I’ll level with you. When I started researching this comparison, I expected a simple “Product A vs. Product B” analysis. Two billing companies, different features, pick the one that fits.
What I found was more complicated than that.
CareCloud is a publicly traded company (NASDAQ: CCLD) that’s been through a name change, a major acquisition, leadership shakeups, unpaid preferred stock dividends, and a pivot to AI — all while serving thousands of healthcare practices. Dastify Solutions is a privately held, AI-native billing company that’s been quietly racking up impressive denial reduction numbers and press coverage in Morningstar and Yahoo Finance.
These two companies look similar in their marketing. But when you dig into the financials, the technology, the contract terms, and — most importantly — what actual users are saying? The picture gets much more interesting. And probably much more useful for the practice manager trying to figure out who to trust with their revenue cycle.
The Billing Crisis That's Driving This Search
If you’re reading this, you already know claim denials are a growing problem. But the numbers are worth restating: denial rates reached 11.8% nationally in 2024 and keep climbing, with Medicare Advantage plans spiking nearly 5% in a single year [1]. Hospitals lost $25 billion to denials in 2025 [2]. And 62% of RCM leaders named denials and underpayments as their biggest challenge heading into 2026 [3]. Your billing partner isn’t a back-office decision anymore. It’s the difference between a practice that grows and one that slowly bleeds cash.
Who Are These Companies, Really?
CareCloud: A Company With Several Lives
The CareCloud story has more chapters than most people realize. The brand started in 2009, founded by Albert Santalo in Miami as a cloud-based practice management platform. It grew into a full-suite system — EHR, PM, RCM, patient engagement — and built a solid reputation among independent practices in South Florida and beyond [4].
Then came the acquisition.
In January 2020, MTBC — a company called Medical Transcription Billing Corp, headquartered in Somerset, New Jersey with major operations in Pakistan — acquired CareCloud for approximately $36-40.5 million. The deal included $17 million in cash and 760,000 shares of preferred stock [5]. A year later, in 2021, MTBC rebranded itself as CareCloud, Inc., adopting the name of the company it had just bought.
That’s a detail worth sitting with. The CareCloud you see today is not the same CareCloud that was founded in Miami in 2009. It’s MTBC wearing CareCloud’s brand. The leadership, operational structure, and support model changed significantly after the acquisition — and that shows up clearly in user reviews, which we’ll get to.
Fast-forward to 2026: CareCloud is publicly traded on NASDAQ (ticker: CCLD), has gone through another leadership change effective January 2026 (Stephen Snyder as the new CEO, with founder A. Hadi Chaudhry moving to Chief Strategy Officer), and is investing heavily in AI through what they call their “AI Center of Excellence” — a team they say will scale from 50 to 500 AI professionals [6].
Their financial picture is… nuanced. The company recently delivered its first quarter of positive GAAP earnings per share in its public history, which is a genuine milestone. But they also owe approximately $3.9 million in unpaid dividends on their preferred stock — 14 months of arrears that they’re repaying through a double-payment plan [7]. Revenue growth was projected at just 1.3% for 2025, and analysts have flagged negative operating earnings as a concern [7].
Dastify Solutions: The Billing Specialist
Dastify Solutions is a much simpler story to tell. Austin, Texas. Privately held. AI-powered medical billing and RCM — and that’s all they do. No EHR platform to manage, no stock price to worry about, no acquisition history to explain.
Their team: 500+ AAPC and AHIMA-certified coders. Their volume: 2+ million claims processed annually across 50+ specialties. Their numbers: a 98.5% clean-claim rate, denial rates below 1.2%, and A/R cycles of 30-35 days. New clients reportedly see a 45% reduction in denials within the first 90 days [8].
The company gained visibility in late 2025 when their Healthcare Billing Trends Report — projecting AI could reduce denials by 40% — was syndicated through PR Newswire, Morningstar, and Yahoo Finance [9]. BBB-accredited, clean complaint record, and transparent pricing with zero setup fees.
No ownership drama. No quarterly earnings calls. Just billing.
