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					Breakthrough Revenue Cycle Solutions for Healthcare Providers
          Table of Contents

Section             Content               Page

  1            About eHealthTech           3

  2         Revenue Cycle Solutions        9

  3            Why eHealthTech?           15

  4              Getting Started          20

  5       Appendix A – Platform Details   22




                                                 2
Section 1




              1
            About eHealthTech




                                3
Triage


If your organization is faced with one or more of the following issues then the
chances are we can help:
                                                                                                Note: Mild
    Collections are Low: You have a high level of dissatisfaction with the                    irritation is
    effectiveness of your current billing and collections process yet can’t seem to get       insufficient
    your hands on what needs improving.                                                         reason to
                                                                                               consider a
    You Need a New System: You know you need to replace your existing practice               change. The
    automation system(s) however you are losing sleep just thinking of the time,                  current
    expense, and risks involved with selecting the right solution and then successfully   reimbursement
    implementing that solution.                                                           environment in
                                                                                           which you are
    You Have Staffing Issues: You are experiencing issues with either high staff             expected to
    turnover and/or it is simply taking too much time to manage the billing office.              provide
                                                                                               increasing
    Your Billing Costs are Too High: If you are concerned that your billing and             levels of care
    collections related expenses are higher than they ought to be.                         for continually
                                                                                             diminishing
                                                                                                returns is
                                                                                           guaranteed to
                                                                                           produce some
                                                                                                degree of
            eHealthTech offers a completely new approach to solving the                         irritation!
                              revenue cycle dilemma!




                                                                                                        4
A New Approach to Revenue Cycle Excellence




      “eHealthTech is a provider of transformational revenue cycle
     automation and outsourcing solutions to the healthcare industry.        “Technology
    Our clients enjoy revenue cycle performance levels that are the envy        has the
     of their peers as well unfettered access to the very latest Internet      power to
     based practice management software - all on an as needed pay as        transform the
                                they go basis.”                                medical
                                                                                 group
                                                                              practice in
                                                                              ways that
                                                                                 were
                                                                            unimaginable
                                                                             even as little
                                                                             as five years
                                                                                 ago.”




                                                                                        5
The Internet Subscription Model Explained

  Software on Demand: When software is Internet accessible via a web browser it is
  possible for a geographically dispersed community of users to work on a common
  platform in the pursuit of a common objective – all in real time.
  Shared Services: When a large number of companies share the need to achieve a
  commonly held business objective those firms can avoid duplication of effort by
  accessing a centralized pool of shared resources dedicated to the business objective in
  question. Centralization is particularly beneficial if creating the initial capability requires
  a large up-front capital investment and/or if economies of scale help to drive process
  efficiencies.
  Subscribe vs Buy: An Internet subscription service is a shared grouping of
  capabilities that a community of users access via the web on an as-needed basis. Each
  user “rents” a time slice of the centralized service by paying a use based subscription
  fee. In doing so they gain the benefits of the service without incurring the time and
  expense of re-creating and maintaining the capability in-house.
  An Ideal Solution for Healthcare Providers: The healthcare revenue cycle is
  ideally suited to the subscription model. Consider the following:
     The new generation of Internet based software is extremely powerful however it is also
      extremely complex, expensive, and requires that the practice choose from a bewildering
      array of alternatives.
     These new systems require vastly different staffing models and the creation of entirely
      new sets of business processes. The healthcare revenue cycle has a very low tolerance
      for error – traditional conversions are therefore expensive and highly risky.
     A well designed subscription solution can place the practice in the “best in class”
      category without a large investment of either time or money, with virtually no risk of
      failure, and with ongoing operating costs that are comparable to the cost of maintaining
      the capabilities in-house.




