From chart-level coding to enterprise-scale agentic AI, every Lumiknox service shares a common chassis: credentialed humans on the front line, supervised agents in the loop, and a clinical QA layer that owns the outcome.
Inpatient (IP-DRG), outpatient (APC), profee (E/M, surgery, OB), and HCC risk-adjustment coding. Concurrent & retrospective options.
Explore 02 · QualityHybrid measure abstraction at NCQA-compliant accuracy, with clinical overread and IDSS-ready file delivery.
Explore 03 · PerformanceMember-level gap closure, CAHPS readiness, Part D MTM uplift, and triple-weighted measure programs for MA plans.
Explore 04 · RiskCMS & HHS RADV chart retrieval, second-level coder review, sweep submissions, and overpayment defense.
Explore 05 · BillingAutonomous agents that work rejections, post payments, and escalate edge cases — supervised by a human Ops Lead.
Explore 06 · ClaimsAuto-adjudication uplift, edit resolution, COB and eligibility validation — built for TPAs and self-funded plans.
Explore 07 · IntelligencePredictive models for HCC recapture, lapse propensity, fraud signals, and provider performance. Productionized, not slideware.
ExploreSend us 50 charts. 48-hour turnaround. We’ll send back a gap analysis, accuracy delta, and recovery projection.
30-day discovery. We sample your current workflow, baseline accuracy and throughput, and define SLAs in writing.
A dedicated pod is configured — coders, abstractors, agents, QA lead, and a Client Success Director. Tenant provisioning is HIPAA-isolated.
Daily throughput against SLAs. Real-time client portal: every chart, every keystroke, every agent action audit-logged.
Monthly QA findings, quarterly business reviews, and continuous tuning of agent thresholds based on observed escalation patterns.