Full-Service Medical Billing

We run the revenue cycle from eligibility to zero balance inside the practice management system you already use. How full-service billing works.

Medical Coding

Certified coders review charges against your documentation and payer rules before the claim goes out, so the denial is prevented rather than appealed. Medical coding.

Denials and AR Recovery

Aged and denied claims are worked to resolution, then the upstream cause is fixed so the same claims stop coming back. Denials and AR recovery.

Eligibility and Prior Authorization

Benefits are verified and authorizations secured before the appointment, which is the cheapest place in the cycle to stop a denial. Eligibility and prior authorization.

Patient Billing

Statements, balance questions and payment plans are handled by the same team that worked the claim. Patient billing.

Credentialing

Payer enrollment and re-credentialing are tracked through to approval, so a lapsed credential never quietly stops payment. Credentialing.

Medical Virtual Assistant

A HIPAA-trained front-office assistant working inside your EHR on calls, scheduling, intake and referrals, alongside the billing team. Medical virtual assistant.

Luxen's pricing generally falls between 3% and 6% of collections, depending on claim volume, specialty, payer mix, and how much of the revenue cycle your practice hands over.

Higher-volume practices usually land toward the lower end. Smaller or more complex practices land higher because there is more work per account. There is no setup fee and no exit fee, and the agreement runs month to month with 30 days notice.

A lower fee attached to weak billing is still expensive. The number that matters is what your collections do after you hire someone.

1. Billing review

A 30-minute look at your AR ageing, denial reasons and payer mix. You leave knowing what is recoverable, what we would work first and what it would cost.

2. BAA, then access inside your system

We sign a business associate agreement before anyone touches your system. Your named team then works inside the practice management system and clearinghouse you already use. Nothing is migrated, and claims are being worked within two weeks of the signed BAA.

3. Oldest money first

Aged and denied claims come first because that is revenue you have already earned. Most practices see the first recovered payments inside three weeks.

4. The daily cycle

Once the backlog is moving, we take over the agreed part of the daily cycle: eligibility, coding review, submission, posting, denials and patient balances.

What we need from you

• Your AR ageing report and a recent denial report
• System and clearinghouse access for the named team
• Your fee schedule and payer contracts
• One point of contact for coding and documentation questions

A named team inside your system

You know who owns your claims. The team works inside the practice management system and EHR you already run, with no migration.

Certified coders, with automation on the repetitive work

Claims are coded by certified coders against your documentation and payer rules. Automation handles the repetitive checks so people spend their time on the claims that need judgment.

HIPAA from the first day

We sign a business associate agreement before accessing protected health information, and access is limited to the named people on your account.

We read your numbers before we quote

We look at your AR ageing, volume, payer mix and denial profile first, then tell you what we believe is recoverable and what it would cost.

When outsourcing is the wrong call

A billing company is a poor fit if you are not willing to share visibility into your billing, if the vendor uses a rotating pool of people who never learn your practice, or if it cannot explain why your claims are being denied. Be wary of anyone promising large collection increases before they have seen your AR ageing. The right partner makes your revenue cycle more visible, not less.