                                                                                                    6
About eHealthTech

Who we are:
   eHealthTech is one of the most innovative providers of healthcare revenue cycle automation solutions in
    the United States.
   We are not a software company - though we do provide our client partners with access to the most
    technically sophisticated and functionally rich suite of Internet based revenue cycle management
    software in healthcare.
   We are a billing company – but more than that. We can extend our practice management solutions to
    your office for on-site appointment scheduling, patient registration, eligibility verification, document
    imaging, electronic superbills, charge capture, payment posting and reporting.
What we do:
   We deliver world class revenue cycle automation solutions and services across the Internet as a
    subscription service on a “pay as you go” basis, combining the capabilities of a highly sophisticated
    “virtual” IT department coupled with a highly capable centralized billing office.
   We provide our client partners with a low risk and cost effective means of acquiring the technology
    and/or skills that they need to attain a state of peak operational effectiveness in their business office
    operations.
Why we are different:
   We are one of the first all Internet based revenue cycle solutions providers in the healthcare industry.
   Our unique “plug and play” eHealthTech delivery platform is completely transparent and allows client
    specific customization without sacrificing either scalability or cost effectiveness.
   Our leadership team is comprised of seasoned veterans, experienced in practice management systems
    design, development, implementation, and support, plus certified billers and coders with years of
    service. We also have in-depth knowledge of electronic medical record systems from Greenway Medical
    Technologies and eClinicalWorks.
   We are able to develop interfaces with hospitals to capture patient and charge data electronically using
    industry-standard HL7 protocols.




                                                                                                                7
Section 2




                      2
            Revenue Cycle Automation Solutions




                                                 8
Recent Changes..

    HIPAA – HIPAA includes requirements that all participants in the revenue cycle
    utilize and accept a common series of standard code sets for the electronic
    communication of claims and payment related information. A government
    mandated “Lingua Franca” for the revenue cycle.

    The Internet - Internet based software architectures are designed to allow an
    application to be accessed via a browser from any location with a broadband
    Internet connection. This architectural breakthrough allows geographically
    dispersed teams to access a shared inventory of centralized software resources in
    real time.

    “Smart Software” – In software related parlance the term “rules engine” refers
    to an application that is capable of accumulating, storing, and applying a body of
    domain specific knowledge. When used to identify and eliminate transaction level
    mistakes the rules engine is termed a “scrubber”.

    Ubiquitous broadband – Most of the United States now has access to
    inexpensive broadband Internet services.

    Changing attitudes at the carriers – In the current investment environment
    insurance carriers are no longer able to survive on the investment returns earned
    on the float. While the “breakage” related incentives to deny claims remain in
    place, the absence of a tangible return on the float has begun to shift the focus
    toward processing efficiency.




       These foundational changes have broad reaching operational
                 implications for the healthcare industry.




                                                                                         9
New Possibilities


      End to end automation – it is now possible to assemble an Internet based business
      office automation platform that includes scheduling, registration, electronic charge
      capture, billing, claims scrubbing, claims submission management, automated payment
      posting, and automated contract matching.

      Labor Efficiencies – it is possible to reduce the amount of clerical labor required to
      management the revenue cycle by more than 50%. Some functions such as data entry
      and payment posting can be almost completely automated.
                                                                                                 “The revenue
      Specialty specific customization – The Internet provides reach and allows the
      healthcare organization to seamlessly integrate geographically dispersed specialty            cycle is
      specific service providers (such as coding companies and/or reimbursement consultants)     moving from
      into the day to day workflow.                                                                 a labor
                                                                                                   intensive
      Transparency – With Internet based solutions and real time reporting the entire end to
      end process from the highest level of abstraction down to the individual transaction can    craft model
      be viewed and managed from anywhere with access to broadband Internet service.             to a systems
                                                                                                   intensive
      Exception management – The staffing profile of the business office moves from a              industrial
      heavy clerical concentration to a much smaller footprint of process managers tracking
      service levels and dealing with high level process exceptions.                                model.”




       The only similarity between a traditional medical billing operation
       and the new model is that both turn clinical procedures into cash.




                                                                                                         10
The eHealthTech Platform

                                                                        Enterprise
                                                                        Reporting
                                                                         Services
                  Document
                  Scanning
                   Services
                                                                       Web Reporting
                                                                          / Data               Collection Management
                                                                        Warehouse                      Services
  EMR
                 HL7
                              Azima Chart Mover v2.0                                                                                               “The most
                                                                                                                                   C              functionally
                                                                          Billing /           Claims                               A             rich revenue
                   Data Capture         On-line         Automated                                               Claims             R
                                                                           Patient           scrubbing
                    / Imaging           Coding          data entry
                                                                         Accounting
                                                                                                              Management
                                                                                                                                   R                  cycle
  Charts
                                      Hospital based practices                                                                     I              automation
(hospital)
                    Patient
                                                                                        Payment Record          Payment            E               platform in
                 Demographics                                                                                   Posting            R               healthcare
    Hospital                                                                                                                       S             coupled with
    patient                                                                                Patient Billing
                                         Patient          Patient                                                                                   a suite of
  registration                                                                              / Customer
                                       Scheduling       Registration
                                                                                              Service                                           highly defined
                                                                                                                                                service packs




