HIPAA Privacy Rule
Every claim containing patient PHI follows HIPAA’s Privacy and Security Rules for data handling and transmission.
Medical Coding Services for Accuracy & Faster Claims
Dastify Solutions provides specialty-aligned medical coding across 50+ specialties. Our certified coders combine expert review, AI-assisted validation, and NCCI checks to improve coding accuracy and catch errors before submission.
ICD-10, CPT & HCPCS coding
Multi-payer workflows
Pre-submission error detection
Audit-ready documentation
Faster claims, fewer denials
Our Revenue Cycle Management Workflow
- 1
Clinical Documentation Audit
We review patient charts and encounter notes for completeness and compliance prior to code assignment.
- 2
ICD-10, CPT and HCPCS Code Assignment
Our certified coders apply accurate, payer-aligned codes using AI-assisted validation for consistency across specialties and payer requirements.
- 3
Automated Claim Scrubbing
We run claims through payer policies, NCCI edits, and compliance checks before submission to ensure errors are identified and resolved before reaching the payer.
- 4
Denial Edit Resolution and Resubmission
Our team addresses coding discrepancies efficiently and resubmits claims through clearinghouses with corrected documentation attached.
- 5
Coding Analytics and Performance Reporting
We deliver customized dashboards to track denial rates, collection ratios, financial performance and coding productivity metrics.
Coding Accuracy: From Documentation to Compliance
Modifier Accuracy and NCCI Compliance
We check modifier use against NCCI edits and payer rules before submission, helping reduce denials, support proper Modifier 25 and 59 documentation, and lower audit risk.
Clinical Documentation Improvement (CDI)
We find unclear diagnoses, missing specificity, and unsupported severity details before coding, then prepare compliant physician queries without suggesting codes.
Retrospective Coding Audits
We review historical claims to identify undercoding, overcoding, modifier errors, and diagnosis gaps, then report the financial impact of each issue.
Specialty Coding Complexity We Manage
Not every coding error looks the same. Each specialty has rules that generalist coders often misapply in high-volume environments. Our teams are assigned by specialty, not mixed-queue, so your orthopedic claims are not coded by someone who spent the morning on behavioral health.
Here are examples of the specialty-level coding complexity we handle:
Orthopedics: Global surgical period modifier management (58, 78, 79) and per-level spinal add-on code stacking
Oncology: Chemotherapy administration hierarchy (96413, 96415, 96417) and J-code drug wastage documentation
Behavioral Health: Time-based psychotherapy code selection (90832, 90834, 90837) and same-day E/M add-on pairing
These examples represent just a fraction of the 50+ specialties we code for nationwide. Each specialty has distinct documentation standards, modifier rules, bundling edits, and reimbursement logic. Our workflows are configured to align with each specialty's coding and payer requirements.
We Help You Stay Fully Compliant
Our medical coding services are built around strict compliance with U.S. healthcare regulatory standards. We protect patient information, follow national standards and keep our staff trained on the latest requirements.
MACRA
Accurate procedure and diagnosis coding directly supports your MACRA reporting requirements by ensuring the services being measured are correctly captured.
MIPS
Accurate diagnosis coding directly affects your MIPS quality measure performance. Conditions coded at insufficient specificity generate incorrect denominator inclusions that skew quality scores.
MSSP
For ACO participants, diagnosis coding accuracy determines attributed beneficiary risk scores that affect shared savings calculations.
CPC+ and QPP
Correct coding ensures your practice’s quality data reflects actual clinical performance rather than documentation gaps that understate complexity.
Continuous Training
Our team receives continuous training on updates in HIPAA and GDPR, CMS Fraud Waste and Abuse (FWA) policies, and social engineering and data security best practices.
Key Performance Metrics We Improve
Managing Overlook for Coding (OFC)
We monitor coding productivity and error patterns in real time through OFC, identifying systematic coding gaps before they translate into denial trends.
Calculating Risk Adjustment Factor (RAF) Score
We ensure HCC-mapped ICD-10 coding reflects documented chronic condition severity, protecting Medicare Advantage risk-adjusted reimbursement.
Improving Discharged Not Final Billed (DNFB) Rate
We reduce DNFB by identifying and resolving documentation holds quickly so claims move to billing within target turnaround times.
Managing Discharged Not Finally Coded (DNFC) Cases
We track DNFC days by coder and case type, using OFC-driven turnaround targets to prevent coding backlogs from building into AR delays.
Optimizing Diagnosis-Related Group (DRG)
We apply ICD-10-CM/PCS and MS-DRG rules to ensure the assigned DRG reflects the full complexity of the inpatient encounter, preventing underpayment on high-acuity cases.
Increasing Case Mix Index (CMI)
Correct DRG assignment and complete comorbidity capture improve CMI accuracy, directly influencing reimbursement rates from Medicare and commercial payers.
Specialized Medical Billing and Coding Solutions for Every Specialty
We deliver medical billing and coding services for 50+ specialties across multiple states — dedicated, specialty-trained coding teams aligned to each clinical area.
Frequently Asked Questions
How do you handle ICD-10 updates that affect risk adjustment scores?
This type of audit is a systematic review of claims, coding, and documentation to ensure accuracy, compliance, and revenue integrity. It helps providers detect billing errors and comply with CMS, HIPAA, and OIG guidelines.
Can you help with audits from payers or CMS related to coding?
The best medical billing audit company should offer billing and coding audit services, certified professional coders (AAPC), HIPAA-compliant auditing, and proven results in reducing claim denials. Look for a third-party partner with experience in both physician billing audits and hospital billing audit solutions.
How is pricing for your medical coding services structured?
Billing audits identify root causes of denials, such as coding errors, missing documentation, or payer-specific compliance gaps. A medical claims audit improves chart-to-claim accuracy, strengthens coding compliance review, and increases first-pass acceptance rates, directly reducing costly claim denials.
What does the onboarding process look like for new clients?
Onboarding is designed to be quick and smooth. Once you sign up, we set up secure access to your EHR and PM system, assign a certified coding team and run test claims to ensure accuracy. Training and communication channels are established upfront so your staff has clear points of contact and defined workflows. Most practices are fully onboarded within one to two weeks.
Reliable Medical Billing and Coding Services Across Multiple States
No matter your practice size or location, accuracy is guaranteed. Partner with a medical coding company that builds workflows around your specialty’s rules, not a one-size-fits-all approach that overlooks critical coding and reimbursement details.