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