The Head-to-Head Comparison
Side-by-side performance data · March 2026
| Category | Dastify Solutions | CareCloud |
|---|---|---|
| Core Business | Full-service medical billing & RCM | Software platform (EHR, PM, billing tools) + outsourced RCM (Concierge service) |
| Founded | Newer entrant, AI-native | 2009 (as CareCloud); acquired by MTBC in 2020; MTBC rebranded to CareCloud in 2021 |
| Headquarters | Austin, Texas | Somerset, New Jersey (originally Miami, FL) |
| Ownership | Privately held | Publicly traded (NASDAQ: CCLD) |
| BBB Status | Accredited, clean record | Not BBB-accredited |
| Team | 500+ certified coders (billing-focused) | ~500 AI professionals planned; offshore support operations (Pakistan) |
| Claims Processed | 2+ million annually | Not publicly disclosed |
| Clean Claim Rate | 98.5% | Not publicly specified |
| Denial Rate | Below 1.2% | Not publicly specified |
| A/R Cycle | 30–35 days | Not publicly specified |
| Specialties | 50+ (expanding to 75+) | 50+ specialty templates |
| AI Focus | Predictive denial prevention, auto-scrubbing, compliance monitoring | cirrusAI (clinical documentation, ambient listening, appeals generation, chatbot) |
| Software Pricing | N/A (billing service, not software) | $349–$629/provider/month |
| RCM Billing Cost | % of collections (all-inclusive, zero setup fees) | 3%–7% of collections (Concierge); on top of software subscription |
| Contract Terms | Flexible, no long-term lock-in reported | Multi-year contracts reported (up to 4 years) |
| EHR Included | No (integrates with your existing EHR) | Yes — full EHR suite |
| Review Scores | 5.0 (limited volume); strong BBB feedback | 3.6/5 on Capterra (112 reviews); not BBB-accredited |
Notice something? CareCloud doesn’t publicly disclose their clean-claim rate, denial rate, or A/R cycle. For a company that offers outsourced RCM through their Concierge service, that’s a notable gap. When a billing company doesn’t publish performance metrics, the question is always: why not?
Dastify, by contrast, has published their metrics not just on their own website but through third-party news outlets — Morningstar, Yahoo Finance, PR Newswire. That’s a level of external verification that’s hard to manufacture.
Pricing: The Real Cost of Each Option
This is where a lot of practices get tripped up, because the sticker price and the actual cost are two very different things.
CareCloud's Layered Cost Structure
Software only: CareCloud Central (practice management + billing software) starts at $349/provider/month. CareCloud Complete (EHR + PM integrated) runs $629/provider/month [10]. For a three-provider practice on the full suite, you’re looking at roughly $1,887/month before anyone touches a claim.
Add the billing service: CareCloud’s Concierge outsourced RCM charges 3-7% of monthly collections — on top of the software subscription [10]. For a practice collecting $100,000/month, that’s another $3,000-$7,000.
So your real monthly cost? Somewhere between $4,887 and $8,887 for a three-provider practice using the full suite with outsourced billing. And that’s before you factor in any add-on costs for advanced features, AI tools, or data migration.
There’s also the contract question. Multiple reviewers mention multi-year agreements — one Capterra user described being locked into a 4-year contract [11]. That’s not a tryout. That’s a marriage. And based on some of the review data, the honeymoon doesn’t always last.
Dastify Solutions' Flat-Percentage Model
Dastify charges a percentage of collections that covers everything: billing, coding, denial management, A/R follow-up, clearinghouse fees, EDI costs, compliance monitoring, and real-time dashboards. No software subscription on top. No setup fees. No implementation charges [8].
Same $100,000/month practice? You pay your agreed percentage and that’s it. The math is simple. The risk is aligned — Dastify only makes more money when you make more money.
Cost Transparency Matters
When comparing pricing, don’t just look at rates. Ask: What’s included at that rate? What costs extra? What happens if I want to cancel? What data do I get to keep? CareCloud’s tiered model creates multiple potential add-on charges. Dastify’s all-inclusive model eliminates that complexity. Which structure works for you depends on how much pricing certainty you need.
AI Technology: Ambitious Plans vs. Proven Results
Both companies are investing in AI. But they’re at very different stages, and they’re aiming at different targets.
