Struggling with slow payments? Our medical billing services for small practices shorten reimbursement cycles, improve first-pass claim rates, and give you real transparency into your revenue. Our workflows are aligned with CMS, Medicare Part B, Medicaid, and major commercial payer policies such as BCBS, Aetna, Cigna, and UnitedHealthcare to ensure cleaner claims and fewer denials.
We align our billing KPIs with your financial objectives to ensure clean claims, improved patient care, and a faster revenue turnaround. Our reporting includes payer-specific denial trends such as CO-16 (missing information), CO-50 (non-covered services), and PR-49 (payer eligibility issues), enabling faster resolution.
We understand the exact issues draining your revenue because these are the same problems we fix for providers across the U.S.
Dealing with complicated billing systems, payer rules, and compliance requirements? We understand how quickly this can become an administrative burden, especially when you are trying to focus on patient care.
That’s why we have built our revenue cycle management solutions to align with the specific needs of your practice.
Outsource your medical billing operations to AAPC-certified specialists. This eliminates the cost and complexity of hiring, training, and managing in-house billing staff. Our teams are fully trained in Tebra, Athena, Office Ally, AdvancedMD, DrChrono, and NextGen.
The challenges outlined below reflect the ongoing struggles faced by independent providers. A 2024 hearing by the U.S. House Ways and Means Committee highlighted key issues, including staffing shortages, rising operational burdens, and inadequate reimbursements, that threaten the viability of private practices.
Our medical billing services for small practices are specifically designed to address these concerns based on market research and direct insight from healthcare professionals.
Your Challenge
Limited Administrative & Billing Staff
Small practices typically operate with minimal administrative infrastructure. In many cases, clinical and front-office responsibilities overlap, leaving limited capacity for dedicated billing functions. This fragmented approach often results in coding inaccuracies, delayed claim submissions, and lost revenue.
High Claim Denial Rates
Many small clinics lack the time or expertise to stay updated on payer-specific edits, CPT coding updates, or authorization rules. As a result, claims get denied for incorrect modifiers, diagnosis mismatches, or missing documentation.
Delayed Reimbursements from Payers
When claims are submitted late or without proper documentation, payers delay payments or request medical records. Small practices often lack the bandwidth to follow up aggressively or resolve rejections quickly.
Limited Visibility into Billing Performance
Many small practices operate without access to robust billing analytics or reporting tools. Without clear insights into AR trends, denial reasons, or revenue leakage, they can’t optimize financial performance.
Our Solution
Virtual Billing Department Support
By outsourcing medical billing services, your practice avoids the costs of hiring and training in-house staff and purchasing practice management software. You also skip ongoing system upgrades, while ensuring accurate claims, faster reimbursements, and more time for patient care. Our virtual billing team acts as an extension of your staff, with built-in compliance against HIPAA, HITECH, and CMS policies.
Claim Scrubbing & Accurate Coding
We perform pre-submission claim scrubbing, apply the correct CPT, ICD, and HCPCS codes, and run every claim through custom rule engines that align with payer guidelines. This cuts denial rates by up to 30–40%. All claims are validated through clearinghouse edits, NCCI bundling rules, and LCD/NCD coverage criteria.
Faster Submission & Payer Follow-Up
We submit claims within 24–48 hours and follow up based on the aging of claims and payer trends. This helps reduce Days in AR by up to 35%, so you get paid faster and keep your revenue steady. Our automated AR workflow prioritizes high-value claims, Medicare resubmissions, and Medicaid-specific documentation requirements.
Built-In Compliance Monitoring
We deliver custom dashboards and monthly performance BI reports, offering deep visibility into KPIs like net collection rate, denial rate, and claim turnaround. You will know exactly where your revenue is going and how to improve it. Reports include CPT-based productivity, payer aging breakdown, and appeal success analytics.
