1. MedAssist Overview
March 11, 2015

2. Agenda Corporate Overview Revenue Cycle Services
Patient Access Services
Medicaid Eligibility Services
Receivables Management Services
Medical Advantage Plan
Healthcare Collection Services
MRES

3. MedAssist – A Technology-Driven Healthcare Revenue Cycle Company
Who We Are
Our Credentials
100% healthcare focused – 25 years providing comprehensive revenue cycle management solutions
National client base with 700+ healthcare providers
13+ years average account tenure for top 10 clients, representing 190 hospitals
National infrastructure - regional focus
1,400 employees
710 CAC employees
13 regional service centers
Comprehensive end to end technology solutions coupled with experienced people and tested processes
HFMA Peer Reviewed designation
HFMA special stamp of approval - seven consecutive years
2013 Best in KLAS Award
MedAssist is among the Top 3 companies ranked in the “2013 Best in KLAS Awards: Software & Services” report for extended business office services, earning this honor for the fifth consecutive year
KLAS is an independent research firm that specializes in monitoring and reporting the performance of healthcare vendors
Lean Six Sigma
Dedicated to implementing the Lean Six Sigma process for performance excellence.
Drive for operational improvement for our clients through process mapping, process improvement and culture building

4. Serving More Than 700 Clients Nationwide
MedAssist has always focused on strengthening the provider-patient relationship, historically emphasizing its financial aspect. We continue to expand our capabilities for facilitating patient engagement to ensure the cost of care is covered. Or to ensure full revenue realization.
Hospital Clients
MedAssist Centers of Excellence

5. End to End Revenue Cycle Solutions
Front End
Back End
Patient Services
Eligibility
Services
Receivables Management
Collection Services
Customer service
Patient financial clearance
Insurance verification and pre-certification
Patient registration
Point of service collections
Medicaid eligibility
Assisting patients with primary and secondary Medicaid coverage
All aspects of financial counseling
QHP enrollment
Medical Advantage Plan (MAP™)
Patient financing solution
Insurance billing and follow up for all financial classes
Initial billing, follow-up and denial management
Self pay “early-out” cash acceleration
AR conversion projects
MRES
Management of provider enrollment and billing for out-of-primary-state
Custom telephone & collection campaigns
Small balance collections
Skip tracing services
Primary and secondary placements
Attorney services

6. Patient Access Services
Ensure eligibility and enrollment
Ensure pre-authorization
Identify coverage
Verify medical necessity
Collect payment in advance
Provide charity care verification
Provide financial counseling
Uninsured & insured referrals to Financial Counselor or Patient Advocate
Patient registration, screening, education and determinations
Outpatient
Complete financial clearance, collection of patient liabilities and customer service
Inpatient ED

7. Eligibility Services
Self-pay conversions to a payer source through federal, state and county assistance programs
Uninsured patients
Medicare patients
Nursing home and LTC
Underinsured patients
Medicaid management (state-specific/ out-of-state):
Ongoing
Clean-ups
Retro-active coverage
Denials and appeals
Identification and follow-up for hospital charity/financial assistance
Standardized documentation appropriate for today’s requirements
Captures patient statistical data
Early identification and resolution for patients eligible for hospital charity care programs
Provides a positive public image
Community and social services-based resources

8. Receivables Management
Third Party
Self Pay Early Out
Insurance billing and follow up for all financial classes
AR conversion projects
Management of provider enrollment and billing for out-of- state Medicaid receivables
Full account resolution, including identification of contractuals and other uncollectible balances
Process for patient balance resolution prior to bad debt write off
Proprietary propensity to pay scoring and segmentation
Intelligent workflows insuring best practices applied to every account
Regression analysis measures improved performance
Web hosted IVR technology maximizes patient contact and outcomes

