1. in partnership with Jefferson Hospital

2.  Established and incorporated in 1993  Headquartered in Mount Laurel, NJ ◦ Convenient partnership, local expertise ◦ 15,000 square foot facility  To-date conversion of over 2 billion images  100+ years experience in document imaging and records management  Offering a full spectrum of end-to-end document management solutions and services  NextGen Certified Chart Scanning & Abstraction Partner

3. The CTI Service Team will physically inspect the premises while answering the client’s questions to ensure accurate needs analysis. The end goal of our service team is to educate our client, gain an understanding of their needs, and ultimately provide them with meaningful workflow solutions. At CTI, we believe we can only be successful by making our clients successful. Improving our clients’ internal business processes is our top priority. Our highly specialized staff will meet with the client to analyze their workflow. Drawing on our 20+ years of experience from thousands of conversion projects, we will determine the best way to proceed.

4.  Consulting Services ◦ Workflow Analysis ◦ Records Management  Scanning Services ◦ Paper to Electronic ◦ On and Off-Site, Backfile, & Day Forward Services  Data Conversion Services ◦ Legacy System & Media Conversion  Data Entry Services/Abstraction  Hard Copy Storage  Secure Document & Media Destruction

5.  Outpatient Medical Chart Scanning ◦ Primary & Ambulatory ◦ Gastroenterology ◦ Cardiology ◦ Endocrinology ◦ General Surgery ◦ Hematology ◦ Immunology ◦ Nephrology ◦ Neurosurgery ◦ Oncology ◦ Otolaryngology ◦ Orthopedic ◦ Genetics ◦ Pulmonology/Allergy ◦ Rheumatology  Inpatient & ER Chart Scanning

6.  Medical Data Abstraction Services ◦ Remote data entry of selected medical information ◦ Managed by professional nurse with over 20 years of diverse medical experience ◦ Meaningful Use ◦ Care360 and ePASS ◦ PQRS Quality Measures

7.  Scan and abstract at least one year of patient charts  Recommended data elements needed for Meaningful Use: ◦ Active Problem List ◦ Past Medical History ◦ Past Surgical History ◦ Immunizations ◦ Allergies ◦ Medication List ◦ Family and Social History

11.  Assessment forms are (on average) 8 pages long and can take over an hour to complete

12. ◦ We understand the challenges posed to providers: Stay compliant with current healthcare initiatives Daunting process of form completion costs valuable patient-facing time Lack of time and resources to complete ePASS assessment forms Loss of revenue and potential reimbursements

13.  Let CTI save you time and make you money Benefit from CTI’s experience, technology, and best-practices approach We will digitize and populate your patient data No need for changes in personnel or practice management Which will reduce form completion time by 75-80% We will provide our services at low cost to you And allow you to see more patients Maintain the integrity of your practice with our profitable healthcare solutions Annually recurring opportunity to uncover additional revenue!

16.  PQRS is a reporting system that uses a combination of incentive payments and payment adjustments to promote reporting of quality measures by Eligible Physicians (EP)  The program provides an incentive payment to practices with EPs who satisfactorily report data on quality measures for covered Physician Fee Schedule (PFS) services furnished to Medicare Part B Fee-for-Service beneficiaries  Allows EPs to assess their quality of care Source: CMS.gov

17.  EPs and Group Practices may choose to report quality information through one of the following methods: Individual EPsGroup Practices Medicare Part B ClaimsQualified PQRS Registry Web Interface (for groups of 25+ only) Direct EHR using CEHRT CEHRT via Data Submission Vendor Quality Clinical Data Registry (QCDR) CG CAHPS CMS-certified survey vendor (for groups of 25+ only) Source: CMS.gov

18.  The types of measures reported under PQRS change from year to year and generally vary by specialty  When selecting measures for reporting, EPs should consider factors such as: ◦ Clinical conditions commonly treated ◦ Types of care delivered frequently ◦ Settings where care is often delivered ◦ Quality improvement goals ◦ Other quality reporting programs in use or being considered Source: CMS.gov

19.  Individual EPs who meet the criteria for satisfactory submission of PQRS data for services furnished during the 2014 reporting period will qualify to earn an incentive payment equal to 0.5% of their total estimated Medicare Part B PFS allowed charges for covered services furnished during the same reporting period Source: CMS.gov

20.  EPs who do not satisfactorily report data on quality measures for covered professional services during the 2014 PQRS program year will be subject to a 2% payment adjustment to their Medicare PFS amount for services provided in 2016 Source: CMS.gov

21.  In 2014, EPs have the opportunity to earn the PQRS incentive and an additional incentive of 0.5% by working with a Maintenance of Certification Entity  Required: ◦ Satisfactorily submitting data for a 12-month period ◦ Participate in a Maintenance of Certification Program and successfully complete a qualified MCP practice assessment Source: CMS.gov

23.  Nassau University Medical Center (NUMC) – GNYHA ◦ Approximately 200,000 charts or 20 million images scanned in 4 months, both on and off-site ◦ 4-year contract for inpatient, outpatient, and ER records. Still in progress.  St. Christopher’s Hospital of Philadelphia ◦ Sub-contractor for Ricoh ◦ Approximately 110,000 outpatient charts, or 10 million images to be scanned and abstracted ◦ 15 out of 29 practices completed

24.  Lourdes Medical Associates ◦ Approximately 45,000 outpatient charts or 6 million images scanned and abstracted from 16 practices  Aria Health Physician Services ◦ Approximately 100,000 outpatient charts to be scanned and abstracted ◦ Still in progress: 40+ practices to be completed

25.  Langhorne Physician Services ◦ Approximately 56,000 outpatient charts or 7.5 million images scanned and abstracted from 5 practices ◦ Migrated approximately 16,000 charts from AllScripts EMR system into NextGen

26.  Memorial Sloan-Kettering ◦ 12,000 medical employee files, 1.5 million images ◦ Each folder indexed by employee ID number, employee name, scan date, box number, and document type ◦ Final images are provided in MedGate importable format ◦ Scanning was completed on-site, on time, and under budget  HR Project ◦ Scanned and indexed approximately 1.3 million HR images ◦ Over 71 million characters keyed from 29 different document types ◦ Input media sources were microfilm and original paper documents ◦ Project still in progress