1. Opening your door to a Pain Management practice with the latest technology… Next Slide

2. Opening your door to a Pain Management practice and making it part of your future. Next Slide

3. © Copyright 05/2005 NeuroMed Consulting, Inc. All rights reserved. Printed in the United States of America. No part of this material may be used or reproduced in any manner whatsoever without written permission. Next Slide Rev: 03-13-07

4. NOTE: The information contained in this presentation is only to be used as a guide to assist a physician in a clinical practice and/or procedures. This information should not be interpreted solely on its own merits but should be used in conjunction with patients history, progress notes, diagnostic tests, and evaluations. Physician should always review manufacture’s instruction manual for full warnings, precautions, and contraindications before using medical device. While the contributing authors have taken care to present the material in an accurate and complete manner, neither NeuroMed Consulting, Inc., the authors nor the publisher accept any responsibility or liability for errors, misuse, misinterpretations, or omissions. There might be noticeable differences between geographic areas, device manufacturers, or individual discretion on the correct applications for a given medical condition. NeuroMed Consulting, Inc. recommends that the physician consult with their individual manufacturer, regulatory agency, and/or medical association for the best treatment for any diagnosis that patients may present. NeuroMed Consulting, Inc. Next Slide

5. Opening the door with NeuroMed A Business Opportunity Is this new Technology? The History… What is an Electroanalgesic Neuroblock? The Theory… INDICATIONS CONTRAINDICATIONS What are the most common CPT codes Some ICD-9 codes used by physicians in Pain Management What physicians are saying about this technology… NeuroMed’s Pain Management program

6. NeuroMed Consulting, Inc. Mission Statement: NeuroMed Consulting, Inc. will lead the industry in the field of Pain Management by providing physicians and their patients with the latest in medical diagnostic equipment, Electroanalgesic Neuroblock science and technology in the treatment and diagnosis of pain. Next Slide We are here to serve our customers!

7. In today's rapidly changing healthcare environment, it is wise for healthcare providers to explore avenues of practice diversification to help create more comprehensive services for their patients. Next Slide

8. With declining medical reimbursements and increasing operating expenses, many practitioners have watched their income erode. Next Slide

9. In an effort to compete in today's healthcare arena, many physicians have discovered electroanalgesic medicine for the treatment for pain. Next Slide

10. However, due to the frequent changes in reimbursements by insurance companies, without the right tools or training, Pain Management treatments can be frustrating, time-consuming, and unprofitable. Next Slide

11. Utilizing our physical medicine and electroanalgesic treatment devices, NeuroMed can help you to overcome these obstacles. Next Slide

12. The following is a condensed description of our services. Next Slide

13. NeuroMed will provide the clinical professional with the optimum level of comfort and confidence in electroanalgesic medicine by supplying supporting research and clinical documentation. Next Slide

14. NeuroMed will completely train selected members of your staff in the field of physical medicine and the physician is trained in electroanalgesic treatment procedures and application. We will also conduct continued education seminars for the physician and the staff. Next Slide

15. NeuroMed will assist the business manager with reimbursement and coding issues from third-party insurers. Next Slide

16. The benefits of our program include: Next Slide

17. The benefits of our program include: F Non-toxic, safe, and effective Pain Management treatment F Easy to administer pain procedures, many by existing staff F Complete training provided for billing manager and staff F Alternative or adjunctive clinical treatment Next Slide

18. An ongoing relationship with NeuroMed will keep you up to speed with the latest enhancements in Pain Management as we develop them for the marketplace. We look forward to serving you in the near future. Home PageNext Slide

19. A Business Opportunity Next Slide

20. A Business Opportunity You can bring state-of-the-art technology to your practice, offer a proven beneficial service to your patients, and expand your opportunities for practice growth with NeuroMed electroanalgesic systems. This advanced technology is quickly becoming a highly praised and integral element in the treatment protocols of successful clinics and practices across the country. Next Slide

