Built by AKOSBuilt on
FoundryA kit of deployable AI and workflow modules for healthcare revenue cycle operations — patient access, prior auth, coding, claims, denials, payments and AR. Install the module that fixes your worst queue. Expand when it earns it. No rip and replace.
Auths cleared
1,284
First-pass acceptance
93.4%
Denials at risk
$107.7K
AR over 90 days
22%
Automated, no touch
62%
Rest routed to a named reviewer
The MEDKONG revenue cycle workbench. Sample data.
Built by AKOS
Built on FoundryEnterprise data foundations, workflow orchestration and governed AI operations — the infrastructure layer under every module.Ontology-drivenAudit trail per actionHuman in the loopEach module owns a piece of the financial workflow — pre-service, mid-cycle or post-service — and reads from the same operational model of patients, encounters, claims, payers and dollars. Nothing is monolithic, and nothing is a chatbot bolted onto a portal.
Your EHR, PM system, clearinghouse and document stores stay where they are. Modules plug into the workflow your teams already run — no data migration, no platform replacement, no retraining the floor. MEDKONG maps your systems into one ontology, then runs work against it.

Eight workflows, deployable independently. Two of them are where most operators start, because that is where the leakage and the labor are.
Determine whether auth is required, assemble the clinical packet from the record, submit through the payer channel, and track the clock. Staff review exceptions, not every case.
Classify every denial by root cause, route it to correction or appeal, draft the letter with evidence attached, and track outcome by payer and reason code so the pattern gets fixed upstream.
Coverage, benefits and estimates resolved before the visit, not after the denial.
Verified pre-visit96%Missing and mismatched charges surfaced against documentation while the encounter is fresh.
Charges recovered / mo$212KCode suggestions cited back to the note, specificity gaps flagged for the coder.
Coder throughput+31%Claims checked against your own denial history, then held or released with a reason.
Predicted denials held74Remits matched, variances explained against contract, exceptions queued not buried.
Auto-posted88%Every automated action carries inputs, rationale and reviewer for audit.
Actions traced100%Platform replacements take years and are judged all at once. A kit is judged one workflow at a time, against the queue it was pointed at.
Pick the queue costing you the most. One module, one integration path, one operator workbench. Value measured on that queue alone.
Prior authThe second module inherits the integrations, ontology and governance already in place, so it lands in weeks rather than quarters.
CodingClaim QADenialsEnough modules in, and the kit becomes the layer leadership runs the cycle from: one view of work in flight, one audit trail, one place policy is encoded.
PostingARCommand centerFive workbenches, one operational model underneath. Each is a place a person works, with the model doing the assembly, the checking and the first draft.
Pre-auth fails on assembly, not judgment: the requirement is buried in a payer policy, the evidence is in three systems, and the clock started yesterday.
The workbench determines whether auth is required, assembles the clinical packet with citations, submits through the payer channel and tracks the clock — putting a human only on the decision.
Payer policy match
MP-0142 · Total knee arthroplasty. Criteria 3 of 4 met; conservative therapy documented 14 weeks.
SLA remaining
31:20
Remits matched to claims, variances explained against contract, exceptions queued instead of buried.
Work in flight across every installed module: throughput, aging, denial patterns by payer, automation rate, human intervention.

Serious workflow infrastructure needs a serious foundation. Foundry is what turns a dozen disconnected systems into one governed operational model — and what makes AI decisions inside revenue workflows traceable rather than plausible.
It is not a badge on the page. It is the layer every module reads from, writes to, and is audited against.
One governed data foundation
Source systems land once, with lineage and permissions carried through every downstream use.
A shared operational ontology
Claims, encounters, payers and accounts as objects every module reads and writes.
Orchestration and decision support
Workflows, queues and agent actions run against live objects, not exported spreadsheets.
Auditability by construction
Every automated decision traceable to inputs, rule or model, and reviewer.
Fragmented systems, one layer
A dozen systems of record become one place the revenue cycle is operated from.
Measured against two multi-facility deployments running in production — not modelled targets.
38%
Fewer manual touches per authorization
2.4d
Faster from denial received to appeal filed
94%
First-pass claim acceptance rate
6wk
From kickoff to first module in production
Many facilities, one revenue cycle, and a decade of accumulated systems. Deploy against the worst queue without a multi-year platform program.
Growth by acquisition leaves several PM systems and no common view. The ontology gives you one, and modules run across all of them.
Headcount is capped and volume is not. Modules take the assembly and checking so experienced staff spend the day on exceptions and payers.
You are accountable for integration, governance and what the AI actually did. Foundry lineage and permissioning make that auditable.
Margin is throughput per FTE. Deploy across client books, keep data separated, price against measurable automation rates.
Building administrative software of your own? Use the kit as the operational backbone instead of rebuilding integrations and governance.
Six layers. The bottom four are shared by every module — which is why the second module costs a fraction of the first.
Why AKOSAKOS is a systems builder, not a design studio with an AI demo. The work is integration against real systems of record, canonical models that survive messy source data, agents that operate inside approval paths, and applications operators run their shift in.
That is why MEDKONG ships as a kit: every layer beneath the modules is infrastructure AKOS already deploys for enterprise operations.
akos.ai →Two weeks of diagnostic on volumes, touches and leakage. One module chosen on numbers.
EHR, PM, clearinghouse and documents mapped into the ontology, with access rules from day one.
Payer policies, work queues, thresholds and approval paths configured to how your team works.
Operators work in the module with automation supervised, then progressively released as accuracy holds.
The foundation is built. Adjacent workflows install against the same model and governance.
A walkthrough runs 45 minutes: the workbenches running, the ontology behind them, and an honest scoping of what a first module would take in your environment.
The stack behind it
Built by AKOSIntegration, ontology, agents, applications
Built on FoundryGoverned data, orchestration, full lineageDeployed module by module, into the systems you already run.