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HealthTech Solutions Group Company Overview

Optimizing Clients Financial & Revenue Cycle Results through People, Process and Innovative

Technology Solutions

Albert Einstein

"The definition of insanity is doing the same thing over and over again and expecting different results"

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Company Profile:

AR/Central Business Office

Billing/CollectionsRevenue RecoveryAR reduction projectsOutsourced BO

Synapse Software Suite

Business IntelligenceED Claims myClaimIQ genieCollection Management

Consulting – Services

Process ImprovementTransfer DRG RecoveryRevenue RecoveryInterim Directors

Headquarters in Plano, TX (DFW Area) Experienced management team Proven results from CAH to multi-hospital systems Focus on effective use of technology in driving performance

AR – Billing/Collections Software – Business Intelligence, Claims Analysis Services – Implementation, Revenue Recovery

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Revenue Recovery Services

Case Study: ED Claims Project

Tool: myClaimIQ genie

Facility Overview -

Critical Access Hospital$ 15 Million Annual Net Revenue~ 6,000 ED Visits per Year

Results -

11% increase in Net Rev per account over $300k recovered in first 6 months 4% increase in total facility annual NR

“Our facility saw an almost immediate increase in net revenue and cash collections from this project. The process

was seamless and the results speak for themselves ” –CEO

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Accounts Receivable/RSC Services

Interim BO placements – BOD, Manager Level

Outsourced Billing/Collections

Aged AR Liquidation/Reduction Services Hospital

Physician

Physician Billing/Collections

Outsource Entire Revenue Cycle

Revenue Recovery projects – charging, coding provided on a contingency fee basis

Services Overview

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Outsourced Revenue Cycle

Why HealthTech Solutions Group?

Current Revenue Cycle Model

Facility basedAR Day focusedLack of scale in operationsLimited use of technologyLow level specialization

HTSG Technology Focused Approach

Correct cash focused Cash collections Revenue optimized - Synapse

Technology critical efficiencyCentralized & scalableHighly specialized functions

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Accounts Receivable/RSC Services

Typical cash focus is on stated Accounts Receivable (AR) balance

HTSG Correct Cash focus:

1. AR balance is correct per contract terms and conditions

2. Claim has been correctly coded – Synapse ClaimIQ, ED ClaimIQ

3. Claim has all correct charge components – Implant charges, high cost drugs etc

4. Claim has no codes that are incorrect, deleted or no longer in use

5. Claim is collected in a timely manner

Result – improvement in cash and cash collected/account

What is “Correct Cash” focus?

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Revenue Service Center (RSC) – Operations

Overview

Facility located in Plano, TX (DFW area)

Highly experienced & successful executive team

Currently perform operations for Brim owned hospitals

AR Liquidation projects – Physician & Hospital AR

All current staff highly experienced

Ability to expand scope of services without disruption

Location provides access to large pool of experienced Revenue Cycle and Technology staff

DFW provides a very cost competitive value proposition

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AR Liquidation & Recovery Services

Dedicated team & reporting portal for each project

Physician

Hospital

Project starts almost immediately via VPN connection

Team experience on all major hospital and physician HIT systems

Engagement structured as contingency fee basis

0-180 Days – 10%

181-365 Days – 15%

+ 365 Days – 25%

All claims run through Synapse ClaimIQ software ensures all revenue captured

A Service Redefined

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Revenue Recovery Services

CMS currently has 273 DRG’s subject to Transfer DRG rules Payment to Acute Care hospital is reduced if the LOS (+1 day) is less than the GLOS

Can affect up to 50% of a PPS facilities discharges

HTSG researches all applicable Medicare discharges Identify all accounts that have potential for Revenue Recovery

Work with facility to validate all information correct

Refile and correct all applicable claims

Revenue Recovery process is quick, seamless and no-risk to the facility

Engagement structured as a contingency of recoveries (25%)

Post Acute Care Transfer Recovery

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Revenue Recovery Services

HTSG provides each facility with a risk free assessment of potential opportunity

HTSG will analyze previous 12 months of data for free All we require is standard data file & BAA (HTSG can assist in data extraction) Run the data through our proprietary algorithms Turn the file around within 7-10 days

Process is extremely targeted and non invasive Synapse ClaimIQ algorithms allow us to identify specific accountsWe don’t bring in a team of consultants taking up your team members time

Revenue Recovery can start almost immediately Targeted approach means we can start rebilling accounts, capturing revenue within hours of starting the engagement ClaimIQ can provide ongoing monitoring and concurrent charge capture toolset

Engagement can be structured as either on a fee basis or as a contingency (25%)

Process Overview

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Accounts Receivable/RSC Services

Outsourced Billing/Collections – short term provided on a per hr basis for short term projects if longer than 90 days quote provided based on length

AR reduction projects typically contingency fee (%) based on age & quality receivables Physician and Hospital AR Reduction projects

Interim Business Office Directors Synapse product suite provided free if project > 90 Days

Outsource Entire Revenue Cycle Operations work with each facility to provide competitive quote

Revenue Recovery projects25% contingency fee of $ recovered focus on charging, coding, contract compliance

Pricing Overview

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Synapse myClaimIQ genie

Revolutionary desktop Claim Analytic tool -

Downloads and installs in minutes – no IT involvement

Desktop application can be managed by anyone

Analyzes all billing claims instantly for: Charge capture components – implants, procedures

Claims data integrity – all claim components are correct

Potential coding and documentation opportunities

CPT (CDM) audit for incorrect, deleted or non valid codes

Invalid combinations of codes

Facility has ability to run analytics on entire facility or sub-section e.g. just ED if this is an area of focus

Charge is on a per claim basis – reduces cost increases value to client

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Business Intelligence Services

Synapse Intelligent Analytics

Web based Business Intelligence application

Intuitive interface provides for easy analysis of operations, AR, clinical indicators

Keep track of Key Indicators through KPI’s and dashboards

Real time access to information from aggregate level down to patient detail

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Synapse EDCalc

Application Overview

Correctly calculates E&M Level for every patient Average increase in Net Revenue ~ $25 per patient

Ensures compliance with CMS 11 guiding principles

Level calculation documentation produced for audit purposes

Intuitive interface improves productivity

Chart analyzed potential charge capture opportunities that are often overlooked

Missing procedures

Supply charges

Analysis of prior claims for revenue recapture opportunities

Improved revenue covers cost of application

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Synapse ClaimIQ

ClaimIQ is an integrated collections and AR management tool created to improve collector productivity and cash results in a Centralized Business Office environment. ClaimIQ works with any hospital or

physician IT system and can be implemented as a collections platform in days.

“Since implementing ClaimIQ for Brim Healthcare’s owned facilities, we have seen a consistent increase in cash collections and over a 100% increase in bad

debt recoveries in the first few months of operations.” Brim Healthcare CFO

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Synapse ClaimIQ

Application Overview

Integrated AR & Collections Management tool

Collections module provides real time productivity monitoring

Work list management – specific focus problem areas

AR Analytics Portal with Business Intelligence toolset

Charge Capture Analysis tool highlights potential lost $

Charge Reconciliation Tool for Nurse Auditors

CPT Code Analyzer – corrects for deleted, invalid codes

Analysis of prior claims for revenue recapture opportunities