21. A Business Opportunity Electroanalgesic treatments are used by such institutions as the Bethesda Naval Hospital, the Cleveland Clinic in Ohio, the King/Drew Medical Center in Los Angeles, and the Loma Linda University Medical Center, as well as by over 2,500 practicing physicians across the U.S., the NeuroMed electroanalgesic systems may be the answer for assisting your patients who seek relief from acute, post-traumatic, post-surgical, or chronic pain. Home PageNext Slide

22. Is This New Technology? Next Slide

23. A NEW TECHNOLOGY? F Although electromedicine may seem like a new technology to many practitioners, it is actually one of the oldest and most documented medical sciences known. Cellular function has long been known and accepted to be influenced by specific bioelectric fields. Next Slide

24. A NEW TECHNOLOGY? F The science of clinical electromedicine and electroanalgesic treatment is based upon the concept that any medical therapy, regardless of the specialty or avenue of approach, can only stimulate, facilitate, or inhibit electrical or chemical processes in the body. Next Slide

25. Is this a T.E.N.S unit? (T ranscutaneous E lectric N erve S timulation) Next Slide

26. Electroanalgesic Neuroblock is not T.E.N.S. unit! Electroanalgesic Neuroblocks should not be confused with a T.E.N.S. unit. Many physicians and insurance companies think of a T.E.N.S. unit as an external small device that patients take home to reduce pain by applying low voltage electricity with adhesive electrodes placed over the skin. Next Slide

27. Electroanalgesic Neuroblock is not T.E.N.S. unit! An Electroanalgesic Neuroblock on the other hand is a clinical medical device used by a medical physician that uses an advanced computer assisted High Definition frequency generator (HDfg) ™ with high intensity frequency impulses to trigger nerve fibers to block pain signals to the brain. Next Slide

28. T.E.N.S. units use signals to produce repeated action potentials normally ranging upwards from 1 to 250 pulses per second. These signals imitate the normal firing frequencies of the nerves. The most typical range is usually from 1 to approximately 10 pps. T.E.N.S. units are considered to be a topical or peripheral nerve stimulator. Next Slide

29. Unlike a T.E.N.S. unit, an Electroanalgesic Neuroblock replaces areas of intense pain with a more pleasant sensation. Most patients say that it feels like a "light tingling" or "massaging sensation." Next Slide

30. More importantly, it masks the pain that is normally present. This sensation, called paresthesia, remains relatively constant during the treatment and should not hurt. Next Slide

31. T.E.N.S. effects in bioelectric procedures and treatments are biophysiological effects that are induced by repeated synchronous action potentials in excitable cells (1 to 250 pps -- pulses per second). This involves membrane depolarization and repolarization activity. (“Gate control theory of Pain”, Science 150., 1965; Melzack and Wall) Next Slide

32. An Electroanalgesic Neuroblock uses signals that are so fast that they cannot be physiologically followed by the nervous system (multiple stimulations falling within the absolute refractory period of the cell membrane). This depolarization effect is accomplished by using an advanced computer assisted High Definition frequency generator (HDfg) ™ to reduce the hyper- irritated state of the nerves. Next Slide

33. These signals must be faster and are used for stopping or interrupting the axon transport of the action impulse. Blocking the pain signal is necessary in cases of heavy (severe) pain. (Wendensky Inhibition) Home PageNext Slide

34. What is an Electroanalgesic Neuroblock? Next Slide

35. Electroanalgesia (elec·tro·an·al·ge·sia) Electroanalgesia (elec·tro·an·al·ge·sia) is defined by Stedman's Medical Dictionary, 2nd Edition as: “Analgesia that is induced by the passage of an electric current.” Next Slide

36. Electroanalgesia (elec·tro·an·al·ge·sia) Electroanalgesia is also defined by Dorland's Medical Dictionary “The reduction of pain by electrical stimulation of a peripheral nerve or the dorsal column of the spinal cord.” Next Slide

