HIPAA-compliant medical billing services for U.S. healthcare practices

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.

98%

from 85%
Clean Claim Rate
↑ +13 pts

15%

from 35%
Denial Rate
↓ −57.14%

96%

from 84%
Net Collection Rate
↑+14.29%

28 Days

from 52 Days
AR Days
↓ -46.15% Reduced

Source: Vital Behavioral Care LLC case study — results from Feb 2026 to Apr 2026 (last 3 months of performance data). Read the full case study →

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 helps practices reduce preventable revenue leakage by managing the billing workflow from front-end verification to final payment reconciliation.

Claim rejections before submission

Incomplete demographics, invalid insurance details, missing modifiers or payer-format errors can stop claims before they reach adjudication.

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 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.
Claim Submission & Scrubbing

We review claims for missing information, coding conflicts, payer edits, modifier issues, and formatting errors before submission.

Explore Claim Submission & Scrubbing

We verify active coverage, co-pays, deductibles, authorization requirements and payer rules before the visit or claim submission.

Explore Eligibility Verification

Certified coding specialists review ICD-10, CPT, HCPCS, modifiers, and payer-specific requirements to reduce preventable coding-related denials.

Explore Medical Coding Services

We post ERAs/EOBs, reconcile payments, identify adjustments, flag underpayments and track payer response patterns

Explore Payment Posting Services

We identify denial root causes, correct claims, submit appeals, track payer response and build prevention rules for recurring denial patterns.

Explore Denial Management Services

We work aging claims by payer, age bucket, denial status, and expected reimbursement so your team can recover revenue that may otherwise sit unresolved.

Explore A/R Recovery Services

We support patient statements, balances, payment questions and collection workflows with a patient-friendly billing process
You receive billing reports covering clean claim rate, denial trends, A/R aging, payer performance, collections and follow-up activity.

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.

Small Practices

Cost-Efficient RCM Solutions

We know every dollar matters. Our cost-efficient RCM solutions reduce denials and optimize collections to create a steady cash flow you can count on.

Solo Practices

Simplify Your Billing

Running a one-man practice means wearing many hats. We simplify billing, coding, and compliance so you can spend less time on admin and more time on patient care.

Group Practices

Centralized Billing

Coordinating multiple providers is complex. We centralize your billing processes, ensuring financial clarity across the entire group with multi-provider taxonomy mapping.

Physicians

Multi-Location Solutions

Our physician services optimize documentation, regulatory reporting, and revenue capture, freeing you from administrative burnout. Includes documentation improvement alignment.

Hospitals & Health Systems

High-Volume Compliance

Our enterprise experts handle high-volume claims, ensuring cross-department accuracy and strict compliance. Includes UB-04 claims, DRG validation, and multi-department workflows.

Enterprise

Centralized Revenue Cycle Management

Enterprises face complex billing rules across multiple specialties. Includes enterprise interoperability, HL7 integration, and multi-location payer rules.

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.

Step 01

Real-time eligibility verification (EDI 270/271) and benefit discovery to prevent front-end errors.

Step 02

Proactive tracking with automated follow-ups, preventing up to 15% of potential denials.

Step 03

99%+ accuracy by certified specialists (ICD-10/CPT), aligned with AMA CPT updates and NCCI edits.

Step 04

Process 65,000 claims in 24–48 hours with advanced scrubbing.

Step 05

Automated ERA/EOB posting mapped to payer-specific CARC/RARC codes for accurate tracking.

Step 06

Root-cause analysis and resolution within 48 hours to recover lost revenue.

Step 07

Patient Billing & Collections

NSA-compliant, patient-friendly statements with multiple payment options to enhance satisfaction.

Book A Free Consultation Today

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

— Choose Your Plan

Transparent Pricing With No Hidden Fees

Starter

For Solo & Small Practices

Starting @ 3.99%

*Based on collections

Most Popular

Growth

For Group Practices & Clinics

Starting @ 2.99%

*Based on collections

Enterprise

Hospitals & Large Systems

Custom

Volume-based pricing

— Proven Expertise in

50+ EHR/EMR/PMS

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)
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)
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, SOC 2 + 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

From Sign-up to First Paid Claim — in 14 Days

Day Milestone Owner
Day 0 BAA signed, kickoff call, scope locked Dastify Onboarding Lead
Day 1–3 EHR/EMR integration, payer mix mapped, fee schedule loaded Joint
Day 4–6 Credentialing / enrollment status checked, gaps filed Dastify Credentialing
Day 7 Test claims submitted, payer responses validated Dastify Billing
Day 8–10 Full claim volume turned on, denial protocols active Dastify Billing
Day 11–14 First ERA / EOB posted, first paid claims hit your account Dastify Posting
Day 30 First monthly KPI review — clean claim rate, AR aging, denial trends Joint

Security & Compliance: How We Protect PHI

Every medical billing services company says “HIPAA compliant.” Here is what that actually looks like at Dastify:

— Specialty-Focused RCM

ISO-Certified, 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.