                                                                                                                           Provider Enrolment
                                                  HL7    Electronic
                                                                                                              Payment
                                        EMR               charge
                                                                                                              Posting
                                                                                                                                                 equates to a




                                                                                                                                Services
                                                          capture
                                                                            Service Packs                     Services                              complete
                                   Office based practices                              Payment Posting
                                                                                                                                                    range of
                                                                                                                                                revenue cycle
                                                                                       Collections                                               solutions for
                                  EMR Integration
                                                                                       Scanning                                                     our client
                                                                                                                                                   partners.”
                                                                                       Enterprise Reporting

                                                                                       Electronic Medical Record (EMR)




                                                                                                                                                         11
A Process that “Learns”

                                                                   NO

                                                                                                                            “All rejected
                                                               Client
                                                                             YES
                                                                                   Client team
                                                                                                                             claims are
                                                              related?              informed.                                corrected.
Claim rejected                                                                                                            Errors are then
  by claims
   scrubber                                                        NO
                                                                                                                          communicated
                                                                                                                                to the
     Claim                                                                                                                  appropriate
rejected/denied                                                Coding        YES   Coding team
   by carrier                                                 related?              informed.                                 upstream
                                                                                                                          process teams.
                                               NO                                                                            If an error
                                                                                                                          represents the
     New          YES                       Data     YES
                                                           Data entry team         New DE        YES   Data Entry
                                                                                                                           violation of a
                        Claims Scrubber
     Rule?                  updated
                                          capture
                                          related?            informed.             Rule?               Scrubber
                                                                                                        updated
                                                                                                                    END
                                                                                                                           business rule
                                                                                                                              then that
                                                                                       NO
                                                                                                                          business rule is
       NO
                                                                                                                           added to the
                                                                                                                            appropriate
                                                                                                                          rules engine to
                                                                                                                          prevent future
                                                                                                                            recurrence.”

               The process error rate rapidly trends toward zero as client specific
             business rules are added to the rules engines and upstream defects are
                                   identified and eliminated.




                                                                                                                                    12
Our Solutions

   eHealthTech Platform:
   Like a virtual IT department for rent. The eHealthTech Platform offering includes a
   complete suite of cutting edge practice automation and revenue cycle management
   software from industry leading vendors, the training required to take maximum
   advantage of that software, and ongoing systems support and software
   maintenance services.
   eHealthTech Optional Service Packs:
   eHealthTech offers a range of service packs as optional add-ons to the eHealthTech
   Platform offering. Each of these service packs is designed as a turn key module
   that performs a complete function providing our clients with an easy modular
   approach to configuring their eHealthTech solution. See next slide.
   eHealthTech Platform Premium:
   The eHealthTech Platform Premium service is essentially a combined practice
   automation and turnkey billing and collections offering. eHealthTech provides the
   revenue cycle management platform in addition to performing virtually all of the
   services required to rapidly and effectively convert clinical procedures into cash.
   eHealthTech reimbursement staff provides ongoing oversight over virtually every
   aspect of the revenue cycle. EMR integration is a separate, optional feature.
   Enterprise reporting services may not apply to all clients.


        All solutions are provisioned across the Internet on a subscription
                                   pricing basis!



                                                                                         13
Optional Service Packs

                              Enterprise reporting Services
                              • Ad hoc reports
                              • Structured views
                              • Drill down analysis
                              • Cash flow forecasting                     Enterprise
                                                                          Reporting
                                                                           Services
                       Document
                       Scanning
                        Services                                        Web Reporting
                                                                           / Data                    Collection Management
                 HL7
                                                                         Warehouse                           Services
  EMR                                         Collection Management                                                                         “Client
                                       Hospital based practices
                                                Services                                                                            C   partners may
                                                • Claims repair                                                                     A
                   Data Capture                 •
                                         On-line Insurance follow-up
                                                          Automated
                                                                             Billing /               Claims
                                                                                                                       Claims
                                                                                                                                        choose which
                                                                              Patient               scrubbing                       R
 Document Scanning  / Imaging                   •
                                         Coding Denial management
                                                          data entry
                                                                            Accounting
                                                                                                                     Management
                                                                                                                                    R
                                                                                                                                           functions
                                                • Appeals
 Services
   Charts
                                                • Patient balance enquiries                    Provider Enrollment Services         I    they wish to
 • Hard copy charts
 (hospital)
                                                                                               Payment Record
                  Patient
 • Hard copy demographics
                                                                                                • Preparation of        Payment
                                                                                                                 enrollment forms   E    perform with
               Demographics                                                                    • Forms submission       Posting     R
 • Hard copy EOB’s
                                                                                               • Status monitoring                  S
                                                                                                                                        in-house staff
    Hospital
    patient
                                          Patient         Patient
                                                                                               • Re-enrollments
                                                                                                 Patient Billing                          and which
  registration
                                                        Registration
                                                                                               • Document Management
                                                                                                   / Customer
                                                                                                                                         functions, if
                                        Scheduling
                                                                                                     Service
                                                                                                                                           any, they
                                                 HL7     Electronic
                                         EMR              charge                                                     Payment                wish to
                                                                                                                     Posting
                                                          capture
                                                                  Payment Management                                 Services             outsource.”
                                    Office based practices        Services
                                                                  • Payment posting
                                                                  • Shortfall identification
                                   EMR Integration                • Cash reconciliation
                                                                  • Refund processing
                                                                  • Statement processing