CareCloud's cirrusAI: Big Vision, Early Innings
CareCloud unveiled cirrusAI in October 2023 and has been building it out aggressively since. The suite includes ambient listening for clinical documentation (supporting 50+ specialties), AI-generated SOAP notes, a chatbot called Cirrus Chat for staff workflow assistance, and — notably — Cirrus Appeals, which generates customized appeal letters by analyzing patient claim details [12].
That last feature is genuinely interesting for billing. If Cirrus Appeals works as described, it could meaningfully speed up the denial appeals process. CareCloud’s Q4 2025 investor slides highlighted AI product launches and “cash flow surges,” and the company’s plan to scale their AI Center of Excellence from 50 to 500 professionals is ambitious [6].
Here’s the catch, though. CareCloud’s AI is largely clinical-facing — it helps providers document faster and gives staff workflow tools. The billing-specific AI (Cirrus Appeals) works after a denial has already happened. It’s reactive, not predictive. And the company hasn’t published performance metrics showing how their AI impacts clean-claim rates, denial rates, or A/R days. The claims about AI are forward-looking promises, not backward-looking results. From their own 2025 year-end review, they list “denial rate reductions” as a goal they’re building toward — not an outcome they’ve already achieved [6].
Dastify Solutions' AI: Built for Revenue, Measured by Revenue
Dastify’s AI doesn’t help you write SOAP notes or chat with your staff. It does one thing: protect your revenue cycle.
Predictive denial analytics flag at-risk claims before they’re submitted — not after a denial comes back 45 days later. The system learns from payer-specific behaviors, coding patterns, and real-time rule changes to identify which claims will likely be rejected [8].
Automated claims scrubbing reviews every claim for coding accuracy, NCCI edits, LCD compliance, and specialty-specific requirements. The result: a 98.5% clean-claim rate with denials staying below 1.2% [8].
Real-time compliance monitoring tracks CMS, HIPAA, and payer rule changes automatically. As Dastify’s Director Anum Naveed put it: “CMS, HIPAA, and payer updates shift constantly. Automated compliance is no longer optional” [9].
The difference? CareCloud is building AI they hope will improve billing outcomes in the future. Dastify has AI that’s already doing it, with published numbers to prove it. One is a roadmap. The other is a track record.
What Users Are Actually Experiencing
This section gets uncomfortable — but that’s exactly why it’s the most important part.
CareCloud Reviews: The Post-Acquisition Shift
CareCloud’s Capterra profile shows 112 reviews averaging 3.6 out of 5. The interesting part isn’t the average — it’s the timeline. Early reviews (pre-2020, when it was still the original CareCloud) tend to be more positive. Post-acquisition reviews — after MTBC took over — show a notable decline in satisfaction, particularly around customer service and technical stability [11].
Patterns in CareCloud Complaints
Customer service deterioration: Multiple users report that support quality declined significantly after the MTBC acquisition. A recurring complaint is that support is now handled offshore, with language barriers making problem resolution difficult: “Really poor customer service, they appear to contract their support in India, the people that answer the phone cannot speak English” [11].
Software stability: Users describe “constant crashes,” loading issues, and an “antiquated software platform that is very unstable.” One reviewer called it a “really rudimentary program” [11].
Data hostage situations: Perhaps the most concerning complaints involve data access after cancellation. One user reported that after deciding to switch EMRs, CareCloud provided flawed data that couldn’t be uploaded to a new system — and when they requested read-only access to correct the issues, “the company went silent and would not allow the access, denying the doctor to see the notes necessary for patient care” [11].
Data hostage situations: Perhaps the most concerning complaints involve data access after cancellation. One user reported that after deciding to switch EMRs, CareCloud provided flawed data that couldn’t be uploaded to a new system — and when they requested read-only access to correct the issues, “the company went silent and would not allow the access, denying the doctor to see the notes necessary for patient care” [11].
BBB status: CareCloud Corporation is not BBB-accredited [13].
Let me be fair: not every CareCloud experience is negative. Some users praise the Concierge service and note that having a dedicated case manager helps resolve issues. The platform’s interface gets good marks for being intuitive when it’s working properly. And the AI investment signals a company trying to modernize [11].
