Want to get paid on time, every time? Tired of billing challenges and delayed payments?
We provide customized, end-to-end hospital revenue cycle management solutions customized to your hospital’s operational and financial goals. Our comprehensive hospital billing services include accurate billing and coding, AR recovery and follow-up, credentialing, insurance verification, advanced EHR/EMR integration, practice management, and patient engagement solutions.
Stop overspending on an in-house hospital billing department — let our expert team handle your hospital billing and coding services for better results.
Whether you run a rural hospital, a large inpatient facility, or an outpatient clinic, Dastify Solutions has a proven track record of improving revenue performance and reducing administrative burden for healthcare organizations of all sizes.
With our hospital billing and revenue cycle management services, you can expect:
Acute Care Hospitals
Community and Regional Hospitals
Long-Term Acute Care Hospitals (LTACHs)
Specialty and Surgical Hospitals
Cancer Treatment Centers
Children’s and Pediatric Hospitals
Rehabilitation and Long-Term Care Facilities
Skilled Nursing Facilities (SNFs)
Psychiatric and Behavioral Health Hospitals
Federally Qualified Health Centers (FQHCs)
Government and Public Health Hospitals
Rural and Critical Access Hospitals
If your hospital handles medical billing in-house, each resubmitted claim adds to your administrative costs and can reduce revenue. As a trusted hospital billing company, we understand that even minor errors can lead to claim denials, and reprocessing these claims uses up valuable time and resources.
Our billing specialists review every claim thoroughly and submit it within 48 hours. We efficiently manage large claim volumes, processing over 80,000 claims daily. Our main goal is to help you receive the full reimbursement you deserve for every service provided.
| Process Step | Inpatient Billing Services | Outpatient Hospital Billing Services | |
|---|---|---|---|
| 1 | Appointment Scheduling & Patient Registration | Schedule inpatient admissions, confirm identity, gather insurance details, and collect deposits if needed. | Schedule outpatient visits or procedures, verify patient information, and insurance coverage. Provide upfront cost estimations and collect co-pays. |
| 2 | Insurance Verification & Prior Authorization | Verify eligibility for admission, check limits, secure prior authorization for surgeries or extended care, and confirm medical necessity to prevent coverage denials. | Confirm coverage for procedures, imaging, and obtain prior authorization as needed. |
| 3 | Charge Capture & Revenue Integrity | Record all inpatient services accurately, update the CDM and CMI to prevent missed charges, and collaborate closely with providers to ensure accurate CDI and DRG grouping. | Record all outpatient services clearly, match charges accurately to CPT/HCPCS codes, and double-check entries to prevent missed charges and speed up reimbursement. |
| 4 | Medical Coding | Assign ICD-10-CM for diagnoses, ICD-10-PCS for inpatient procedures, and group cases into DRGs for Medicare billing. | Assign ICD-10-CM codes for diagnoses and CPT/HCPCS codes for procedures; apply the correct modifiers for compliance. |
| 5 | Claim Preparation & Submission | Generate UB-04 claims with proper DRG codes; scrub for errors and submit within timely filing limits. | Prepare UB-04 or CMS-1500 claims, verify them with claim scrubbers, and submit clean claims promptly to minimize denials. |
| 6 | Payment Posting & Reconciliation | Post payments from ERA/EOB, match deposits, apply adjustments, and handle secondary claims for inpatient charges. | Post payments and patient co-pays quickly, reconcile deposits, and manage follow-ups on partial payments. |
| 7 | Denial Management & Appeals | Use the IMMP (Identify, Measure, Manage, Prevent) process for inpatient claim denials, resubmit corrected claims, and file appeals or peer-to-peer reviews. | Analyze the root cause for outpatient denials, correct coding or documentation issues, and manage appeals efficiently to recover revenue. |
| 8 | A/R Follow-Up & Collections | Focus on high-value inpatient accounts, track aging buckets, and follow up on unpaid balances to reduce AR by up to 35%. | Monitor large volumes of outpatient accounts, utilize automated reminders, and follow up promptly on overdue balances. |
| 9 | Reporting & Insights |
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We guarantee full compliance with all U.S. hospital billing laws and healthcare regulations. Our expert undergoes continuous training on the latest regulations to ensure that your billing process is accurate, transparent, and audit-ready at all times.
Our Assessment Workflow:
We combine hospital billing expertise with advanced automation, delivering your facility the precision, speed, and control that today’s revenue cycle demands.
Outsourced hospital billing and coding services reduce delays caused by DRG downgrades and POA-related denials. Our coders are AAPC-certified and have extensive experience in complex hospital billing. They work with UB-04 claim forms, MS-DRG coding, and ICD-10-CM across inpatient and outpatient settings.
Each claim is reviewed for accuracy and compliance with CMS rules and CDI guidelines.
For example, we apply Condition Code 44 correctly to reclassify a patient’s status from inpatient to outpatient when medical necessity criteria for inpatient admission are not met, as required by CMS. This keeps your claims clean and payments on track.
From oncology to orthopedics, our full-service hospital billing solutions support over 75 specialties, ensuring compliance and accuracy. This includes everything from split or shared visits to global surgical billing and bundled payments under programs such as BPCI-A.
Many medical billing companies struggle when hospitals operate across multiple departments and specialties. We don’t. Our team understands the full picture, including payer-specific billing policies, specialty-specific CDM logic, and how to bill correctly under Medicare Part A, DSH programs, or complex 340B split billing setups.
We integrate directly with hospital systems, such as Epic, Cerner, and Meditech, using HL7 and FHIR protocols to ensure accurate and secure data flow across billing and clinical platforms.
If your current setup causes delays or data issues, we can help. Our real-time integration and robotic process automation (RPA) tools keep your revenue cycle on track.
Our hospital billing software enables your staff to manage appointments, demographics, and billing securely all-in-one place. You can keep your current system or switch to ours—we support both.
Request a free demo to see how we can simplify hospital billing and improve accuracy.
Achieve up to 35% more revenue with hospital revenue cycle management built for results. We manage front-end, mid-cycle, and back-end processes to increase clean claim rates, reduce A/R days, and support sustainable revenue growth.