                                                                                                                                                 14
Section 3




              3
            Why eHealthTech?




                               15
A Completely Different Approach…..

 A Different Philosophy:
    At eHealthTech we believe that there is simply a better way for our client partners to access
      the advanced information technology resources and economies of scale that they need to
      ensure peak operational effectiveness in their business operations.
    To that end we really do think (and act) like partners. We are extremely easy to work with,
      we don’t make promises that we can’t keep, and if we can’t deliver better results we will say
      so.
 Services That Make Sense:
    There are some areas where economies of scale really do make a difference. It is in these
      areas that we have concentrated our services.
    We provide our clients with easy access to cutting edge technology, sophisticated business
      processes, and economies of scale without requiring them to sacrifice their operational
      independence.
 A Unique Business Model:
    Our unique Internet based business model combines the highly personalized service of a
      small company with institutional stability and sophistication.




                                                                                                      16
Delivering Significant Tangible Benefits


   Doing more with less:
   Depending on the selected configuration a business office using the eHealthTech platform can
   expect to see their data entry costs cut by 50% to 70%, their payment posting costs cut by up
   to 70%, and their insurance follow-up costs cut by at least 50%.

   Improved Financial Performance:
   A practice can expect to attain MGMA best practices standards (top 5% or better) in terms of
   the key financial metrics (AR aging and net collection percentages) within six (6) months from
   the commencement of service – provided of course that TQM defect identification and
   elimination guidelines are followed.

   Dramatically Reduced Risk of Failure: The practice is able to immediately adopt a “best
   practices” approach to managing the revenue cycle with minimal risk of failure. The
   subscription service is already in full production with optimized systems, staffing, and business
   processes.

   Better Information = Better Decisions:
   Practice leadership has real time access to the key financial performance metrics required to
   support strategic and tactical decision making.

   Capital Efficiency:
   There is little or no capital cost associated with accessing the service. Furthermore, the “pay as
   you go” pricing model minimizes fixed costs and ensures that expenses match revenue.




                                                                                                        17
Benefits Cont’d.


    Clerical Staff Augmentation: The practice has the option of at least
    partially offloading the work associated with clerical tasks such as data
    entry, payment processing, and document scanning.

    Operational Flexibility / Scalability:
    The business is able to rapidly bring new locations on-line, to centralize
    and/or distribute functions at will, and to link in outside service providers
    (e.g. specialty specific coding services) into a seamless end to end
    business process.




       eHealthTech’s approach represents a fundamentally new way of
               solving the revenue cycle automation problem!




                                                                                    18
A Proven Solution….

 Leading Edge vs. Bleeding Edge: The eHealthTech platform is definitely leading
 edge in terms of the technologies deployed however it is by no means experimental.
 To put in bluntly, eHealthTech is not in the business of taking risks with our client’s
 revenue cycle.
 Industrial Strength Systems: All components run on high availability fault tolerant
 systems housed in tier 1 data centers with 24 x 7 X 365 monitoring. Uptime service
 levels set at 99.9%. Throughput design specifications in excess of one million
 transactions per month.
 Industrial Strength Processes: Each transaction is tracked from beginning to end.
 Each alternative path in the process is watched and managed. Nothing is left to
 chance.
 Yes, but still not perfect: The harsh reality is that the healthcare revenue cycle is
 an inherently fragile and imperfect business process. Technology can dramatically
 improve the efficacy of the overall process however it cannot completely eliminate
 human error.