— Expertise

Seamless EHR/EMR Expetise

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.

Proficient Across 50+ Platforms, Including: Epic, Cerner, Meditech, Kareo, AthenaHealth, Tebra, AdvancedMD, DrChrono, eClinicalWorks, TherapyNotes, WebPT, NextGen.

— Why Dastify Solutions?

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.
Our Proven Process

Case Studies

Featured Case Study

— Behavioral Health

Vital Behavioral Care LLC Reduces AR Days by

Discover how our AI-powered billing, certified U.S.-based billing support, and human-verified claims processing helped a behavioral health practice reduce AR days from 52 to 28, decrease denial rates by 57%, and improve overall revenue recovery by over 20%. Claims are processed within 72 hours, ensuring faster reimbursements and smoother revenue cycle operations.

46%

AR Reduction

52 → 28 Days

AR Days Reduction

98%

Clean Claim Rate

57%

Denial Rate Decrease

The Challenge

Vital Behavioral Care LLC, a busy behavioral health practice in Albuquerque, New Mexico, faced significant revenue cycle challenges. Claims were delayed, denial rates were high, and staff spent hours manually managing billing instead of focusing on patient care. The practice needed a solution that could streamline billing, reduce denials, and accelerate reimbursements.

The Solution

— State-by-State Compliance
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.

— Get The Answers You Need

Frequently Asked Questions

What does medical billing outsourcing mean?
Medical billing services cover the back-end claim lifecycle coding, submission, posting, denial follow-up, and patient invoicing. Revenue cycle management is the full front-to-back process, starting at patient registration and eligibility verification. Dastify Solutions offers both as separate products or as one bundled engagement.
Medical coding assigns standardized codes (ICD-10, CPT, HCPCS) to diagnoses and procedures, while billing uses those codes to create and submit insurance claims. Both work hand-in-hand; accurate coding ensures clean claims and faster reimbursements.
Denials often happen because of incorrect coding, missing documentation, eligibility issues, or authorization errors. Our team quickly identifies the cause, corrects the claim, and resubmits it to minimize revenue loss. We also apply automated root-cause analytics to detect recurring coding or payer-rule errors.
Checking insurance eligibility upfront ensures patients are covered for the services they receive. It prevents claim rejections, avoids surprise bills for patients, and helps your practice collect payments faster.
We charge 4% to 6% of collected revenue. For specialties with revenue above $20,000, we offer a flat fee depending on the complexity of your practice. Pricing includes full access to RCM dashboards, payer reporting, and compliance support.

Medical billing services handle your entire revenue cycle: Claim Submission & Follow-Up, Coding & Documentation (CPT, HCPCS, ICD-10), Payment Posting, Accounts Receivable Recovery, Denial Management & Appeals, Patient Billing & Support, Reporting & Analytics, Payer-specific edit checks, NSA compliance, and latest (2026) CMS regulatory alignment.

Absolutely. We follow strict HIPAA compliance, maintain enterprise-grade security, and implement SOC 2 standards to ensure your patient data is fully protected. All data transmissions use encrypted EDI channels and secure PHI workflows.
Yes. Every Dastify client gets a real-time BI dashboard showing clean-claim rate, days in AR, denials by CARC/RARC code, payer mix, top denial reasons, and underpayment recovery — refreshed every 15 minutes.
Yes. Dastify Solutions provides specialty-specific billing services tailored to your practice. We support procedure-heavy, diagnostic, surgical, and encounter-based specialties with full payer-rule mapping across 75+ specialties.
10–14 days for most U.S. practices. The largest variable is payer credentialing status. Dastify runs a 7-day parallel period where your previous biller wraps open claims while we handle new ones there’s no revenue gap.
We submit through Availity, Change Healthcare, Waystar, Office Ally, and direct payer portals (Medicare DDE / Noridian / Palmetto and state Medicaid systems). Clearinghouse choice is part of every onboarding scope call.
Yes. Roughly 60% of our client base is solo practices and groups under 5 providers. Our flat-monthly plan starts at $999/mo for up to 250 claims, which covers most solo and small-group volumes.
Both, plus a flat-fee option. Percentage of collections (4–6%) is the most common for U.S. practices doing $25k+/mo. Per-claim ($3–$6 / clean claim) works for high-volume, low-dollar specialties. Flat monthly works for solo providers with predictable volume. Hybrid models are available.

Ready to Maximize Your Practice Revenue?

Inefficient Billing Costs Your Practice Revenue Every Day.

Schedule a consultation with our RCM architects. We’ll audit your current cycle and show you exactly where revenue is being left behind.

Ricky Bell

Anum Naveed,CHC

Last Updated

July 10, 2026