Accounts Receivable Management for Small Practices
Track claims by payer and aging, group them by CPT codes to focus follow-ups, resolve denials using CARC/RARC codes and monitor collections through real-time AR dashboards. Includes Medicare redeterminations, Medicaid resubmissions, and managed care contract follow-ups.
Credentialing and Enrollment Services
Manage CAQH attestations, PECOS updates, NPI setup, and payer enrollments. This helps your practice get credentialed faster, avoid billing delays, and stay compliant. We support commercial panels, Medicare Part B enrollment, Medicaid state programs, and revalidation cycles.
Full-Time Equivalent (FTE) Billing Resources
Flexible FTE solutions that plug directly into your workflow, trained in your EMR, your specialty, and your payer mix. No contracts, no hiring hassle, just performance. Ideal for small clinics scaling from 100 to 2,000 claims/month.
Key Features:
The system is cost-effective and flexible, making it an ideal choice for practices of all sizes.
Whether you are a solo provider or managing multiple locations, our medical billing services for small practices are designed to match the unique workflows of your specialty. With our automated claims management system, you can streamline billing operations without outsourcing your entire process. Our team has experience with small-practice specialties such as Family Medicine, Pediatrics, Psychiatry, Internal Medicine, Dermatology, Chiropractic, and Podiatry, ensuring accurate coding and payer compliance.
Dastify Solutions is the best medical billing company for small clinics, offering certified professional coders (CPCs), expedited turnaround times, and a dedicated focus on maximizing reimbursements. Our billing teams stay updated on yearly CPT/ICD-10 revisions, payer bulletins, and commercial plan policy changes to maintain accuracy.
Our Satisfied Clients
Discover how physician groups thrive with us.
Small practices often lack the resources and specialized staff to manage billing effectively. Common challenges include:
Many practices also struggle with keeping up with frequent CPT/ICD updates and payer-specific pre-authorization policies.
Our medical billing services for small practices support revenue growth through:
We also analyze top denial categories such as CO-16, CO-50, and PR-49 to reduce repeat denials.
A full-service medical billing partner offers front-end and back-end solutions, including:
Front-End Services:
Back-End Services:
Add-on Services:
Our medical billing company maintains full compliance through:
We continuously monitor CMS updates to adjust coding and documentation requirements.
We offer transparent, volume-based pricing with no hidden fees. Plans typically range from a percentage of monthly collections to flat-rate FTE models customized to fit the size, specialty, and billing volume of your practice.
LCDs and NCDs are critical components of medical billing because they determine which services, procedures, and items Medicare will cover, and under what conditions. National Coverage Determinations (NCDs) are nationwide policies established by the Centers for Medicare & Medicaid Services (CMS) that provide uniform guidance across all states, ensuring consistency in coverage decisions for Medicare beneficiaries.
Local Coverage Determinations (LCDs), on the other hand, are developed by Medicare Administrative Contractors (MACs) for specific regions. They provide coverage guidance where no national policy exists, allowing flexibility to reflect regional medical practices and patient needs.
Adhering to LCDs and NCDs is particularly important for small practices, as it helps prevent claim denials, reduces audit risk, ensures proper documentation, protects cash flow, and guarantees timely and accurate reimbursement.
NCCI (National Correct Coding Initiative) bundling rules act as a safeguard for accurate and ethical medical billing. They outline which CPT or HCPCS codes can be billed together and which should be combined into one comprehensive charge.
They’re designed to prevent the unbundling of services that belong together and to prevent double payments. By following NCCI rules, healthcare organizations ensure clean claims, faster reimbursements, and full compliance with Medicare standards, protecting both revenue and reputation.
Small practices need NCCI bundling rules to ensure accurate and compliant billing. These rules help prevent costly errors, such as unbundling or duplicate claims, which can lead to payment delays, audits, or even penalties.
Discover how much time, revenue, and overhead you can recover with our outsourced billing for small practices. Request a complimentary cost analysis and discover how streamlined, specialty-focused RCM support can benefit your practice.
