured chiro chart note with SNOMED codes. Chief Complaints, HPI, Examination, Assessment, Treatment — each section discrete and ready for one-click application.

AI Re-Exam

Select a prior encounter, record what’s changed. Alma builds the new note with the previous visit as context — your most time-consuming visit type becomes your fastest. Built specifically for chiro re-exam requirements.

Structured Data, Not Paragraphs

Alma outputs coded clinical data — the same structured format your blueprint produces manually. Every section is discrete, editable, and SNOMED coded. This is a clinical record, not a note.

Your Data Stays in Texas

Alma runs on MicroFour’s own servers in Texas. No OpenAI. No third-party AI contracts. Your patients’ records don’t leave our infrastructure — period.

Ready to see DCez in your practice?

We’ve been building for chiropractic since 1989. We know what your practice needs and what it doesn’t. Let’s talk.

Request a Demo