                  Better Technology + Better Processes = Better Results




                                                                                           19
Section 4




            4
            Getting Started




                              20
Getting Started is Easy – and Risk Free!
The following steps may not apply in all cases:


                                       eHealthTech and client execute mutual non-disclosure
      Execute non-disclosure           agreement ensuring that all information gathered remains the
           agreement                   property of the client and will be held in the strictest
                                       confidence.

                                       eHealthTech gathers information regarding both revenues and
     Gather current financial          expenses pertinent to the services footprint being considered.
     performance information


                                       Financial metrics are analyzed in light of both current
      Conduct gap analysis             eHealthTech performance metrics for the specialty in question
                                       and information regarding specialty specific best practices. The
                                       performance gap (if any) is quantified.

                                       The business case is assembled outlining recommendations for
       Prepare and present             closing the gap and the size of the expected benefits (economic
  recommendations and proposal         and non-economic) that would accrue to the client.


                                       Should the client determine that the benefits are sufficient to
      Agreement in principle           warrant a change then the parties can begin working toward a
                                       contract.




                                                                                                          21
Section 5




                      5
            Appendix A - The Platform in Detail




                                                  22
Chart Mover v2.1
*For smaller clients, we may use a similar product called C.L.E.X.

  The Problem: Hospital based practices rely on the hospital to provide access to the information
  drives the revenue cycle (demographics and charts). If this information is either missing and/or
  incomplete the integrity of the billing and collections process is be fatally compromised.
  The Solution: The eHealthTech Chart-MoverTM 2.1 system is an Internet based document imaging
  and workflow platform that automates and manages the front end of the billing and collections
  process. The fucntional footprint of the solution extends from obtaining the required billing
                                                                                                                         “Chart Mover
  information (charts and demographics) at the hospital though coding and concluding with automated                          2.1 is an
  data entry of the patient demographics and associated charges into the billing system (see diagram                        industrial
  below).                                                                                                                    strength
                                                                                                                          solution that
                            Chart Mover v2.0
                                                                                                                              can be
    Chart Capture
                                                                                                  AR Follow-up /
                                                                                                    Appeals              configured to
                                                                                                                          address the
                        Chart
                                                                                                                          site specific
    Demographics                                                   Claims                            Payment
      Capture
                      Matching /
                    Reconciliation
                                        Coding      Data Entry
                                                                  Scrubbing
                                                                                 Billing
                                                                                                     Posting
                                                                                                                   END
                                                                                                                          attributes of
                                                                                                                         each location
                                                                                                                         served by the
                                                                                       Secondary Claims

                                                                                       Patient Statements
     Patient Log
      Capture                                                                                                               practice.”
                                                  EOB Scanning                                    Bank Lockbox
      Hospital                                      / Indexing                                    (paper EOBs)




                                Hospital Based Practice – High Level Revenue Cycle




                                                                                                                                   23
Chart Mover v2.1 – Logical Process Flow


                                       EOB
                                    Processing
                                   OCR + Index                                                                             “Chart Mover
                                                                                                                               2.1 is a
                      Secure FTP
                         Server
                                       Chart                                                                                functionally
                       (images)
                                     Indexing
                                                                     Exception                                                   rich
Remote Scanning
                                                                    Management                                              information
                                   Demographics
                                      OCR +                                                                                 capture and
                                     Indexing
                                                                        Log                 On-line          Auto Data
                                                                                                                              workflow
                                                                                                                           management
                                                   Chart
                                                  Matching          Reconciliation          Coding          Submission

                                     eChart
                                                                                                                              platform
                                     Capture                                                                                  designed
                                                                                                                          specifically for
                      Secure FTP
                                   Demographics   Scrubber /                                                                 the multi-
                                                                                                                              location
                        Server
                                     Capture         QA
                        (data)
                                                                                                                          hospital based
   Data Upload                         eLog
                                                                                                                             physicians
 (hospital systems)                                                                          Web Search /
                                                                                                            Web Reports
                                                                                                                              practice
                                                                                                View


                                                    Web Dashboard – on-line production monitor




                                                                                                                                     24
Chart Mover v.2.1 – Schematic Architecture

  E-Charts
                E-Conversion




 Paper Charts                                                                     Quality
                 File Portal   Sorting          Recognition   Chart Repair                     Validation
                                                                                  Control



