Document Smarter.
Bill What You Earned.
MacroMate Pro gives facility-based PM&R physicians the clinical decision support to document faster, more completely, and more defensibly — creating real capacity to see more patients without working more hours. Codana turns that documentation directly into clean claims, without a billing manager. Together, they are the infrastructure for a practice that scales.
IRF denial rates are rising. Commercial insurers and Medicare Advantage plans are denying IRF admissions at unprecedented rates. MacroMate Pro generates defensible, payer-ready medical necessity language — automatically.
Less Time Thinking About What to Write. More Time Doing What Matters.
Facility-based PM&R is among the most documentation-intensive work in medicine. Complex patients with multiple active diagnoses. Notes that must simultaneously satisfy the facility, the payer, and the medical record. Generic tools built for primary care that fail in the nuanced complexity of IRF and SNF documentation. The result is hours of after-hours work that erodes the boundary between clinical practice and personal time. Physicians know this as pajama time.
The denial environment has made this worse. Commercial insurers and Medicare Advantage plans have systematically increased IRF admission denial rates. Physicians are forced to write detailed medical necessity justifications for patients who clearly need inpatient rehabilitation — not because the clinical need isn't there, but because payers have made denial the default. Every denial costs the physician time, costs the patient their care, and costs the facility revenue.
Then there is billing. Independent physicians either pay a billing manager or outside firm thousands of dollars per provider per month for a process they have limited visibility into, or they spend their own time on charge submission tasks that were never in the job description. Neither option was designed with the physician in mind.
Altriva Tech was built to give you back the hours. And the control.
What You Get Back
Not features. Time, control, and clinical confidence.
Document at the Bedside
Complete, defensible notes without hours of after-hours catch-up. MacroMate Pro is built for the pace of inpatient rounds.
Fight Denials Without Extra Work
IRF medical necessity language generated from your actual diagnoses — automatically. No extra writing. No templates to fill.
Never Miss a Billable Diagnosis
MacroMate surfaces comorbidities linked to your primary diagnosis — so you document what's clinically relevant and capture what the facility needs for tiered reimbursement.
Own Your Revenue Cycle
Submit charges yourself in minutes. No billing manager. No black box. Direct visibility and control over every claim.
One Workflow, Not Two
ICD codes flow from MacroMate directly into Codana. You select a diagnosis once. It codes your note and funds your claim simultaneously.
Built by Someone Who Uses It Daily
Every feature was designed by a PM&R physician who still practices in IRFs, SNFs, and acute care hospitals. If it creates friction, it gets fixed.
AI Assessment & Plan Writer
for Facility-Based PM&R
MacroMate Pro is not a transcription tool. It works alongside you during or after the encounter to ensure your note is complete, your diagnoses are captured, and your medical necessity is defensible against payer scrutiny.
Built specifically for the complexity of facility-based PM&R — IRF, SNF, and acute care hospital — not adapted from a primary care tool.
Select a diagnosis — MacroMate surfaces all associated comorbidities automatically
Build and reorder your diagnosis list in seconds, not minutes
Payer-ready medical necessity language generated automatically from your diagnoses
Structured, clinically appropriate History of Present Illness — from your inputs
ICD codes flow directly from MacroMate Pro into Codana — no duplicate data entry
Every screen asks: can this require fewer clicks? Built by a physician who uses it daily
Insurance coverage confirmed automatically before every claim submission
AI demographics capture and eligibility checks prevent the most common denial causes
Charge Capture Built
by a Physician, for Physicians
ICD-10 codes selected in MacroMate Pro flow directly into Codana — no re-entry. Codana then verifies insurance eligibility, captures patient demographics via AI, and submits clean claims to your practice management system.
The entire workflow a billing manager charges $2,000–5,000 per provider per month to manage — and for multi-provider groups, that adds up fast. Practices with several providers routinely pay $10,000–15,000+ per month before switching to Codana. Done in minutes, by the physician, with direct control over their own revenue cycle.
What Physicians Actually Experience
These are not marketing claims. They are documented outcomes from a practicing PM&R physician who uses both products daily.
See More Patients. Earn More Revenue.
When documentation takes less time and less mental energy, you have capacity for more patients. The founder personally increased his patient volume after implementing MacroMate Pro — not by working longer hours, but by spending less time on each note without sacrificing quality or completeness.
Onboard New Providers Without Starting From Scratch
MacroMate Pro doesn't just help individual physicians — it gives practice owners a way to onboard new physicians and APPs with a built-in framework for what to document, what diagnoses to consider, and how to structure notes that satisfy the facility and the payer. New providers get up to speed faster. Owners spend less time teaching.
APPs Learn Faster. With Less Hand-Holding.
Advanced practice providers working alongside supervising physicians gain clinical context through MacroMate's comorbidity surfacing and decision support — independently, without requiring the physician to explain every association from scratch. MacroMate becomes a clinical education layer that runs in the background of every encounter.
Your Workflow.
Your Tool. Your Rules.
We contract with medical practices, physician groups, and healthcare organizations to build custom software that addresses their specific operational pain points — scoped, designed, and built by a team that understands clinical workflow from inside the exam room.
Every engagement is built on the same HIPAA-compliant GCP infrastructure as MacroMate Pro and Codana.
Custom Clinical Documentation
Purpose-built documentation tools for any specialty or workflow
Billing & Charge Automation
Charge capture and billing workflows tailored to your EMR and payer mix
AI Workflow Automation
AI-powered tools for administrative tasks, triage, and operations
HIPAA-Compliant Infrastructure
GCP, Cloud Run, Cloud SQL, Vertex AI — the same stack as our own products
I built MacroMate Pro because the tools that existed weren't built by people who actually use them. Every feature exists because I personally experienced the problem it solves.
After implementing MacroMate Pro, I was able to see more patients — not by working longer, but by spending less time on each note. When I brought on new APPs, MacroMate gave them the clinical context they needed to document correctly from the start. I spent less time teaching and more time practicing. That was the moment I realized this was bigger than a tool for me.