But the data access complaints are genuinely alarming. A billing company or EHR vendor that makes it difficult to leave — especially by restricting access to patient data — crosses a line that goes beyond business practices and into patient care territory. If you can’t access your own patient notes, that’s not just a vendor dispute. That’s a clinical safety issue.
Dastify Solutions Reviews: Thin but Clean
Dastify has fewer reviews. That’s the trade-off of being newer. What they have is uniformly positive. BBB reviewers call the team “incredibly efficient, knowledgeable, and responsive” [14]. No complaints about data access, contract disputes, or hidden fees.
Their BBB accreditation is active and clean. Their performance data has been published through external channels (PR Newswire, Morningstar, Yahoo Finance), providing third-party validation that CareCloud’s metrics — notably absent from public reporting — don’t offer [9].
I’ll say the same thing I’ve said in every comparison: a 5.0 from a handful of reviews tells you less than a 3.6 from over a hundred. But when those hundred reviews include stories about being locked out of patient records and trapped in 4-year contracts, the smaller but cleaner dataset starts looking pretty good.
The Financial Stability Question
This is something most comparison articles skip entirely. I think it matters a lot.
CareCloud is publicly traded, which means their financials are visible. And what they show is a company that’s been fighting for profitability. They only recently posted their first quarter of positive GAAP EPS in their entire public history. Revenue growth was projected at just 1.3% for 2025. They owe $3.9 million in unpaid preferred stock dividends — 14 months of arrears. And analysts have flagged “negative operating earnings” as a risk to sustainable growth [7].
None of this means CareCloud is going under. They’re a publicly traded company with real revenue and a new AI strategy. But it does mean they’re under financial pressure to cut costs, increase margins, and show growth to investors. That pressure sometimes trickles down to customers in the form of reduced support quality, increased pricing, or stricter contract enforcement.
Dastify is private, so their financials aren’t public. That cuts both ways — you can’t verify their balance sheet, but they also don’t face quarterly earnings pressure that might prioritize investor returns over customer service. Their business model (percentage of collections) means their revenue grows when their clients’ revenue grows. That alignment is simple and hard to fake.
The Operational Model Difference
Something that doesn’t show up in feature comparison charts but matters day to day.
CareCloud’s model: You buy their software platform (EHR + PM), and then optionally add their Concierge RCM service. The Concierge team handles billing, but they’re working within CareCloud’s software ecosystem. If you want to leave the software but keep the billing service (or vice versa), you may not have that option cleanly. The system is designed as a bundle. Some users report that separating components — or transitioning data out of the platform — is where things get painful [11].
Dastify’s model: They integrate with whatever EHR or PM system you already use. You don’t change your software. You don’t migrate your data. Dastify plugs into your existing workflow and handles the billing side. If you decide to stop using them, your EHR and patient data stay exactly where they’ve always been — with you [8].
That difference in exit risk is significant. With CareCloud, leaving potentially means migrating your entire EHR — a process that multiple reviewers describe as somewhere between “difficult” and “they won’t let me access my data.” With Dastify, leaving means switching billing companies. Your clinical data is untouched.
The Verdict: Two Very Different Risk Profiles
Choose Dastify Solutions if:
- You want fully outsourced billing with AI-powered denial prevention — not software to manage billing yourself
- Transparent, all-inclusive pricing with no setup fees and no multi-year lock-in matters to you
- You already have an EHR and don't want to switch platforms
- Published, third-party-verified performance metrics (98.5% clean claims, sub-1.2% denials) are important to your decision
- You want low exit risk — if things don't work out, your clinical data stays with you
- BBB accreditation and a clean complaint record factor into your vendor evaluation
- Your biggest problem is revenue leakage through denials and slow reimbursements
Choose CareCloud if:
- You need a complete practice management platform — EHR, PM, billing software, patient engagement — in one ecosystem
- AI-powered clinical documentation (ambient listening, SOAP note generation) is a top priority
- You want the Concierge model where a dedicated team manages billing within the same platform you use clinically
- You're comfortable with multi-year contracts and tiered pricing
- The promise of CareCloud's expanding AI Center of Excellence aligns with your long-term technology strategy
- You value a public company's regulatory transparency (SEC filings, quarterly reports)
Proceed carefully with CareCloud if:
- Contract flexibility matters — multiple users report being locked into agreements as long as 4 years
- You need responsive, U.S.-based customer support (reviewers consistently flag offshore support challenges)
- Data portability is a priority — complaints about restricted data access during transitions are concerning
- Software stability is non-negotiable for your clinical workflow
- You're uneasy about the company's financial pressures (preferred stock arrears, slow revenue growth, negative operating earnings)
My Honest Assessment
CareCloud is a company with big ambitions and real challenges. Their AI roadmap — cirrusAI, the Center of Excellence, ambient listening, appeals automation — is legitimately exciting on paper. If they execute on even half of what they’re planning, they could become a much stronger platform by 2027-2028.