                                                                                                            “Chart Mover
                eDemography
                                                                                               Submission     is built on a
                                                                                                            Microsoft .NET
                                                                                                             / SQL Server
                                         Image Server             Data Server
                                                                                                                technical
                                                                                                             platform and
                                                                                                                has been
                                                                                                             designed for
                                                                                                                 optimal
                                Reports
                                                 On-line                                                     performance
                                                 Monitor
                                                                                                               across the
                                                                Staging         Staging Data                    Internet.”
                                                              Image Server         Server
                                 Coding
                                                 Search
                                Platform

                                                                             Web Portal


                                         High Level Systems Architecture




                                                                                                                      25
Chart Mover v2.1 - Backup and Disaster Recovery




                                                                                   “Chart Mover
                                                                                      is a high
                                                                                     availability
                                                                                     application
                                                                                  running in Tier
                                                                                  1 data centers
                                                                                   for maximum
                                                                                    security and
                                                                                     reliability.”
    Identical data storage sites provide seamless performance and reliability.
    Automated failover and load balancing capabilities.
    24 x 7 automated and human monitoring system.
    High bandwidth connectivity.
    100% RAID storage means all of the files are available online in real time.




                                                                                             26
Real-Time Dashboard
                      Dashboard shows up-to-
                        the-minute financial
                        information for each
                              practice.




                                               27
Practice Automation – Office Based Practices

                                   Billing and
                                   Collections




                                                               “The process
                                                               is automated
                                                              from the point
                                                                 of charge
Tablet PC’s and                                               capture all the
Handheld Device                                                 way through
Charge Capture                                                 to remittance
                                                                processing.
                                                                Support for
                                                               integration of
 Patient Scheduling                                               the EMR
                                                              enables a total
                                                                   practice
                                                                automation
            Patient Registration                                  solution.”

                                                  Insurance
                                                 Management
                                                                        28
Scheduling and Registration


                       Scheduling
                         Easily manage providers, techs, rooms,
                         and even equipment.
                         Easy-to-read, customizable views.
                         Quick search for open items.
                         Automatic alerts for co-pays, recalls, and
                         more.



                       Registration
                         Easy-to-use tabs organize data on a single
                         screen.
                         Scan an insurance card or referral at one
                         location, view it everywhere.
                         Custom fields let you store specialized
                         data.
                         Ticklers, memos, and alerts keep staff up
                         to date.


                                                                      29
Charge Capture / Check-out


                       Charge Capture
                        The best electronic super-bill anywhere.
                        Allows charge review by billing office
                        before posting.
                        Integrated on-line coding reference
                        library.
                        Fully customizable.



                       Checkout
                        All charge data entered is instantly
                        updated to the front desk.
                        Patient portion automatically calculated.
                        Return visit information readily available.




                                                                      30
Mobile solutions


                   Take AdvancedMD with you
                    Patient scheduling information updated via
                    wireless card or docking station.
                    Physician selects a patient from the
                    synchronized schedule. The physician is able
                    to view the demographic information before
                    going to the appointment.
                    The physician enters professional services,
                    diagnosis and procedures into the handheld
                    device in real time.
                    The next time the device is in range of the
                    wireless network the information is
                    transmitted to the server.
                    With the TabletPC as a mobile device, the
                    full screen AdvancedMD application can be
                    used over the wireless network, including
                    schedule review, patient information, and
                    the online charge slip




                                                                   31
                                                                                                                                                                 Practice
                                                                                                                                                                Leadership


                                                                                                                Coding Sub-                     Web based
                                                                                                                contractors                     reporting
                                                                                              Data Capture                                                    Claims Management
                                                                                                                 CPT / ICD9
                                                                                                                                                                                          C
                                                                                                                                                                 Claims                   A
                                                                                                  Document         On-line     Automated                                       Claims     R
                                                                                                                                                  Billing       scrubbing
                                                                                                   Imaging         Coding      data entry                                    Management
                                                                                                                                                                                          R




Imaging / On-line Coding
                                                                               Charts                                                                                                     I
                                                                             (hospital)              Patient Demographics
                                                                                                                                                            Payment Record    Payment     E
                                                                                                                                                                              Posting     R
                                                                                 Hospital                                      Registration /                                             S
                                                                                                                    Patient
                                                                                 patient                                         eligibility
                                                                                                                  Scheduling
                                                                               registration                                     verification

                                                                                                                                 Electronic
                                                                            Hospital based practices
                                                                                                                                  charge
                                                                                                                                  capture

                                                                                                                  Office based practices




   Indexed database
allows instant retrieval
    of original patient
  records throughout
       the process.




