1. Regional Director of Sales
OHIMA ANNUAL MEETING
David M Deane
Altegra Health
Regional Director of Sales

2. Agenda Our Company Our Services Company Differentiators
Engagement Team
Coding and Audit Resources
On Boarding Process
ICD-10 Implementation
Cancer Coding Experience
Why Choose Altegra
Questions and Answers

3. Corporate Overview

4. Altegra Health Divisions

5. Our Service Offering Education Services
Customized education programs for HIM, physicians, specialty service lines, departments, groups or individuals
Clinical Documentation Improvement Programs
Certified ICD-10 Trainers
Consulting Services
Reimbursement
Compliance
Internal Audit
Revenue Cycle Performance Improvement
Valuations
Litigation Support
Strategic Analytics, Strategy
Temp/Outsourced Coding Services
Facility and Professional Coding Specialists
Onsite and Remote coding staff
Complete outsource solutions
Audit Services
Facility and/or Professional fee audits of providers and coders
MSDRG/APC/RAC/ZPIC/MIC Audits
Inpatient, Outpatient, ED, Rehabilitation, Home Health/Hospice, SNF, DME, Ambulance, Retail Pharmacy, IVR coding audits
Coding, charge capture, billing and reimbursement audits
Medicare Risk Adjustment (HCC) audits

6. Altegra Differentiators
Commitment to Quality
All Coders/Auditors must have five years experience, an active AHIMA/AAPC certification and pass a rigorous screening process.
Minimum Certifications:
RHIA/RHIT for HIM Operations
CCS, CCS-P, CPC-H or CPC for Coding
All employees must attend and pass a mandatory Orientation Session.
Regular QA evaluations for each coder and auditor/reviewer (must maintain a minimum 95% accuracy and completeness)
100% QA upon hiring, quarterly (or more frequent) QA thereafter
CEUs provided throughout the year; reimbursement program
All staff are W-2 employees. No sub-contractors
Project Management & Reporting
TCS provides industry leading Project Management & Reporting to enable you and your affiliates to reach their goals.
Our multi-dimensional client support approach focuses on providing you with transparency in the areas of Project Management, Operations and Client Relations
Our team includes Coding Management, Client Relations, IT, Compliance and Operational staff to support your project needs.
Internal processes are flexible & may be tailored to fit your needs.
Internal Quality Assessments (QA’s) are a part of the core TCS compliance program.

7. Altegra Differentiators
IT Support: Dedicated, Experienced
Dedicated IT team with knowledge of KP protocols and systems.
We will provide all employees with dedicated laptops for KP work only (pre-configured with Citrix VPN and KP HealthConnect link)
Internal Help Desk to triage “tickets”. Turnaround time is within 24 hours.
Account Management team is knowledgeable with KP policies and are able to guide staff through process
Staff Commitment and Low Turnover
Keep staff committed with a number of factors:
Total compensation
Extra benefits – 401k, CEU reimbursement, medical stipend, etc.
Dedicated and engaged recruiting and account management team
Engagement Management
Utilize productivity reports to monitor staff
Conduct regularly scheduled calls to manage coders
Work with KP designee to forecast staffing needs
Always have approved coders on the bench ready to assist
Month to month fluctuations will not be an issue
Other projects to use coders on

8. Altegra Engagement Team

9. Coding & Audit Resources
Altegra Health was founded in 2002 and is headquartered in Los Angeles
TCS was founded by the principals of Sinaiko Healthcare Consulting, Inc.
TCS’ first service line was teaching the “community” how to become medical coders. We currently train and certify over 150 students per year.
TCS is a leading provider of coding and billing audit services, outsourcing, compliance, and education related to medical coding field.
TCS has approximately 200 active clients including both large and small hospitals, health systems, integrated delivery networks, medical groups, health plans and other healthcare entities.
TCS currently processes well over 1.5 Million records annually
TCS currently has over 500 FTEs including over 300 certified coders located across the U.S

10. ICD-10 Implementation 15 AHIMA Certified Trainers Coder Education
Ongoing Training
Pre-Implementation Services
Post-Implementation Services
Risk Strategies
Financial Modeling and Budgeting
Gap Analysis
Internal Testing
HIPAA 5010

11. Why Choose Altegra Clients need a Partner, not just a Vendor
Broad range of experience within healthcare industry
Trained, knowledgeable, credentialed staff ranging from RN, LVN, RHIA, RHIT to internal audit and compliance certifications coupled with a completely certified coding staff – every coder and auditor holds an AHIMA and/or AAPC coding certification with a minimum 5 years experience.
Client focused, service oriented team with expertise in project delivery and customer service
System flexibility and ability to manage changing nature of industry
Consistent focus on current guidelines and policies
We do not outsource or offshore our work
Consistent and dedicated focus on compliance and the sanctity of protected health information.