Coding That Gets Paid The First Time
Certified coders reviewing every claim against your specialty and your payer mix, so denials get prevented rather than appealed.
coders on every account, trained on your specialty before they start
review, because a prevented denial costs nothing to fix
we code inside your practice management software, not a parallel one
the same coders on your account every month, not a rotating queue
WHAT WE TAKE ON
Coding is where most preventable revenue loss starts. A missing modifier, a specificity problem, a code that triggers the same payer denial every single month. Luxen coders review your charges against your specialty, your documentation and your payer rules before the claim goes out. Where documentation will not support the code, you hear about it from us rather than from a denial six weeks later.
Practices seeing repeat denials tied to coding, practices where providers or front desk staff are coding without support, and specialty practices whose code families are too specific for a generalist billing vendor to handle well.
READY TO SEE THE NUMBERS?
No commitment. We will tell you honestly whether we are the right fit for your practice.
Book a Billing ReviewThree core capabilities
Charge review and code assignment
Every charge reviewed against the documentation and the payer rules before submission. Specificity checked, modifiers applied, bundling and unbundling caught before a payer catches it for you.
Specialty-specific code logic
Code families differ enormously by specialty, and so do the denial patterns attached to them. Your coders are trained on your specialty rather than applying a generic ruleset across every client.
Documentation feedback to providers
When a claim cannot be coded to the level of service delivered, the fix is upstream. We flag the documentation gap in plain language so your providers can close it, rather than quietly downcoding. That is exactly what was happening at a dental practice writing off restorative claims: missing narratives and radiographs, not missing effort.
Automated scrubbing, human coding
Claim scrubbing, edit checks and payer rule matching run automatically before a human ever looks at the claim, which catches the mechanical errors instantly. What is left is the judgement work: specificity, modifier logic, and whether the documentation actually supports the code. That part is done by a certified person, every time.
Process We Follow
Common questions, straight answers
Are your coders certified?
Yes. Coding on your account is done by certified coders, trained on your specialty and payer mix before they touch a claim.
Can you code for our specialty?
Tell us the specialty on the review call and we will give you a direct answer. If your code families need expertise we do not currently have on the bench, you will hear that rather than find out in month two.
Will you downcode to avoid denials?
No. Coding below the level of service delivered is revenue you are giving away. Where documentation will not support the correct code, we tell you what is missing so it can be fixed properly.
Can we use you for coding only, without full billing?
Yes. Some practices keep submission and AR in house and use us purely for coding review. We will tell you on the call whether that split makes sense for your volume, or whether full-service billing would serve you better.
What are other services you offer?
We offer the following services:
Do you work with practices in our state?
Yes. We work with practices across the United States, and payer rules, filing windows and managed care plans differ enough by state to matter. Where we have written up the local picture in detail, you can read it here:
If your state is not on the list yet, we still work there. Tell us your state and payer mix on the call and we will tell you what we already know about it.
Find out what your coding is costing you
Book a 15 minute billing review. We look at your denial reasons and tell you how many of them trace back to coding, and what fixing that would be worth.
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