Claim rejections before submission
Incomplete demographics, invalid insurance details, missing modifiers or payer-format errors can stop claims before they reach adjudication.
Medical Billing Services For U.S. Healthcare Providers
Dastify Solutions helps healthcare practices manage claim submission, coding review, payment posting, denial follow-up, A/R recovery, eligibility checks and billing reports without forcing you to change your existing EHR or billing workflow.
Your audit shows where claims are delayed, denied, underpaid, or stuck in aging A/R before you switch billing vendors.
Billing Problems That Quietly Drain Practice Revenue
Most billing problems do not start with one big mistake. They usually come from small breakdowns across eligibility verification, missing documentation, coding errors, payer-specific edits, delayed claim follow-up, underpayment review, and weak denial tracking. Dastify Solutions helps practices reduce preventable revenue leakage by managing the billing workflow from front-end verification to final payment reconciliation.
Denials after payer review
Authorization gaps, medical necessity issues, coding errors, and documentation problems can delay or reduce reimbursement.
Aging A/R and slow follow-up
Claims sitting beyond 30, 60, or 90 days need structured follow-up, payer notes, appeal tracking and escalation.
What Our Medical Billing Services Include
Dastify Solutions provides outsourced medical billing services for practices that want a trained billing team to manage claims, denials, payment posting, A/R follow-up and monthly revenue reporting. You keep your clinical workflow. We handle the billing operations behind it.
Who Dastify Medical Billing Services Are For
Our medical billing services are built for healthcare providers that want outsourced billing support without losing visibility into their revenue cycle.
Our 7-Step Medical Billing Process
A clean billing process depends on front-end accuracy, payer-rule awareness, fast claim submission, disciplined follow-up and transparent reporting. Here is how our team manages the workflow.
Patient Registration & Verification
Real-time eligibility verification (EDI 270/271) and benefit discovery to prevent front-end errors.
Prior Authorization Management
Prior authorization support is available as a separately scoped service. Requirements, documentation and follow-up depend on the payer, service and engagement.
Medical Coding & Documentation
Review of supplied codes and documentation, with flagged errors or complex corrections returned for provider review or approval when required.
Claims Submission & Scrubbing
Claim-submission timelines are established during onboarding and begin after Dastify receives complete encounter information, required documentation and necessary provider approval. Complex claims may require additional review.
Payment Posting & Reconciliation
Automated ERA/EOB posting mapped to payer-specific CARC/RARC codes for accurate tracking.
Denial Management & Appeals
We review denial causes, identify the required correction or appeal, and track payer responses for actionable claims within scope. Resolution depends on documentation, filing rights and payer decisions.
Patient Billing & Collections
NSA-compliant, patient-friendly statements with multiple payment options to enhance satisfaction.
What You Get in the Free Billing Audit
Before recommending a billing plan, we review your current revenue cycle to identify where money is delayed, denied, underpaid, or written off too early.
Your free billing audit may include
A/R aging snapshot: We review claims by aging bucket so you can see where revenue is stuck.
Denial pattern review: We identify recurring denial reasons by payer, provider, CPT group, or documentation issue.
Eligibility and authorization gap review: We check whether front-end verification problems are causing preventable denials.
Claim rejection review: We look for claims failing before payer adjudication because of formatting, demographic, or coding issues.
Underpayment risk check: We review payment behavior against expected reimbursement patterns when data is available.
30-day action plan: You receive practical next steps to improve claim flow, denial prevention, A/R follow-up, and reporting.
Starter
For Solo & Small Practices
Starting at
3.99%*Based on collections
Perfect for individual providers and practices with up to 3 physicians seeking reliable, affordable billing support.
- Full RCM services
- Dedicated account manager
- Monthly performance reports
Growth
Most PopularFor Group Practices & Clinics
Starting at
2.99%*Based on collections
Ideal for multi-provider practices and specialty clinics looking to maximize revenue and minimize overhead.
- Full RCM services included
- Dedicated account manager
- Monthly performance reports
- AI-assisted denial management
- Real-time analytics dashboard
- Priority support line
- Credentialing support included
Enterprise
Hospitals & Large Systems
Custom*Volume-based pricing
Enterprise-grade solutions for hospitals, IDNs, and large healthcare organizations with complex needs.
- Everything in Growth, Plus
- Custom EHR integration
- Executive BI reporting
- SLA guarantees
In‑House vs. Outsourced Medical Billing
If your practice has under $5M in annual collections and fewer than four full-time billers, outsourcing medical billing services typically returns a higher net collection rate at 30–50% lower fully-loaded cost. Here is the line-by-line comparison most practices land on after running the math:
| Factor | In-House Billing | Outsourced (Dastify Solutions) |
|---|---|---|
| Fully-loaded cost | Salary + benefits + software + training + space ≈ $75–$120k per FTE | 4–6% of net collections (no overhead) |
| Clean-claim rate (industry avg.) | 82–88% | 98% (Dastify Solutions) "as per internal performance data" |
| Days in AR | 45+ | ≤ 30 |
| Coverage on PTO / turnover | Your responsibility | Built-in |
| Payer-rule updates | Manual, monthly | Automated, real-time |
| Compliance audits | Quarterly, internal | Continuous, OIG-aligned |
| Scaling to a new specialty / state | Hire + train (8–12 weeks) | Same-day |
| Reporting / KPI dashboards | Built ad-hoc | Real-time BI dashboard included |
HIPAA‑Compliant
Our specialty frameworks incorporate ICD-10 specificity, modifier rules, and payer-specific edits across commercial and federal payers.
