01
Clinical Documentation Audit
We review patient charts and encounter notes for completeness and compliance prior to code assignment.
Medical Coding Services
Medical Coding Services: ICD-10, CPT, and HCPCS Coding for Healthcare Practices Across All 50 States
Dastify Solutions provides medical coding services built around certified expertise, specialty-aligned coding teams, and AI-assisted validation workflows. When you outsource medical coding to our AAPC and AHIMA-certified coders, supported by NCCI pre-submission checks, you reduce front-end coding errors that commonly lead to preventable claim denials. We handle ICD-10 coding services, CPT coding services, and HCPCS coding services across 75+ specialties, with audit-ready documentation protocols and payer-specific reimbursement workflows integrated into every claim.
Automated pre-submission error detection
AAPC and AHIMA-certified ICD-10, CPT and HCPCS coding
Audit-ready documentation protocols
Accelerated claim adjudication
Regulatory compliance assurance
Optimized multi-payer reimbursement workflows
Our Workflow
Our Revenue Cycle Management Workflow
02
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.
03
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.
04
Denial Edit Resolution and Resubmission
Our team addresses coding discrepancies efficiently and resubmits claims through clearinghouses with corrected documentation attached.
05
Coding Analytics and Performance Reporting
We deliver customized dashboards to track denial rates, collection ratios, financial performance and coding productivity metrics.
Accuracy & Compliance
Coding Accuracy: From Documentation to Compliance
Modifier Accuracy and NCCI Compliance
Incorrect modifier application is a leading cause of claim denials and audit risk. Modifier 25 requires distinct documentation of the evaluation beyond the procedure itself. Modifier 59 requires anatomical or temporal distinction documented in the clinical record. We validate modifier application against NCCI edit pairs and payer-specific modifier policies before every claim submission, reducing modifier-related denials and minimizing audit exposure.
Clinical Documentation Improvement (CDI)
Accurate coding requires accurate documentation. When a physician's note uses a non-specific diagnosis, a generic finding instead of a confirmed diagnosis, or omits the severity indicators that support higher-acuity coding, the coder either undercodes or introduces compliance risk. We identify documentation gaps before coding, not after denial, and generate physician queries that clarify the clinical picture compliantly without suggesting codes.
Retrospective Coding Audits
Before changing coding workflows, practices need to understand where current coding is failing. Our retrospective coding audit reviews a statistically valid sample of your historical claims, typically 30 to 50 records per specialty, and identifies undercoding patterns, overcoding patterns, modifier errors and diagnosis specificity gaps. The audit report quantifies the financial impact of each issue.
Specialty Expertise
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.
These examples represent just a fraction of the 75+ 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.
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
Regulatory Compliance
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.
HIPAA Privacy Rule
Every claim containing patient PHI follows HIPAA's Privacy and Security Rules for data handling and transmission.
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.
KPIs We Improve
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 75+ specialties across all 50 states - dedicated, specialty-trained coding teams aligned to each clinical area.
FAQ
Frequently Asked Questions
Every ICD-10 update is mapped against Hierarchical Condition Categories (HCCs). This ensures chronic and complex conditions are coded accurately, protecting risk adjustment accuracy and reimbursement integrity.
Yes. We prepare documentation, review coding accuracy against medical records and respond to payer or RAC audit requests to mitigate penalties and defend revenue.
Most practices pay 3 to 7% of collections for full-service coding and billing, or a per-record rate of $1.50 to $4.00 for coding-only engagements depending on specialty complexity. Pricing is based on claim volume, specialty needs and the level of auditing required. No hidden fees and no flat-rate pricing that misaligns with actual usage. Contact us for a practice-specific quote.
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 All 50 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.
Talk to an Expert