                             Object level security
                           ensures that access is
                            limited to select team
                               members. Entire       Charts are coded on-
                           repository protected by     line by specialty
                              128 bit encryption       specific coders.
                                  protocols.




                                                                                                                                                                                              32
                                                                                                                                      Practice
                                                                                                                                     Leadership


                                                                                     Coding Sub-                     Web based
                                                                                     contractors                     reporting
                                                                   Data Capture                                                    Claims Management
                                                                                      CPT / ICD9
                                                                                                                                                               C
                                                                                                                                      Claims                   A
                                                                       Document         On-line     Automated                                       Claims     R
                                                                                                                       Billing       scrubbing
                                                                        Imaging         Coding      data entry                                    Management
                                                                                                                                                               R
                                                    Charts                                                                                                     I




Claims Scrubbing
                                                  (hospital)              Patient Demographics
                                                                                                                                 Payment Record    Payment     E
                                                                                                                                                   Posting     R
                                                      Hospital                                      Registration /                                             S
                                                                                         Patient
                                                      patient                                         eligibility
                                                                                       Scheduling
                                                    registration                                     verification

                                                                                                      Electronic
                                                 Hospital based practices
                                                                                                       charge
                                                                                                       capture

                                                                                       Office based practices




 Sophisticated rules
engine ensures errors
 are identified before
claims are submitted.




                                               Errors are placed in a
                                                  work queue and
                                              assigned to appropriate
                                                 staff members for
                                                     resolution.
                          eHealthTech staff
                         can view the HCFA
                         1500 form on-line.




                                                                                                                                                                   33
                                                                                                                                          Practice
                                                                                                                                         Leadership


                                                                                         Coding Sub-                     Web based
                                                                                         contractors                     reporting
                                                                       Data Capture                                                    Claims Management
                                                                                          CPT / ICD9
                                                                                                                                                                   C
                                                                                                                                          Claims                   A
                                                                           Document         On-line     Automated                                       Claims     R
                                                                                                                           Billing       scrubbing
                                                                            Imaging         Coding      data entry                                    Management
                                                                                                                                                                   R
                                                        Charts                                                                                                     I




Claims Repair and Re-submittal
                                                      (hospital)              Patient Demographics
                                                                                                                                     Payment Record    Payment     E
                                                                                                                                                       Posting     R
                                                          Hospital                                      Registration /                                             S
                                                                                             Patient
                                                          patient                                         eligibility
                                                                                           Scheduling
                                                        registration                                     verification

                                                                                                          Electronic
                                                     Hospital based practices
                                                                                                           charge
                                                                                                           capture

                                                                                           Office based practices




                                    Errors are
                                 corrected on-line
                                 and resubmitted
                                   immediately.




             Claim errors are
              highlighted in a
              rendering of the
             HCFA 1500 form.




                                                                                                                                                                       34
                                                                                                                                                        Practice
                                                                                                                                                       Leadership


                                                                                                       Coding Sub-                     Web based
                                                                                                       contractors                     reporting
                                                                                     Data Capture                                                    Claims Management
                                                                                                        CPT / ICD9
                                                                                                                                                                                 C
                                                                                                                                                        Claims                   A
                                                                                         Document         On-line     Automated                                       Claims     R
                                                                                                                                         Billing       scrubbing
                                                                                          Imaging         Coding      data entry                                    Management
                                                                                                                                                                                 R
                                                                      Charts                                                                                                     I




Claims History / Insurance Follow-up
                                                                    (hospital)              Patient Demographics
                                                                                                                                                   Payment Record    Payment     E
                                                                                                                                                                     Posting     R
                                                                        Hospital                                      Registration /                                             S
                                                                                                           Patient
                                                                        patient                                         eligibility
                                                                                                         Scheduling
                                                                      registration                                     verification

                                                                                                                        Electronic
                                                                   Hospital based practices
                                                                                                                         charge
                                                                                                                         capture

                                                                                                         Office based practices




                                              Carrier acceptance of each claim
                                               is electronically attached to the
                                                claim, documenting the exact
                                                   date and time the carrier
                                                 acknowledged receipt of the
                                                            claim.



                       Acceptance begins
                     the claims aging clock
                          that drives the
                       insurance follow-up
                             process.




                           The system
                           maintains a
                      complete log of the
                       life of each claim.