DME Billing Services
HCPCS/ICD-10 for equipment; automated scrubbing for Medicare/Medicaid compliance (modifiers RT, LT, RR).
ASC Billing Services
Accurate coding for ambulatory surgical procedures, DRG optimization, and ASC-specific payer claim validation.
Gastroenterology
Endoscopy, colonoscopy, and E/M coding (CPT 43235, 45378, 99213–99215), prior authorization tracking.
Dermatology
CPT coding for excisions, biopsies, lesion removal, and cosmetic procedures; automated denial prevention.
Cardiology
High-cost procedure billing including catheterizations, electrophysiology, echocardiography; ICD-10 and DRG optimization.
Hospice
Per diem and visit-based billing, HCPCS G-codes, eligibility verification, and compliance with CMS hospice regulations.
Laboratory
Implementation of proper CPT, PLA codes, and modifiers with automated claim submission and payer-specific validation.
Family Practice
E/M coding optimization, preventive services, chronic care management, automated claim scrubbing.
FQHC
Prospective payment system billing, encounter-rate optimization, and HRSA compliance.
OB/GYN
CPT/HCPCS for prenatal, delivery, and surgical procedures, ICD-10 mapping, and prior authorization management.
General Surgery
Global surgery billing, modifier management, and payer-specific bundling rules.
Pain Management
Injection and therapy billing, J-codes, CPT modifiers, session-based coding, and automated claim validation.
Seamless EHR/EMR/PMS Expertise
Proficient Across 50+ Platforms
Worried about data migration or workflow disruption? Our billing specialists are fully trained on your existing EHR/EMR systems; so there's no need for costly overhauls or new software. We work directly inside your platform, managing everything from charge entry to claim submission while keeping your workflows uninterrupted.
The Smart Choice for Outsourced Billing
Revenue Recovery & Growth
Maximize collections with specialty-specific coding, automated claim scrubbing, payer-specific edits, and aggressive follow-up on underpayments and denials.
Highly Certified Team
Our AAPC and AHIMA certified professionals hold CPC, CPB, COC, CRC, RHIT, RHIA, CCS, and CMRS credentials to ensure coding accuracy and compliance.
100% Compliance
OIG audits, MACRA/MIPS tracking, NSA compliance, payer policy checks, internal QA cycles keep your practice protected.
Advanced Technology
Predictive denial prevention, automated EDI validation, ERA/EOB auto-posting, eligibility automation, RPA-driven workflows and real-time payer rule engines.
Transparent Reporting
KPI reporting, payer mix analysis, underpayment detection, denial trends, provider productivity reports and customizable BI dashboards.
Flexible Pricing
Encounter-based, percentage-based, and hybrid pricing models suitable for small practices and enterprise networks. No hidden fees.
Mastering Payer Rules Nationwide
Struggling with constantly changing payer rules that differ from state to state? Dastify Solutions makes compliance simple. Our certified billing experts track every policy update, payer guideline, and state-specific regulation.
Real-time CMS, Medicaid, and commercial payer rule tracking. State-level reimbursement variations mapped to payer-specific edits. Automatic updates for modifier policies, prior authorization requirements, and billing frequency limits per state. Integrated compliance alerts into denial-prevention workflows.
Frequently Asked Questions
Answers to the questions medical practices ask us most about medical billing outsourcing, pricing, and working with Dastify Solutions.
How much do medical billing services cost?
Medical billing costs depend on your specialty and billing workload. The services included also affect your quote. Dastify Solutions provides practice-specific pricing with a defined service scope. Your proposal should explain the fee calculation and any separately priced work. Learn more about medical billing costs and pricing models.
What is included in Dastify Solutions’ medical billing services?
Your agreed scope can cover claim preparation through payment follow-up, including denial management and insurance A/R. Eligibility checks and reporting can also be included. Prior authorization and other additional services are scoped separately. We define responsibilities before work begins. Explore what medical billing services include.
Should my practice outsource medical billing or keep it in-house?
Outsourcing may help when staffing gaps or unresolved claims overwhelm your team. In-house billing may remain effective when your staff has the expertise and capacity to manage the workload. Compare the same responsibilities and total costs before deciding. A billing assessment can help identify where outside support would be useful.
Read when outsourced medical billing is worth it for a small practice.
How does Dastify Solutions handle denied claims?
We review the payer’s denial reason and determine whether the claim needs a correction or an appeal. Our team tracks required documentation and applicable deadlines. We also review recurring denial patterns to address preventable workflow problems. Recovery depends on the claim’s eligibility and the payer’s decision. Learn about claim denial prevention and recovery.
Can I switch billing companies without changing my EHR?
Dastify Solutions works within your existing systems using approved access. We confirm compatibility during onboarding and establish responsibility for new claims and outstanding balances. The transition timeline depends on system access and the handoff from your current billing team. Review what to check before changing billing partners.
What does a medical billing company do?
A medical billing company manages the claim lifecycle for your practice: eligibility checks, claim submission and scrubbing, payment posting, denial follow-up and appeals, A/R recovery, patient billing support and reporting. Medical coding assigns the ICD-10, CPT and HCPCS codes a claim depends on. Revenue cycle management (RCM) is the broader front-to-back process that also covers registration, authorization and credentialing. Dastify Solutions works inside your existing EHR or practice management system, so your clinical workflow stays the same. Lear more about What is revenue cycle management.
How is patient information protected when medical billing is outsourced?
Dastify Solutions uses HIPAA-compliant workflows for patient information. Protection includes authorized access and secure handling of billing data. The required business associate agreement defines how information may be used and safeguarded. Your practice should review these arrangements before granting access.
Read about HIPAA compliance in medical billing.