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1 Please Insert Client Logo
e4e Healthcare Services Comprehensive Solutions for the Healthcare Ecosystem © e4e – Confidential and Proprietary

2 e4e Healthcare Business
Headquartered in Towson, MD, e4e Inc. is a growing, profitable, zero debt and financially strong company. We maintain a right-shore business model executed from four delivery centers located in the US, India and Philippines. With over 19 years of rich experience, e4e carries a strong heritage of providing end to end Healthcare Services – through our Technology Platforms and Software IP. A cross-border Healthcare Company with proprietary Software Platforms for Revenue Cycle Management, Claims Processing, Audit and Process Automation. Technology agnostic solutions – experience in working with over 30 Provider and multiple Payer platforms. Expertise in System and Platform Integration – System Interface, Electronic Data Inter-change and Workflow Efficiency. We process over 135 million transactions annually and code/audit over 30 million charts. HIPAA Compliant systems and processes, e4e is also an ISO 9001:2008 certified & SSAE 16 Type II compliant Company. IT Enabled Services & BPO Offices in 3 Countries Employees Globally Worked with over 6000 Physicians © e4e – Confidential and Proprietary

3 e4e Healthcare Service Landscape
Revenue Cycle Management Payer Services Value Added Services Technology Solutions End to End Solutions for the Healthcare Payment Continuum © e4e – Confidential and Proprietary 3

4 e4e Healthcare Services
Revenue Cycle Management Patient Access Management Charge Capture including clinical documentation improvement Claims, Remittance & Denial Management Hospital, Physician & Remote Coding HEDIS & DRG Coding Revenue Recovery & A/R Services Charge Integrity & Compliance Solutions Successful EMR driven billing service Payor Services Front End Claims Processing and Management Claims Adjudication and Error Suspense Resolution HCC Coding Services Enrollment Membership and Billing Services Customer Service Mailroom Service Grievance, Appeal & Refund Posting Reports Management Value Added Services Customer Support centers Business Rules Configuration Fraud , Waste & Audit Solutions RAC Response Management Solution for Providers Process Improvement Consulting for Physicians Ancillary Services for Payers Business consulting Technology Solutions Claims Administration Platform Scheduler Workflow Solutions including OCR ICD 10 Transition Support Document Management System Client Service Portal Member Portal Managed Services -Network & Desktop management © e4e – Confidential and Proprietary

5 Geographic Presence © e4e – Confidential and Proprietary

6 Our Healthcare Service Footprint
Multi-State Presence Illinois California New Jersey Florida New York Georgia Texas Louisiana Carolinas Tennessee © e4e – Confidential and Proprietary © e4e – Confidential and Proprietary 6

7 Hospital Service Offerings
Patient Access Management Billing Medical Coding Denial Management A/R Follow up Hospital Service Offerings Outpatient Visits Clinic Visits Emergency Department Same Day Surgery Inpatient Scheduling & Registration Eligibility & Benefit Verification Data Entry Cash Posting Credit Balance Report Account Receivables Service Insurance Follow Up Weekly review to check on denials Increased Productivity, Faster Payments, Decreased Costs & Enhanced Patient Service © e4e – Confidential and Proprietary 7

8 Provider Service Offerings
© e4e – Confidential and Proprietary 8

9 Payor Service Offering
© e4e – Confidential and Proprietary 9

10 Technology Services © e4e – Confidential and Proprietary

11 Value Added Services 11 HIM Operational Review Services
Conducting focus assessments of HIM workflow challenges, staffing, and performance improvement needs. Improving revenue cycle, outcomes reporting, release of information, issues with working DRGs & ICD-9 codes. HIM Operational Review Services Providing comprehensive suite of products and services to enable a smooth transition to ICD 10. ICD-10 Readiness Assessment, ICD-10 Impact Assessment Service supported by applications ICD-10 Transition Improving the accuracy of clinical documentation and DRG coding through the coordinated efforts of caregivers, physicians and coding professionals, guided by experienced e4e consultants DRG Assurance Sustaining the benefits of the DRG Assurance with leave-behind software that provides guidelines for concurrent chart review and identifying potential compliance risks, frequently missed concepts, and issues with working DRGs and ICD-9-CM codes Clinical Documentation Improvement RAC risk assessments Transition auditing, hospital-specific MS-DRG, hospital outpatient, and physician service accounts Support in deployment of RAC management programs RAC Management Inpatient coding validation services provide comprehensive reviews to assess DRG code assignments, improve documentation, and quantify the impact of coding changes. DRG Validation Services e4e has a suite of proprietary technology platforms primarily designed as an enabler to a more efficient and effective operating model. Velocity – RacER - CodED Technology Services © e4e – Confidential and Proprietary 11

