Is your practice overwhelmed by front-desk work and billing challenges? Handling billing internally can be tedious, complicated, and expensive. Claim issues and billing errors can cost your practice thousands of dollars per month.
Our AI-driven physician billing solutions simplify claim processing, minimize denials, and accelerate reimbursements without increasing your administrative workload.
— Key Performance Indicators
— Billing Workflow
Outsource your physician billing to experienced professionals to reduce denials, improve collections, and stay 100% HIPAA compliant.
Physician practices that outsource physician billing services to a dedicated RCM team see an average reduction in denial rates from 8-14% to under 4% within the first 90 days.
— Challenges
Most U.S. healthcare organizations lose revenue due to:
— The Result
Our AR specialists track unresolved claims, resubmit denials with complete documentation, and follow up using payer-specific escalation protocols, reducing the 120+ day AR bucket by up to 35% in the first quarter.
— The Result
Cost Savings
Avoid hiring, onboarding, and managing billing staff while still maintaining HIPAA and PCI compliance. With our physician billing services, you get expert-driven billing without the costs of building an in-house team. You save up to 50% in overhead expenses while gaining access to certified professionals, reliable reporting, and faster reimbursement cycles.
— Cost Comparison
A full-time medical biller costs $45,000 to $60,000 annually in salary plus benefits, training, and overhead, before accounting for the revenue impact of errors. In-house billing teams at physician practices without dedicated coding specialists produce average first-pass clean claim rates of 78-82% and denial rates of 8-14%.
When you outsource physician billing services to a dedicated team with certified coders, AI claim scrubbing, denial management, AR follow-up, and real-time reporting, the total cost on a percentage-of-collections model typically runs lower than a single billing staff salary. For a practice collecting $80,000 monthly, an 8% outsourcing fee comes to $6,400 against a single biller’s fully-loaded monthly cost of $6,500 to $7,500, and delivers better performance at equivalent or lower cost.
The difference is not just the number. It is what you get for it.
— Revenue Leakage
Here is what we see most often when physician practices come to us, and what we do about each one.
| The Problem | What We Do About It |
|---|---|
| Claims stuck in 90+ day AR draining cash flow | Our AR specialists follow up on every unresolved claim using payer-specific escalation protocols, pulling accounts out of the 90+ day bucket within the first quarter |
| Denials from LCD and NCD mismatches that should never have happened | We cross-reference every diagnosis code against payer LCD and NCD policies before submission so coverage mismatches get caught before the claim goes out |
| Under-coded E/M visits quietly costing thousands each month | Our certified coders review every encounter against 2021 CMS MDM criteria and assign the highest-validity level the documentation supports |
| Prior authorization backlog leaving your team no time for patient care | We manage prior authorization submission and follow-up for every payer in your mix so your front desk handles patients, not hold music |
| PECOS deactivation interrupting Medicare payments without warning | We monitor provider enrollment status across all payers and flag credentialing gaps before they affect your reimbursements |
— E/M Optimization
Under-coded E/M visits are the single most common source of physician revenue leakage, and most practices do not know it is happening.
— Telehealth Billing
Under California’s telehealth parity law and similar statutes in 40+ states, commercial payers must reimburse telehealth at in-person rates for equivalent services. But billing without the correct modifier and POS code prevents parity law enforcement and leaves money on the table on every affected claim. We configure telehealth billing workflows for physician practices, applying the correct POS and modifier combination for each payer and verifying state telehealth parity compliance for commercial payer claims.
— Denial Resolution
Physician billing denial patterns are different from facility billing. These are the codes we see most often and exactly how we handle each one.
We validate every CPT and modifier pair against NCCI edit tables before submission so modifier errors never reach the payer.
We cross-reference ICD-10 diagnosis codes against payer LCD policies before billing specialist services. If the diagnosis does not support the procedure under that payer's policy, we flag it before the claim goes out.
We identify NCCI bundling pairs and apply modifier 59 or the appropriate X-modifier when procedures are genuinely distinct and separately payable.
We ensure the E/M documentation demonstrates a significant, separately identifiable service beyond the procedure itself before the claim is submitted.
Our 72-hour submission SLA with automated filing deadline monitoring eliminates timely filing denials on current claims entirely.
— Multi-Specialty
Every medical specialty comes with its own distinct billing complexities and operational hurdles. Whether it’s orthopedic surgery billing, cardiology RCM, or behavioral health physician billing, our team applies specialty-specific knowledge, coding expertise, and payer strategy to maximize reimbursement and minimize denials.
— Free Audit
— Advanced Solutions
From front-end operations to back-end collections, we align every part of the physician billing cycle with your financial goals.