37. “Nerve Block” Nerve Block is defined by Gould Medical Dictionary as: “The interruption of the passages of impulses through a nerve, as by chemical, mechanical or electrical means.” Next Slide

38. “Nerve Block” Nerve Block is also defined by Tabers’s Cyclopedic Medical Dictionary as: “The introduction of regional anesthesia by preventing sensory nerve impulses from reaching centers of consciousness. This is usually done on a temporary basis, by using chemical or electrical means. In the former case, it is accomplished by injecting an anesthetic solution, such as procaine, around the nerve but some distance from the region, or by anesthetizing a nerve ending in the region itself (infiltration).” Next SlideHome Page

39. The History… Next Slide

40. THE HISTORY OF ELECTROMEDICINE A wide variety of medical conditions have been successfully treated with electrical stimulation for nearly 2,000 years. Electro medicine gained wider acceptance in our day when Canadian psychologist Ronald Melzack and British physiologist Patrick Wall published their influential findings on the “Gate Control Theory of Pain”. (Science 150, 1965) Next Slide

41. THE HISTORY OF ELECTROMEDICINE These scientists found that certain cells in the spinal cord act as gates through which pain signals travel to the brain. Overloading these neural transmitter cells will block the naturally occurring electrochemical pain impulses and thus relieve pain. Next Slide

42. THE HISTORY OF ELECTROMEDICINE The Gate Control Theory was accepted by the medical community and helped establish the use of transcutaneous electric nerve stimulation (T.E.N.S.) in the United States. Next Slide

43. THE HISTORY OF ELECTROMEDICINE Since that time, NeuroMed Consulting, Inc. has refined and perfected electromedical processes to the point where comprehensive electroanalgesic medicine has emerged as an important adjunct discipline in the management and control of pain. Next Slide

44. THE HISTORY OF ELECTROMEDICINE NeuroMed provides the clinical profession with the optimum level of confidence in electromedicine and electroanalgesic medicine by supplying practitioners with high quality equipment, accessories, and related training and client services. Home PageNext Slide

45. THEORY OF ELECTRO MEDICINE Next Slide

46. CLASSIFICATIONS At present, there are two distinct electro medicine classifications: F (1) Action Potential (depolarization and repolarization) Next Slide

47. CLASSIFICATIONS Next Slide

48. CLASSIFICATIONS At present, there are two distinct electro medicine classifications: F (1) Action Potential (depolarization and repolarization) F (2) No Action Potential (sustained depolarization): Next Slide

49. CLASSIFICATIONS  Action Potential F These effects in bioelectric procedures and treatment are biophysiological effects that are induced by repeated synchronous action potentials in excitable cells (1 to 250 pps -- pulses per second). This involves membrane depolarization and repolarization activity. Next Slide

50. F Szasz Slide 31 Next Slide

51. CLASSIFICATIONS  No Action Potential F These effects in bioelectric procedures and treatment are biophysiological effects that are induced without action potentials (i.e., faster than 2,000 pps). This involves sustained depolarization – that is, no repetitive membrane depolarization and repolarization activity. Next Slide

52. F Szasz Slide 37 Next Slide

53. AFFECTING THE NERVE WITH ELECTROMEDICINE F 1.NEURON FUNCTION IMITATION* These are signals producing repeated action potentials normally ranging up wards from 1 to 20 or 30 pulses per second. These signals imitate the normal firing frequencies of the nerves. The most typical range is usually from 1 to approximately 10 pps, used primarily for adjunctive treatment of post- traumatic pain syndromes, prevention or retardation of disuse atrophy, adjunctive treatment in the management of post-surgical pain problems, and immediate post-surgical stimulation of the calf muscles to prevent phlebothrombosis. *These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next Slide

