Payroll beyond the salary
Benefits, payroll taxes, continuing education and certification renewals all come on top of each biller's wage.
Outsourced Medical Billing Services That Run Inside Your Current EHR
When you outsource medical billing to Dastify Solutions, an experienced billing team takes over claims, denials, payment posting and A/R follow-up. Your providers keep their workflow and your practice keeps full visibility into every dollar.
Includes a free billing audit of your claims and A/R before you commit.
Your free billing audit covers
Where your A/R is aging, broken down by payer and age bucket
Your most frequent denial reasons and where they come from
Front-end eligibility and authorization gaps
Claims rejected before they reach the payer
A 30-day plan with prioritized fixes
What in-house billing really costs your practice
Payroll is only part of what an in-house billing department costs. Most of the expense stays hidden until claims start aging or a key biller resigns.
Before choosing a billing model, add up the full cost of the work: staff time, software, training, and the revenue lost to claims nobody had time to work. Our medical billing ROI calculator lets you put your own numbers side by side.
Coverage gaps
Vacations, sick days and resignations can leave claims unsent and denials unworked for weeks.
Constant payer rule changes
Commercial, Medicare and Medicaid policies change during the year, and keeping up takes time away from working claims.
Denials that never get appealed
Small teams fix the urgent work first, so lower-dollar denials often pass their appeal deadlines.
Aging A/R
Claims older than 90 days get harder to collect, and they pile up quietly when follow-up falls behind.
Tools and overhead
Clearinghouse fees, scrubber software, workstations and office space add to the true cost.
Everything covered when practices outsource medical billing to Dastify Solutions
Each engagement is scoped in writing before work begins. A full outsourced RCM engagement typically covers the services below, and each one links to its own detailed page.
Eligibility & benefits checks
We confirm coverage, patient responsibility and authorization requirements before the visit or before the claim goes out.
Coding review
Experienced coders check ICD-10-CM, CPT, HCPCS and modifier use against the documentation and payer policy. Any changes go back to the provider for approval.
Charge entry
Encounters are entered accurately and on time, with fee schedules and payer details mapped during setup.
Claim scrubbing & submission
Claims are checked against clearinghouse and payer edits before electronic submission. Rejections are corrected and resubmitted quickly.
Payment posting
ERAs and EOBs are posted and reconciled against your deposits. Adjustment codes are reviewed so underpayments get flagged and followed up.
Denial management & appeals
We correct or appeal each denial within the payer's deadline, then fix the upstream cause so the same denial stops repeating.
A/R follow-up & recovery
Open claims are worked by payer and age, starting with the balances most likely to be paid.
Credentialing & enrollment
We prepare and track provider enrollment with payers so new clinicians can bill without delays. Credentialing is included in the Growth plan.
Reporting you can act on
Each month you get collections, A/R aging by payer, denial patterns and clean-claim rate, with notes on what changed.
Prior authorization is quoted separately (prior authorization services). Our end-to-end workflow is explained on the RCM process page.
How the switch to outsourced billing works
We plan the handoff so cash flow keeps moving while responsibility moves to our team. The days shown are our usual plan. Your actual dates depend on how fast system access is granted, your providers' enrollment status, and how quickly your previous biller hands over open work.
Already have unpaid claims with another vendor? We agree in writing who owns new claims and who owns existing balances. Older A/R can be added through A/R recovery.
- 01
Day 0: Agreement, BAA and kickoff
We confirm the scope, sign the Business Associate Agreement and name your onboarding lead.
- 02
Days 1–3: System access and setup
We connect to your EHR or PM system with the access you approve, then map your payer mix and load your fee schedules.
- 03
Days 4–6: Enrollment check
We review each provider's payer enrollment and file anything missing before it can hold up payment.
- 04
Day 7: Test claims
A first batch of claims goes out, and payer responses are checked before full volume starts.
- 05
Days 8–14: Full claim volume
All new claims move to our team, denial workflows go live, and the first remittances are posted.
- 06
Day 30: First KPI review
We go through clean-claim rate, A/R aging and denial trends with you and agree on the next priorities.
