Annual Wellness Visit (AWV) Services:

1. August 20, 2012 Annual Wellness Visit (AWV) Services: Turn-key Services for Improving Profits and Clinical Quality

2. Agenda 1) The Medicare Annual Wellness Visit Services 2) About Implementing Technologies

3. The Annual Wellness Visit (AWV) is a newly allowable and fully reimbursed Medicare preventative service AWV is… AWV is NOT… • Outlined in the President’s Affordable Care Act (Began January 1, 2011) • Conducted every 12 months • A Medicare paid benefit with NO copay for patients • Reimbursed at $111-172 (not adjusted for geography) • Allows for payment for the AWV service and a medically necessary service during a single encounter • May be executed by a mid-level or nurse (with physician on site) • NOT intended to replace other annual exams • Does not include complex procedures (e.g. only vitals required are height, weight, and blood pressure) • Does not include questions typically asked during an annual exam This highly lucrative preventative service is NOT intended to replace the existing annual checkup, rather supplement it

4. The typical primary care, family medicine, or urgent care clinic could increase their revenue by an estimated $20,000-70,000 per physician Additional revenue potential is seen from: • Outreach to new perspective patients • Reengagement with inactive patients • Delivery of additional medically necessary services • Scheduling follow-on and other services Primary AWV Financial Benefit • 25% yield expected from communication, outreach, and scheduling efforts • $20,000-70,000 increased revenue per physician (dependent on practice profile and services selected) Secondary Financial Benefit Identification of risk factors, and improvements to clinical quality, are the primary motivations for CMS and many physicians when offering this exam

5. Practices have been slow to conduct these exams due to five common problems and concerns Common Roadblocks Description Identify Eligible Patients • Organizations often struggle to effortlessly identify active and inactive patients eligible for the AWV or other preventative services Communicate and Market • Organizations often lack in-house print and telephonic communication resources to conduct the necessary outreach to eligible patients Schedule Visits • Organizations often struggle with the logistics and coordination associated with scheduling hundreds or thousands of new visits Understand AWV Requirements • Organizations must find time to research, understand, and plan the requirements for new encounter types Conduct Encounters • Many organizations lack the time and staff to conduct hundreds or thousands of new visits a year Our offering is designed specifically to eliminate these challenges and concerns

6. We provide a turn-key set of solutions and services to conduct these visits efficiently and accurately Process Component Services Provided Output • Analyze EHR and PM system data • Identify active and inactive Medicare patients • ID patients for other services Data Analysis Identify target patients • Feed identified patients to call center for outreach • Schedule visits in your scheduling system Contact and Schedule Patient Visits Call Center • Provide outsourced midlevels or nurses to conduct visits in your office under your supervision if desired Outsourced Staffing Provide staffing resources under your supervision Your organization can choose the comprehensive turn-key approach or select the components that are best for your organization

7. Our Turn-key service requires no obligation, up-front cost, nor financial commitment by a practice or healthcare organization • Initial Analytics – Free of charge • Full Service – Percentage of revenue generated from the service • Select Services – Dependent on selection ITL’s fee structure is dependent on the profile of the group, the patient population and the services requested.

8. Our turn-key approach can be applied to other allowable visits, procedures, and preventative services Other Applications for our Turn-key Service • Outreach and execution of core practice services • Identify patients for various core services • Drive patients to your practice for various core services • Augment staff for delivery of core services • Other Medicare Preventative Services • HEDIS & Quality Measurement Programs • Patient Centered Medical Home (PCMH) Programs • Other Quality Reporting Initiatives Similar clinical and financial outcomes can be identified in other areas of your practice

9. Agenda 1) The Medicare Annual Wellness Visit Services 2) About Implementing Technologies

10. Superior service, execution, and value has made Implementing Technologies, LLC (“IT”) one of the leading healthcare service providers on the East Coast Why Implementing Technologies, LLC? Founded in 2004, IT focuses on the custom needs of mid to large size practices, small hospitals, and specialists We provide: UnsurpassedValue Proven Execution SuperiorSupport & Service • 60+ Customers: management of 60 unique customers of various sizes and specialties • 100+ Locations: deliver service across multiple customer sites and locations • 1,000+ Current Users: 1,000 software and system users

11. IT has access to a comprehensive set of solutions covering all practice needs, then supports and customizes those solutions through best in class service and support Solutions Services/Support EMR / PM RIS / PACS HIE Long Term CareHome Care SoftwareServices IT Services Develop and Deploy HIE solutions at micro and macro levels Implementation, customization, service, and support of leading systems Expert integration with other systems and inter-operability offerings Unique solutions for improving efficiency and quality of care Implementation, training, software development, customization, and integration Providing network services, help desk, and hardware support Revenue Cycle Management ReputationManagement Reporting Patient CenteredMedicalHome ManagementServices Consulting Our clients collect 99% of all insurance submittals on first pass Our electronic billing module coupled with other systems has reduces AR substantially Customized reporting gives practices access to key operating metrics Systems and solutions to deliver on Medical Home business model requirements Outsourced administrative solutions and services Define and improve business models consistently impacted by regulation and competition

12. 24/7 access to our management team and technicians provides our clients with a hassle-free relationship with Implementing Technologies Implementing Technologies, LLC Leadership Dean Jones has served as the President of IT for the past 8 years. Dean has been in technology for 20 years, becoming an executive at Alcatel before reaching the age of 30. Dean’s vision is to provide the best technology to physician practices that allows them to provide the highest health care possible. Dean Jones Founder and Partner Mobile: 843-514-2978 djones@implementingtech.com David Slenzak has over 12 years of experience supporting clients in healthcare, enterprise IT, and other heavily regulated technology markets. David has directed and managed numerous consulting projects for clients and has helped clients develop and execute both management and IT strategies. David brings an impressive background in government regulation that impact all of our current clients. David Slenzak Partner Mobile: 843-608-8891 dslenzak@implementingtech.com Barclay has over 11 years of experience supporting and directing the finance and operating functions at numerous companies. Prior to IT, Barclay served as the Director of Operations and Finance for a hardware and software developer with a significant healthcare market presence. Barclay McFadden Partner Mobile: 757-912-0009 bmcfadden@implementingtech.com