54. F Szasz Slide 56 Next Slide

55. AFFECTING THE NERVE WITH ELECTROMEDICINE F 2.NEURON FUNCTION EXHAUSTION* These are signals that produce repeated action impulses at a higher rate. This range of frequencies is normally from approximately 30 pps to 250 pps. Neuron exhaustion occurs in a relatively short time via the depletion of the synaptic neurotransmitter necessary for continued action potential propagation. This type of stimulation produces vasodilatation, muscle fatigue, and relaxation for spasm relief. *These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next Slide

56. F Szasz Slide 56 Next Slide

57. AFFECTING THE NERVE WITH ELECTROMEDICINE F 3.NEURON FUNCTION INTERRUPTION* These are signals that are so fast that they cannot be physiologically followed by the nervous system (multiple stimulations falling within the absolute refractory period of the cell membrane). These signals must be faster than 2,000 pps and are used for stopping or interrupting the axon transport of the action impulse. Blocking the pain signal is necessary in cases of heavy (severe) pain. *These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next Slide

58. F Szasz Slide 56 Next Slide

60. PAIN RELIEVING EFFECT F AS A PRIMARY EFFECT:* Counter-irritation by means of action potential generation synchronous to the modulation frequency (beat frequency or pulse per second frequency; gate control theory; Melzack and Wall, et al). *These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next Slide

61. PAIN RELIEVING EFFECT F AS A PRIMARY EFFECT:* A block of the transmission of pain information by means of sustained reactive depolarization in the region of the higher intensity unmodulated middle frequency (Mf) electric field. (The resulting continuous refractory state is called Wendensky Inhibition.) *These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next Slide

62. PAIN RELIEVING EFFECT* AS A SECONDARY EFFECT RESULTING FROM ALL THE OTHER PARTICULAR THERAPEUTIC PROPERTIES: F Motor nerve, muscle activation and stimulation F Increase of local blood flow F Local circulation F Effects on muscle F Biological influence *These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next Slide

64. Secondary Pain Relieving Effects*  1.MOTOR NERVE AND MUSCLE STIMULATION *These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next Slide

65. Secondary Pain Relieving Effects* F 1.MOTOR NERVE AND MUSCLE STIMULATION Action potential generation in motor nerves and/or muscle cells synchronous to the modulation frequency (beat frequency, pulses per second frequency), with low frequency single twitches or tetanic contractions dependent on the modulation frequency (direct and indirect muscle stimulation). *These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next Slide

66. Secondary Pain Relieving Effects* F 1.MOTOR NERVE AND MUSCLE STIMULATION Physiological muscle contracture during distinct superthreshold simulation with sustained unmodulated middle frequency currents (direct muscle fiber stimulation). *These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next Slide

67. Secondary Pain Relieving Effects* F 1.MOTOR NERVE AND MUSCLE STIMULATION Generation of spontaneous action potential activity with statistically distributed intervals between the single action potentials in nerves and muscle cells during stimulation with sustained unmodulated middle frequency currents moderately above motor threshold or in the range of motor threshold intensity (direct and indirect muscle stimulation). *These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next Slide

68. SECONDARY PAIN RELIEVING EFFECT F 2. INCREASE OF LOCAL BLOOD FLOW* Effect of motor nerve and muscle stimulation with an increase in metabolism, followed by auto regulatory vascular mechanisms resulting in a decrease of local peripheral resistance of the vasculature in the stimulated muscle. *These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next Slide

69. SECONDARY PAIN RELIEVING EFFECT F 2. INCREASE OF LOCAL BLOOD FLOW* CO2, lactate, and adenosine are end-products of metabolism. The auto regulatory vascular mechanisms are controlled by CO2, lactate (pH decrease), and adenosine release. *These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next Slide

70. SECONDARY PAIN RELIEVING EFFECT F 2. INCREASE OF LOCAL BLOOD FLOW* ATP consumption is initiated by depolarization of both excitable and non excitable cells, because the cells try to repolarize their membrane potential. For this purpose they need ATP as the source of energy. Electromedical currents depolarize excitable and non-excitable cells. *These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next Slide