9. MAP™ - Medical Advantage Plan
Patient financing solution for deductibles and co-pays
Solution for patients to better manage their healthcare bills
Provides immediate funding to hospital for qualified patients
Interest free payment arrangements
Co-branded marketing material
Proven patient engagement strategy
Improves patient loyalty
How MAPTM Works
You choose when MAPTM is offered:
patient access
post-service
automatically to aged accounts
Account is flagged for MAPTM in your billing system
Account is transmitted to MAPTM via a daily batch file after the service is provided and final charges are determined
You receive immediate funding on qualified accounts
CarePayment handles statements, payments, and follow up

10. Healthcare Collections Services
Approach account collections with a blend of results-oriented process and concern for the dignity of the patient
Systematic approach incorporating technology and scoring strategies
Customized operational system, electronic interactive scripting and predictive/power dialers
Production/Quality Management holding all our employees to the highest ethical standards, strictly monitoring and managing performance

11. Introducing Full business office outsourcing
Institute MedAssist best practice, technology and expertise
Increase cash; 100% realization of net patient revenue
Decrease cost to collect
Decrease AR days
Access to specialized billers and resources
Improved financial performance

12. Impact of ACA on the Revenue Cycle Continuum
Front End
Changing Payer Mix
Patient Experience
Increased Patient Payment Responsibility
With a newly insured patient population becoming a part of the payer mix, hospitals can expect to face challenges in collecting accurate information from patients to ensure financial clearance for the reason of visit.
Increased patient volumes and utilization can result in patient dissatisfaction attributed to long waits, manual patient access processes, lack of knowledge about payment responsibilities, and lack of communication tied to poor customer service.
Increasing financial obligations of the patients under new coverage options will force hospitals to improve financial counseling and upfront collection from patients.
Back End
Complex Reimbursement Structures
Higher Balance After Insurance
Patient Satisfaction
Hospitals struggle in submitting accurate claims and capturing accurate charges due to complexity of new payer contracts and complicated coding requirements (ICD 10), resulting in increased denials, underpayments, and claims resubmissions.
Poor estimation of patient responsibility at point of service could result in lost revenue which will be difficult to collect post service.
Poor and unfriendly account resolution and lack of patient focused customer service can affect hospitals’ patient satisfaction scores, which in turn affects hospitals’ bottom line in the form of penalties.

13. Maximizing Revenue Cycle Performance in an Era of Reform
Scheduled and Unscheduled Visits
Hospital
Return to Community
Front End Patient Access Services
Back End Financial Services
Ensure eligibility and enrollment
Identify coverage
Collect payment in advance
Provide financial counseling
Ensure pre-authorization
Verify medical necessity
Provide charity care verification
Manage billing and claims
Resolve residual bills
Collect payment in advance
Collect Balances After Insurance (BAIs)
Prevent underpayments
Manage and track denials
Enable third party collections

14. MRES: The Complete Revenue Cycle Suite
Full Admission & Eligibility Services
Authorization Tracking and Routing
Registration Kiosk
Accuracy & Verification Technology
Charity Processing
Patient Bill Estimator
Point of Service Collections
Propensity to Pay Determination
Patient Portal
Electric Document Management
Eligibility Certification and Insurance Discovery
Early Out Collection
Cash Application (Cash Posting)
Unidentified Account Review
Denial Management and Tracking
Insurance Underpayment Review
Credit Balance Review
Contract Management
Insurance Follow-up
Account Resolution and Exception-Based Follow Up

15. MBOS: Business Office Solution
Financial Services & Screening
Eligibility Services
POS Collections
Obtain Authorization
Verify 3rd Party Insurance
Charity Application
Medical Advantage Plan
Post Payment Review & Audit
Cash Application (Cash Posting)
Unidentified Account Review
Insurance Denial Management
Insurance Underpayment Review
Credit Balance Review
Billing & Collections
Insurance Billing
Insurance Follow Up
Self Pay Billing & Follow Up
Project Management & Client Relations
Customer Service
Vendor Liaison
Reporting & Analytics