12 Technology & Platform Agnostic Solutions
Multi - Platform Multi - Specialty Hospitals Providers Hospitals Providers Epic Cerner Systems IDX Paragon McKesson Meditech Medicare DDE TMHP (Medicaid of Texas) Next Gen Hospital System HMS Hospital System MS4 Hospital System 3 M Allscripts and Misys Meditech Cerner Systems Siemens Signature Image Flow/ Image Star e ClinicalWorks GE systems Amicas McKesson QMS Kareo NextGen Neurology Gastroenterology Rheumatology Radiology Neurosurgery Emergency Cardiology Birthcare Healthcare Obstetrics Oncology Physical Therapy Ophthalmology Pain management Rehab therapies Acute Internal Medicines Orthopedics Acute Care Women’s Health Dialysis Centers Cardio Surgery General Surgery Emergency Department Ambulatory Services Pathology Orthopedics Anesthesiology Nephrology Hospitals Radiology Payers & TPAs Payers & TPAs EZCap Power MHS Diamond Health trio HMO Plans (include Medicare, Medicaid and self funded plans) © e4e – Confidential and Proprietary 12

13 Delivery Strategy Right-shoring
Best of Outsourcing outcomes with “Right-shoring” – a customized combination that combines efficiency and savings Right-shoring Onshore Offshore Onsite US India US Philippines 13 © e4e – Confidential and Proprietary

14 The Numbers Speak Process 2011 2012 2013 September - YTD Coding
20,576,183 30,361,972 20,374,731 Accounts Receivables 2,214,116 3,301,539 2,275,187 Cash 9,835,229 10,854,505 10,141,648 Charge 6,157,716 7,358,441 5,091,301 Patient Demographics 4,186,355 4,762,631 2,605,310 © e4e – Confidential and Proprietary 14

15 Our Performance & Operational Scale
Delivering 100% on our Client SLAs & KPIs over several years Outcome Measures Process Measures Metrics Actual Targets Collection as a % of Gross Charges 55% Targeted Revenue Increase Y-O-Y 9% AR days for Commercial & Blue Cross 42 days 180 days + AR as a component of total AR < 8.5% Denials on patients with coverage and benefits information < 0.25% Denials & Transmission Rejects 3% Specific Target for a customer for a location $ m AR Days for Medicare < 20 Metrics Target Financial Claim Accuracy (for RCM) 99.1% Administrative Claim Accuracy (for RCM) 99.7% Coding Accuracy 97% plus TAT for Claims Norm is 24 hours, with exceptions delivered even with in 8 hours Our Operational Scale 135Mn Transaction processed per annum 30Mn Charts coded & audited 5.79Mn Claims processed per annum $1.61Bn Paid on claims per annum © e4e – Confidential and Proprietary 15

16 Foundation for Success
Data Analytics Optimal Staffing Weekly, Monthly and Quarterly calls Exclusive focus on TAT and revenue collection Tight quality assurance measures HIPAA Compliance Resource Capabilities Transitions Business Excellence Delivery Excellence Governance Infrastructure & Automation Hiring the right people Employee longevity Product and Process Level understanding Contextual Training Periodic Refresher Training opportunities Project Scoping and opportunity identification Analysis on key drivers affecting the Process Cost effective solutions to improve the system Structured approach to execution and delivery Robust Infrastructure for uninterrupted business State of the art delivery solutions In house application development team to customize your solution Powerful Knowledge Management tools Fact based decision making approach Provides transparency & build controls on operations Ensures highest level of Data Integrity, Security & Compliance US relationship Management Managing by Business Goals © e4e – Confidential and Proprietary 16

17 Why e4e ? Reduced costs by up to 40 % by outsourcing to e4e.
Consistent superior service delivery against client SLAs and KPIs. We are flexible and nimble and have a transitions methodology to quickly ramp our operations. Scalability & operational flexibility SW platforms and skilled staff to delivers significantly better economies of scale for you. Continuous Process Innovation leveraging Technology. Process Re-engineering with customized automation tools. Complementary Service Offerings Our values and commitments of Adaptability, Community, Excellence and Integrity is what will drive the success of this engagement 17 © e4e – Confidential and Proprietary

18 Contact Us e4e Healthcare Business Services
502 Washington Avenue, Suite 200, Towson, MD Tel: +1 (443) e4e Healthcare Business Services 60 Oswego Street Baldwinsville, NY 13027 Fax: (315) Thomas Renny George Vice President – Sales Mobile: +1 (813) Kathleen Maher            Associate Vice President   Sales      Mobile : +1               Teresa Crawford Associate Vice President Sales Mobile: e4e Healthcare Business Services Fortune Towers 152, Thoraipakkam Pallavaram, Radial Road Kovilambakkam Chennai Tel: Fax: Toll Free: +1 (877) e4e Global Services Philippines Inc. 15th Floor, Fort Legend Building, Bonifacio Global City, Taguig City 1634 e4e Healthcare Business Services Unit No , 13th Floor Prestige Meridian - II #30, M.G. Road Bangalore Tel: e4e Healthcare Business Services H33 Sector 63 NOIDA Uttar Pradesh – Tel : Fax : © e4e – Confidential and Proprietary 18

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