71. SECONDARY PAIN RELIEVING EFFECT F 3. LOCAL CIRCULATION* Increase in the distribution of electrically charged substances (ions) and water Electro-osmosis within the tissue, resulting in: *These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next Slide

72. SECONDARY PAIN RELIEVING EFFECT F Dilution of toxic, pain, and/or inflammation causing substances F Increase of tissue clearance (filtration and diffusion processes) F Increasing local blood circulation F Improvement of exchange (diffusion) processes: the intro and extracapillary fluids F Improvement of resorption processes, important for prevention or retardation of disuse atrophy *These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next Slide

73. SECONDARY PAIN RELIEVING EFFECT F 4. EFFECTS ON MUSCLE* Motor nerve and muscle excitation followed by: F Relaxation of muscle spasms (comparable to the effect of post-isometric muscle relaxation) F Interrupting the vicious cycle of pain *These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next Slide

74. SECONDARY PAIN RELIEVING EFFECT F 5. BIOLOGICAL INFLUENCE* Increase of the mitosis rate of germinative cells within tissues having regenerative functions *These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next Slide

75. SECONDARY PAIN RELIEVING EFFECT F 5. BIOLOGICAL INFLUENCE* F Effect on non excitable cells by depolarization of the resting potential: *These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next Slide

76. SECONDARY PAIN RELIEVING EFFECT F 5. BIOLOGICAL INFLUENCE* F Effect on non excitable cells by depolarization of the resting potential: F A reversible increase in the electrical membrane resistance takes place after a certain latency period. This is a stimulation for mitosis *These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next Slide

77. SECONDARY PAIN RELIEVING EFFECT F 5. BIOLOGICAL INFLUENCE* F Effect on non excitable cells by depolarization of the resting potential: F A reversible increase in the electrical membrane resistance takes place after a certain latency period. This is a stimulation for mitosis F The consumption of ATP is increased due to the tendency of the cell to rebuild the resting potential. Repolarization is realized with the aid of the potassium pump. The energy needed for this is obtained from ATP hydrolysis. *These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next Slide

78. SECONDARY PAIN RELIEVING EFFECT F 5. BIOLOGICAL INFLUENCE* F One end-product of the ATP consumption is adenosine, which: F Penetrates the cell membrane and acts as a strong local vasodilator F Causes an activation of cyclase, resulting in the generation of the substance cAMP (cyclic adenosine monophosphate) and the activation of the cell-specific metabolism. * These mechanisms of action are only theory and have not yet been proved with valid scientific data. Next SlideHome Page

79. INDICATIONS *CAUTION: Federal law restricts this device to sale by or on the order of a licensed physician or other practitioner licensed by law. See instruction manual for full warning, precaution and contraindications. Next Slide

80. INDICATIONS Pain Management F Stimulate nerves for the purpose of providing pain relief F For adjunctive treatment of post- traumatic pain syndromes F For management and symptomatic relief of chronic (long-term) INTRACTABLE PAIN F As an adjunctive treatment in the management of post- surgical problems Next Slide

81. INDICATIONS Muscle Stimulation F Stimulate motor nerves for the purpose of muscle rehabilitation F Relaxation of muscle spasms F Prevention or retardation of disuse atrophy F Increasing local blood circulation F Muscle re-education F Immediate post-surgical stimulation of calf muscle to prevent phlebothrombosis F Maintaining or increasing range of motion Next SlideHome Page

82. CONTRAINDICATIONS Thrombophlebitis Manifest thrombosis Cardiac demand pacemaker Acute danger of hemorrhage Disturbances in cardiac rhythm In tetany, caution should be exercised in dosing. Acute local inflammatory processes caused by bacterial or viral infections (for example: furuncle, phlegmon, herpes simplex, acute herpes zoster) Do not stimulate over carotid sinus. Do not stimulate transcerebrally! Use adequate precautions in persons with suspected heart problems, epilepsy, or in transthoracic applications. Use precautions following recent surgical procedures when muscle contractions may disrupt the healing process. Next SlideHome Page