But “could become” isn’t “is right now.” And the complaints about support quality, software stability, contract rigidity, and data access issues after the MTBC acquisition aren’t hypothetical — they’re documented across Capterra, Sitejabber, and the BBB. When a company isn’t BBB-accredited and users report being unable to access their own patient records, those are flags that deserve your attention.
Dastify Solutions doesn’t try to be everything. They don’t sell you EHR software or patient engagement tools or ambient AI scribes. They take your billing, run it through AI that’s specifically designed to prevent revenue loss, and get you paid more, faster. Their metrics are public, externally verified, and consistently strong. Their pricing is transparent. Their contract terms don’t trap you. And if you leave, your clinical data isn’t going anywhere.
If your practice needs a full technology ecosystem and is willing to bet on CareCloud’s AI future despite its recent history, that’s a defensible choice — just go in with open eyes and a carefully reviewed contract. If your practice needs better billing outcomes right now, with minimal risk and maximum transparency, Dastify is the cleaner bet.
As always, my best advice: call both. Ask CareCloud for their current clean-claim rate, average A/R days, and contract cancellation terms. Ask Dastify for references from practices in your specialty. The conversation will tell you more than any article.
Sources:
- Aptarro (2026). “50+ US Healthcare Denial Rates & Reimbursement Statistics for 2026.” aptarro.com
- OS Inc. Healthcare (2025). “Denial Rates Are Climbing: What Healthcare Revenue Cycle Leaders Should Be Watching in 2025.” os-healthcare.com
- Fierce Healthcare (2026). “RCM leaders cite payer behaviors, claims denials as major risks in 2026.” fiercehealthcare.com
- Wikipedia (2026). “CareCloud.” wikipedia.org
- GlobeNewswire (2020). “MTBC Announces Acquisition of CareCloud, Closes its Largest Transaction to Date.” globenewswire.com; Also: Becker’s Hospital Review, “MTBC acquires CareCloud for $36 million.”
- CareCloud (2025). “CareCloud Year-End Review For 2025.” carecloud.com; Also: Investing.com, “CareCloud Q4 2025 slides: cash flow surges, AI products launch.”
- CareCloud Investor Relations (2026). ir.carecloud.com; Also: Stock Analysis, “CareCloud (CCLD) Stock Price & Overview.”
- Dastify Solutions (2026). Company homepage and service pages. dastifysolutions.com
- Dastify Solutions via PR Newswire (2025). “AI Expected to Reduce Denials 40% in 2025, Says Dastify Solutions Report.” Syndicated by Morningstar and Yahoo Finance.
- Business.com (2026). “CareCloud Medical Billing Review and Pricing in 2026.” business.com; Also: Jotform, “CareCloud in 2026: Pricing, features, and alternatives.”
- Capterra (2026). “CareCloud Reviews 2026 — Verified Reviews, Pros & Cons.” capterra.com
- CareCloud (2026). “AI-Powered Clinical Documentation Software — CareCloud cirrusAI.” carecloud.com/cirrusai; Also: GlobeNewswire (2023), “CareCloud Unveils CirrusAI.”
- Better Business Bureau (2026). “CareCloud Corporation — Business Profile.” bbb.org
- Better Business Bureau (2026). “Dastify Solutions, LLC — Business Profile.” bbb.org
- GlobeNewswire (2025). “CareCloud Named ‘Top Healthcare IT Pick for 2025’ by Maxim Group.” globenewswire.com