In‑house vs. outsourced medical billing
Neither model suits every practice. Use this comparison to judge the same scope of work both ways, then check your own figures in the ROI calculator.
| Factor | In-house billing team | Outsourced to Dastify Solutions |
|---|---|---|
| How you pay | Salaries, benefits, training, software, clearinghouse and space | A percentage of collections for the agreed scope |
| Staffing coverage | Leave and turnover can stall billing | A team covers your account, so work continues through absences |
| Expertise | Depends on one or two people | Experienced coders plus billers who know your specialty |
| Payer policy changes | Tracked by your staff alongside daily work | Tracked by the billing team and built into claim edits |
| Denials | Worked when time allows | Worked against filing deadlines, with root-cause tracking |
| Aging A/R | Often pushed aside by new claims | Worked by payer and age bucket on a schedule |
| Reporting | Built manually, if at all | Monthly KPI reports with commentary |
| Control | Direct day-to-day control | You keep your EHR, payer contracts and data, and see the work through reports |
| Usually the better fit when | An experienced team has spare capacity and steady results | Staffing is thin, backlogs are growing, or you are adding providers, locations or specialties |
Outsourced to Dastify SolutionsWant a deeper look first? Read when outsourcing pays off for a small practice and our guide to medical billing costs.
Medical billing outsourcing for practices of every size
Solo practices
For a single provider who wants billing handled without hiring staff.
Small practices
For practices where one billing gap affects cash flow every month.
Group practices
For groups that need consistent billing across providers, locations and taxonomies.
Hospitals & health systems
For high-volume institutional billing, including UB-04 claims.
Specialties We Support With Outsourced Billing
States We Cover
Dastify Solutions provides outsourced medical billing support across all 50 U.S. states, tailored to payer rules, Medicaid requirements, prior authorizations, and specialty-specific needs.
Results from a published client engagement
A 31-provider infectious disease practice in Illinois moved its billing to Dastify Solutions. The figures below are from our published case study and cover February to April 2026.
These are one practice's results. Your outcomes will depend on your specialty, payer mix, documentation and starting point.
- 16% → 10%
- Denial rate over the case-study period
- 88% → 98%
- Clean-claim rate
What Our Clients Are Saying
Leaders from Huntsman Spinal Clinic, Brand Orthopedics and Shoe Services, Sweet Serenity BH and Dependable Integrative Psychiatry describe their experience.
HIPAA compliance and data security
Billing gives a vendor access to protected health information. These are the safeguards we commit to before access is granted.
Full details are on our security and compliance page.
A Business Associate Agreement is signed before kickoff, always.
Data is encrypted at rest (AES-256) and in transit (TLS 1.3).
Access is role-based and limited to the minimum each task needs.
Staff are checked against the OIG exclusion list every month.
An independent penetration test is run every year, and access is reviewed internally.
A documented incident-response process follows HIPAA breach-notification rules.
Clear pricing for outsourced billing
Outsourced billing is usually priced as a percentage of the collections we bring in, based on your specialty, volume and scope. Your proposal shows exactly how the fee is calculated and lists anything priced separately.
- Fee tied to collections, so it moves with your revenue
- Scope and exclusions set out in writing
- Separately quoted services named up front
Questions about outsourcing medical billing
What will outsourcing our medical billing cost?
Most practices pay a percentage of the collections the billing team brings in. Your rate depends on specialty, claim volume and which services are in scope. We send a written proposal that shows how the fee is calculated and lists any separately priced work. See pricing for current rates.
Is outsourcing medical billing better than keeping it in-house?
It depends on your team. If billing staff are stretched, turnover is frequent or denials and aging A/R keep growing, outsourcing often makes sense. If an experienced in-house team has the capacity and the numbers look healthy, keeping billing in-house can be the right call. Compare the full cost of both options for the same scope of work, starting with the ROI calculator.
Do we have to switch EHR or practice management software?
No routine change is required. Our billers work inside your current system with access you approve, and we confirm compatibility during onboarding.
How long does it take to switch to an outsourced medical billing company?
The plan runs from a signed BAA and kickoff, through system access and payer setup, to test claims and then full claim volume. Timing depends mainly on how quickly system access is granted, provider enrollment status, and how quickly your previous biller hands over open work.
What happens to our existing unpaid claims and aging A/R?
During onboarding we agree in writing who works new claims and who works balances that are already outstanding. Older A/R can be added through A/R recovery services. What can be recovered depends on filing limits, documentation and payer decisions.
How is patient information protected when billing is outsourced?
A Business Associate Agreement is signed before any work starts. Access to PHI is role-based and limited to what the job requires. Your practice should review the BAA and access arrangements before granting system access.
Will we still be able to see what is happening with our revenue?
Yes. You keep ownership of your EHR, payer contracts and data, and each month you get a report covering collections, A/R aging by payer, denial patterns and clean-claim rate.
Which tasks stay with our practice after we outsource?
Your providers continue to document care and sign their notes, and clinical decisions remain yours. Front-desk and other responsibilities are written into the scope before work begins. Prior authorization is quoted as a separate service.
See what outsourcing would change for your practice
Book a 15-minute call. We will look at your claims and A/R, show you where revenue is getting stuck, and give you a clear recommendation, whether or not you choose to outsource.