83. Example of some ICD-9’s used by Physicians in Pain Management Next Slide

84. Example of some ICD-9’s used by Physicians in Pain Management F PAIN, Low Back724.2 F PAIN, Back/ Shoulder724.9 F PAIN, Knee719.46 F PAIN, Shoulder / Joint719.41 F PAIN Atypical Facial350.2 F PAIN, Lower Extremity729.5 Next Slide

85. Example of some ICD-9’s used by Physicians in Pain Management Treatments F BACK PAIN F Lumbago724.2 F Other symptoms referable to back728.8 F Edema782.3 NeuroMed has compiled this coding information for provider’s convenience in understanding of billing. It is always the provider’s responsibility to determine coverage and submit appropriate codes, modifiers, and charges for the services that were rendered. Provider must contact local carrier/payer for interpretation of appropriate coverage and coding policies. NOTE:Always verify with individual insurance carrier (in your respective area) for carrier direction concerning the preferred billing codes for proper reimbursement of physical medicine and Electroanalgesic Neuroblock for this product or any other product. Rev: 03/13/07 Next Slide

86. Documentation F Physicians must document clearly and identify the service rendered and why it is medically necessary for a given beneficiary for this medical device or any other product. F Physicians must document via S.O.A.P notes for a given treatment for this equipment or any other product. F Physicians must document clearly the conditions in order of importance. This equipment is used to treat PAIN (Pain Management). F Physicians must verify with individual insurance carrier’s (in his/her respective area) for the carrier’s direction concerning the preferred billing codes for proper reimbursement of Physical Medicine and Electroanalgesic Neuroblock. Next SlideHome Page

87. What are the most common CPT codes used by physicians with this medical device? Next Slide

88. Physician Medicine CPT Codes used by physicians F 97032- Electrical Stimulation (attended) ( each 15 min. treatment) F 97014- Electrical Stimulation (un-attended) F 97016-Vasopneumatic Device F 97139-Unlisted Therapeutic Procedure Electroanalgesic Procedure Codes F 64999-Unlisted Procedure (A.M.A. 1999) F 64XXX-Nerve dependent (w/ modifier) NeuroMed has compiled this coding information for provider’s convenience in understanding of billing. It is always the provider’s responsibility to determine coverage and submit appropriate codes, modifiers, and charges for the services that were rendered. Provider must contact local carrier/payer for interpretation of appropriate coverage and coding policies. NOTE: Always verify with individual insurance carrier (in your respective area) for carrier direction concerning the preferred billing codes for proper reimbursement of physical medicine and Electroanalgesic Neuroblock for this product or any other product. Rev: 03/13/07 Next Slide

89. Reimbursement F Average patient treatment regimen is 12-15 physical medicine treatments per I.C.D. code. F Average patient treatment regimen is 3-5 Electroanalgesic Neuroblocks per I.C.D. code. F Actual reimbursement varies according to billing specialty and regional reimbursement average. F Physicians must verify with individual insurance carrier’s (in his/her respective area) for the carrier’s direction concerning the preferred billing codes for proper reimbursement of physical medicine treatment and Electroanalgesic Neuroblock. Next SlideHome Page

90. What physicians are saying about this technology… Next Slide

91. Physician Letters...“ This machine helps those with chronic myofacial pain, pain arising from peripheral and central nervous system disorders incapacitating the patients. The electroceutical block provided by this medical device is quite effective in alleviating the pain. Some patients got complete relief of chronic pain. I highly recommend this in all pain clinics and rehabilitation centers to treat painful conditions arising from the soft tissue as well as from underlying nervous tissue.”… T. R. Shantha, MD, Ph D Director - Southeastern Pain Inst. Clinical Professor - Georgia Next Slide