16. MedAssist Differentiators
MedAssist achieved a 98% rating for customer satisfaction on the latest survey conducted
Quality Assurance
Business Process Management Solution (BPMS)
Operational productivity measurement and performance metrics (including outcomes, accuracy, completion of cases, case follow up)
Audits and Management Review
Account Flow Manager (AFM)
Random monthly audits and scheduled quarterly audits
Account representatives calls are recorded for quality assurance and training purposes
Monthly Reconciliation
Complaint Prevention and Resolution Policy
Ensures that patients receive cooperative, non-adversarial interaction at all levels
Measuring Client Satisfaction
External Voice of the Customer (eVOC) surveys gauges customer satisfaction

17. Trend Toward Consumer Reimbursed Healthcare
ACA will increase patient share of net revenues
Cash yield from patient revenues is only 35% compared to 98% from payer
Hospital margin reduces from 3% positive to negative -4%
Cash Yield of Revenue
Percent of Total Revenue
Hospital1 margin compression
Payer
98%
$26M
Margin
2013
2015 3%
-4%
Patient
35%
Representative 350 bed hospital: Net patient revenues of $350K , operating margin of 3% ,Payer yield 98% ,Patient yield 35%

18. Guarantor Analytics Input Output
MedAssist developed improved propensity to pay analytics
Age, gender, marital status
Payment history
IP/OD/ED account balance
Average income in zip code
Median home value in zip code
Additional credit bureau data
All accounts are given propensity to pay score from 1-100
Input
Output

19. Our Solution Intelligent Workflows
Patient Score Workflow
MedAssist creates workflows based on advanced analytics using enriched guarantor data, socio-economic data and credit bureau data
Prioritizes accounts and reallocates manpower to drive better results
100% of accounts are worked
Updated Patient Claim
Statistical Testing of Individual Variables
Computational Models to Identify Patterns
Regression Analysis of Key Data Variables
Results in Individual Patient Scores
Our Segmentation and Scoring
Smart Identification of Patients
Ordering accounts by patient score
Drives intelligent workflow utilizing:
Propensity to pay score
Best practices
Propensity to Pay Score

20. Real Results: Self-Pay Regression Analysis
Assign Period
Gross Assigned
Collections
Liq %
Month 0
Month 1
Month 2
Month 3
Month 4
Month 5
Month 6
May/2013
$24,041,482
$1,400,753
Jun/2013
$21,862,054
$1,163,012
0.12%
Jul/2013
$23,048,277
$1,459,144
0.11%
Aug/2013
$27,711,596
$1,299,136
0.30%
0.18%
0.05%
Sep/2013
$34,138,718
$1,569,361
0.60%
0.33%
0.21%
0.17%
Oct/2013
$26,670,742
$1,060,047
0.85%
0.49%
0.25%
0.14%
0.10%
Nov/2013
$43,108,476
$1,187,274
0.98%
0.66%
0.24%
0.20%
0.09%
0.15%
Dec/2013
$34,716,332
$1,019,649
2.9%
1.41%
Jan/2014
$38,544,273
$1,436,557
3.7%
1.36%
1.01%
0.67%
0.19%
Feb/2014
$37,541,046
$1,238,662
3.3%
0.51%
1.58%
0.78%
0.41%
Mar/2014
$44,870,640
$1,074,882
2.4%
0.42%
1.17%
0.77%
Apr/2014
$31,810,786
$862,362
2.7%
1.05%
1.61%
May/2014
$31,220,427
$307,695
1.0%
0.88%
Total
Month1
Month2
Month3
Month4
Month5
Month6
Month7
10%
1.5%
3.8%
2.0%
1.3%
0.9%
0.5%
0.3%
10.2%
12%
2.3%
4.4%
2.6%
0.6%
0.4%
11.9% 2%
0.0%
-0.2%
0.2%
1.7%
$1,940,142

21. Real Results: Self-Pay Regression Analysis