                                                                                                                                                                                     35
Extensive On-line Reporting

                                                     Payor Mix


                                                     WC    BC
                                                SP   3%   10%
                                               14%
                                                                                 BC
                                                                                 CO
                                             MD                 CO               MC
                                             15%                29%              MD
                                                                                 SP
                            Download                                             WC
                         Reports to Excel.
                                                   MC
                         Generate graphs
                                                   29%
                            with ease.




                                 •Over 100 standard reports.
                                 •User selectable filter/sort criteria.
                                 •Reporting A/R and financial activity by
                                 provider, location/facility, and practice.
                                 •All Reports can be exported to Microsoft
                                 Excel for further analysis.
                                 •Letters can be created that automatically
                                 import patient-specific data, utilizing Microsoft
                                 Word’s merge features..
                                 •Collections module automates the process of
                                 "working" the collections oriented reports
                                 increasing collection staff productivity by
                                 allowing them to create patient and payer task
                                 lists and automated reminders.
                                 •Download full sets of data in Microsoft Access
                                 any time for more sophisticated analysis on
                                 your own.
                                                                                      36
                                                                                                                                         Practice
                                                                                                                                        Leadership


                                                                                        Coding Sub-                     Web based
                                                                                        contractors                     reporting
                                                                      Data Capture                                                    Claims Management
                                                                                         CPT / ICD9
                                                                                                                                                                  C
                                                                                                                                         Claims                   A
                                                                          Document         On-line     Automated                                       Claims     R
                                                                                                                          Billing       scrubbing
                                                                           Imaging         Coding      data entry                                    Management
                                                                                                                                                                  R
                                                       Charts                                                                                                     I




Extensive On-line Reporting
                                                     (hospital)              Patient Demographics
                                                                                                                                    Payment Record    Payment     E
                                                                                                                                                      Posting     R
                                                         Hospital                                      Registration /                                             S
                                                                                            Patient
                                                         patient                                         eligibility
                                                                                          Scheduling
                                                       registration                                     verification

                                                                                                         Electronic
                                                    Hospital based practices
                                                                                                          charge
                                                                                                          capture

                                                                                          Office based practices




                           Real time, any time
                        access to financial data
                            provides practice
                          leadership with vital
                        information for strategic
                            decision-making.




                                                                                                                                                                      37
Enterprise Reporting


                            Data warehouse
                            with feature rich
                            ad hoc reporting
                              capabilities.




                        Web accessible data
                       cubes with “drill down”
                          capabilities for
                         analytical support.




                                                 38
Quality and Scalability – Our Business Model


  Clients

               Client Services                          Central Services


                  Local Office                Global Service          Account Service
                                            Level Management         Level Management
                                                                                                 “Our
                Practice/Account
                                                Compliance                Coding              innovative
                  Management
                                            Legal, Accounting,
                                                                                               business
                Issue Resolution                                           Billing               model
                                                    HR
                                                Information              Denial                 delivers
                  New Accounts                                                                 superior
                                                  Systems              Management
                                                                                             results and
                                                Marketing            Payment Posting
                                                                                               superior
                                                                                               service.”
                                               Field Support          Patient Services




            Client Services provides       All critical transaction processing and systems
            local relationship managers    related processes are centralized in order to
            as a single point of contact   achieve economies of scale and consistency of
            for each client.               service.




                                                                                                    39
Revitalizing the Revenue Cycle…

                       Pre-
                        eHealthTech Revenue Cycle                                        Revitalized Revenue Cycle


Dollars ($)                                                      Dollars ($)

                                                                                        Reduced Aging




                                                                                                                    Increased $’s




                                                                                                                                                 Typical net
                                                                                                                                                   results -
                                                                                                                                                     20%
                                                                                                                                                reduction in
                                                                                                                                                  Gross AR
              0   30      60         90        120   150   180                 0   30      60              90            120        150   180     days and
                                  A/R Aging                                                             A/R Aging
                                                                                                                                                     16%
                                                                                                                                                 increase in
                                                                                                                                                collections!
    Before:                                                       After:
           Comparatively flat curve due to revenue                       Improved monthly revenues due to
            “leakage” and extended AR aging.                               accurate and complete initial billing.
           Extended AR due to “dirty” claims (wrong or                   Improved collection percentages due to
            incomplete) and lack of follow-up.                             cleaner claims and more aggressive
                                                                           follow-up.
                                                                          Faster claims turnaround due to clean
                                                                           electronic submissions and timely follow-
                                                                           up.



                                                                                                                                                        40
Thank You!



             41

				
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