92. Physician Letters …” We are witnessing daily in our physical medicine & rehabilitation pain management and preventive medicine center phenomenal results….As a board certified family physician with over thirty years of clinical experience, I have had extensive exposure to patients with musculo skeletal injuries and a variety of chronic painful and disabling diseases and disorders…..The MATRIX offers a unique resource to facilitate a more prompt recovery for the vast majority of these patients”… D. Robert Howard, M.D. Next Slide

93. Physician Letters F …I feel that with this device I have a chance to treat, what I have previously considered virtually untreatable pain. Granted, I have only been a doctor for a few short years, but in that time, I have learned acupuncture and become involved with prolo therapy. Even though these modalities help improve my patients’ outcomes, after using this advanced technology for approximately 4 months now, I am incredibly enthusiastic about the results that I have been able to achieve. F In addition to the fact that we have been getting great results, I have to mention the fact that the company that has produced this technology has been by far one of the best, if not the best, company I have had to deal with in terms of their training and their support. They have been there to help us with any technical problems (although we have hardly had any), post training, which has been incredible, and most importantly supporting us in our endeavor to work with insurance companies so that we can provide this remarkable technology to patients on virtually all plans. While poorly understood by insurance companies, it is in many ways beneficial as it is often times much less expensive for insurance companies then more invasive and seemingly less affective methods presently available… R. Rand, M.D. Next Slide

94. Physician Letters “Since acquiring the MATRIX over one year ago, I have noticed a significant reduction in the indications for painful and expensive Pain Management blocks (e.g. – Trigger Point Injections and Peripheral Nerve Blocks). It also provides a much more cost effective treatment and I have found it to be an invaluable tool in my day to day care of the pain patient”… Bentley Ogoke M.D. American Board of Anesthesiology American Board of Internal Medicine Board Certified in Pain Management Next Slide

95. Physician Letters …”Like most doctors, I look at the introduction of any new modality with a certain degree of skepticism. Such considerations as the affect of time, the placebo affect, or for that matter, any other agent which may produce an affect, must be considered… I want to impart this experience since I derive such a great degree of satisfaction from the treatment of really horrendous problems with your device”… Anthony T. Oropollo, M.D., FACA American College of Anesthesiologists American Academy of Pain Management Next SlideHome Page

96. NeuroMed’s Pain Management program Next Slide

97. F Safe and effective, non-invasive treatment F Minimal potential for side effects, easily avoided F Extremely high patient compliance, outcome, and satisfaction F Substantial reduction in out-bound patient referrals F Easy to administer by existing staff members F Superior source of practice revenue F No capital risks F No practice logistics risk. NeuroMed handles the installation, training, billing, and collections Next Slide

98. How can a physician get started? Next Slide

99. NeuroMed will provide the Pain Management equipment and schedule for an independent sales representative to evaluate your practice. We will also schedule your first staff training meeting and completely train your existing staff members in the field of physical medicine and electroanalgesic treatment procedures and application. Also, we train the business manager regarding reimbursement and coding issues from third-party insurers. Next Slide

100. Physician can start scheduling and treating pain patients in the office. Note: Only 15 patients per day / per unit can receive treatment on a Pain Management system at 20-35 min. per treatment / per patient. Next Slide

101. Physician will provide superbill, patient’s insurance information, and any necessary paperwork to billing company. NeuroMed’s billing company will handle all the billing and collections for the Pain Management treatments. Next Slide

102. Physicians reimbursements for Pain Management treatments that will be sent directly to physician. NeuroMed will invoice physician for training, phone support, medical device supplies, user fees, account fee, and billing / collection fees. Next Slide

103. The day you call our office at 1-949-369-7135 Next Slide

104. Is the day that you open the door to your advanced Pain Management treatment center. Next Slide

105. NeuroMed Consulting, Inc. 647 Camino De Los Mares Suite 108-81 San Clemente, CA 92673 Phone: (949) 369-7135 (949) 369-1893 FAX Web-site address www.NeuroMedinc.com Home Page