We help providers achieve MIPS scores of 75 or higher by accurately reporting Quality, Interoperability, Improvement Activities, and Cost measures. This qualifies them for up to a 9% bonus and helps avoid penalties under CMS's Quality Payment Program.
Our RPA solutions automate rule-based tasks, such as eligibility verification, claim status checks (EDI 276/277), and charge entry validation. This thereby reduces manual errors and accelerates revenue cycle throughput.
We deploy HIPAA-compliant AI medical scribe tools that extract and structure clinical data in real time from provider-patient encounters. This reduces documentation time and improves EHR accuracy across SOAP notes and CPT coding.
We handle NPI registration, maintain CAQH profiles, submit payer applications, and track recredentialing to ensure providers remain enrolled and payment delays from enrollment gaps never happen.
Choose Your Plan
Transparent Pricing with no hidden Cost
Starter
For Solo & Small Practices
of collections
Most Popular
Growth
For Group Practices & Clinics
of collections
Enterprise
Hospitals & Large Systems
Volume-based pricing
— Proven Expertise in
50+ EHR/EMR/PMS
— Why Dastify
Dastify Solutions is your trusted outsourced physician billing company in the USA. To optimize your revenue cycle, we conduct RVU productivity benchmarking and deliver clear, actionable insights into your practice. Here’s why practices across the United States choose us for physician revenue cycle management:
Worried about switching billing services? Dastify Solutions makes the process efficient and straightforward. There's no downtime, no complicated retraining, and no hidden costs. You will be up and running quickly, with visible results from the very first day.
Track critical revenue cycle management KPIs such as Clean Claim Rate (CCR), Days in Accounts Receivable (A/R), Net Collection Rate (NCR), and Denial Rate to drive continuous process improvement and maximize financial performance.
We understand how major payers, including Medicare, Medicaid, Aetna, UnitedHealthcare, Blue Cross Blue Shield, Cigna, Anthem, and Humana, operate in each state. Our team adheres to payer-specific rules, fee schedules, and documentation requirements to minimize denials and enhance claim approval rates nationwide.
Our physician billing services adhere to all key healthcare billing laws, including HIPAA, CMS guidelines, the No Surprises Act, the Affordable Care Act, and state Medicaid regulations.
Whether you're expanding your provider team or opening new clinic locations, our billing system adapts to your growth. We can handle more claims, more specialties, and more complex workflows without causing delays or system changes.
Our team is available 24/7 to resolve denials, track claims, and answer questions from providers or patients. This ensures that your billing process continues uninterrupted, even outside regular business hours.
— Discover how physician groups thrive with us
1:45
CEO - Vital Behavioral Care LLC
2:19
President - Orthopedics & Shoe Services
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CEO - Sweet Serenity BH
— Our Satisfied Clients
Dastify Solutions has been a huge help with all of our surgical prior authorizations. They are reliable, efficient, and make the process so much easier. We can always count on them, which allows us to focus on providing the best care for our patients. Highly recommend!
H Harlee Mallin
Very happy with Dastify’s services for our practice. We highly recommend them! They are very thorough and professional.
C Chelsey Murrel
The real-time reporting dashboard gives me complete visibility into our revenue cycle — something I never had before. Our clean claim rate is now above 97%, and I finally feel confident that nothing is slipping through the cracks.
C Linda H.
— Here's What Most Practices Ask
Choosing the correct physician medical billing services partner will help you get timely claim filing, coding, rejection‐resolution workflow, and denial overturn strategies. When selecting a physician billing company, consider the following:
Outsourcing physician billing services to a dedicated RCM team reduces denial rates, accelerates reimbursements, and eliminates the overhead cost of maintaining an in-house billing department. Certified coders improve first-pass clean claim rates from the industry in-house average of 78-82% to 95%+. Dedicated AR follow-up reduces days in AR and pulls accounts out of the 90+ day bucket faster than in-house staff managing billing alongside other responsibilities. And because outsourced physician billing is priced on a percentage-of-collections model, your vendor only earns when you collect.
We provide physician billing services across all 50 states, with specialty-specific RCM expertise across California, Texas, Florida, New York, and every other state-specific Medicaid and commercial payer environment. Our team understands payer rules, fee schedules, and documentation requirements by state so your claims are handled correctly regardless of where your practice operates.
Yes, we offer a secure patient portal where patients can view bills, make payments, access records, and message your staff. This helps improve communication and speeds up payments.
Our system automatically flags denied claims and categorizes them by denial code. Certified billing experts then conduct a root-cause analysis to identify issues such as coding mismatches, eligibility gaps, or missing documentation. We correct and resubmit claims within payer timelines and manage appeals when needed.
With certified coders, integrated technology, and focused A/R follow-up, we help physician practices save time, cut overhead by up to 50%, and accelerate reimbursements. Book a free consultation today and discover how smarter billing can benefit your practice.
