Coding, Audit & Clinical Documentation Improvement Services

Improve coding accuracy and efficiency, charge capture and reduce billing lag time

From diagnosis-related groups (DRGs) to current procedural terminology (CPT), the healthcare industry relies on coding and other reimbursement methodologies for crucial data gathering, payment and compliance. The practice and business of medicine can be paralyzed without complete and up-to-date coding and reimbursement system knowledge and accuracy.

Altegra Health delivers expert coding, auditing and clinical documentation improvement (“CDI”) education support services.  The result?  Improved financial performance, regulatory compliance, increased cash flow and streamlined operations.  Our comprehensive facility and professional fee coding, audit and CDI services cover every specialty, inpatient and outpatient and virtually any volume needs.  Altegra Health serves clients nationally and offers unsurpassed accuracy and exceptional results.

We Provide:

  • Audit Services – Access a variety of needful third-party auditing services, including coding compliance, provider documentation and reimbursement audits, as well as program development and audit assistance for Medicare Administrative Contractors (MAC), Recovery Audit Contractors (RAC), Medicaid Integrity Contractors (MIC) and Zone Program Integrity Contractors (ZPIC).
  • Clinical Documentation Improvement (CDI) – Provide interim CDI leadership, contract/temporary staffing, program development, consulting and education to facilitate complete and accurate clinical documentation to support diagnosis capture and to ensure the level of service rendered to all patients is appropriately recorded.
  • Coding Services – Provide services to strengthen organizations with a variety of coding capabilities, including outsourced coding support (Facility & Professional) and temporary placement services.
  • Health Information Management (HIM) – Assist in the design and implementation of new HIM programs, review and optimize existing operations, provide training, education and temporary and permanent staffing support.

Coding, audit and clinical documentation specialty areas include

  • Bariatrics
  • Breast Reconstruction
  • Cardiothoracic
  • Cardiology/Electrophysiology
  • Cath Lab
  • Chiropractic
  • Colorectal
  • Critical Care
  • Dental/Oral Maxillofacial
  • Dermatology
  • Emergency Service
  • Endocrinology
  • ENT
  • Evaluation & Management Services
  • Family Practice
  • Gastroenterology
  • General Surgery
  • Hematology
  • Hepatology
  • Hospitalists
  • Infectious Disease
  • Infusion
  • Internal Medicine
  • Interventional Cardiology
  • Laboratory
  • Maternal Fetal Medicine
  • Neurology
  • Nephrology
  • Nursing Home/Home Health
  • Pain Management
  • Palliative Care
  • Pathology
  • Pediatrics
  • Pediatric Critical Care/NICU
  • Pulmonology
  • Observation Services
  • Obstetrics & Gynecology
  • Oncology
  • Ophthalmology
  • Optometry
  • Orthopedics/Orthopedic Spine
  • Pathology
  • Physical Therapy
  • Plastic & Reconstruction
  • Podiatry
  • Psychiatry/Psychology
  • Radiation Oncology
  • Radiology
  • Reproductive Oncology
  • Rheumatology
  • Surgery – Adult & Pediatric
  • Transplant
  • Trauma
  • Urgent Care
  • Urology
  • Vascular
  • Wound Care

For more information, contact:

Melissa Scott, CHC, CPC
Director, Advisory Services Division
Office: 310.776.4500 Ext. 2370 | Cell: 951.440.4920