Revenue Cycle Outsourcing January 2, 2020

1. Revenue Cycle Outsourcing January 2, 2020 www.­nationalASCbilli­ng.­com

2. We Measure Our Success By Your Results Revenue Cycle Management. It’s all we do. It’s all we thinkabout. And it shows. www.­nationalASCbilli­ng.­com CONFIDENTIAL

3. Our Mission “We are singularly focused on delivering the best results, providing exceptional customer service and building relationships with ambulatory surgery centers and associated physician practices based on trust, performance and integrity.” www.­nationalASCbilli­ng.­com CONFIDENTIAL

4. Overview • Who We Are • What We Do • Why We Deliver the Best Results • What Our Clients Say • Summary www.­nationalASCbilli­ng.­com CONFIDENTIAL

5. Who We Are • Premier revenue cycle management company focused on the ASC market and their respective professional practices • Named one of the world’s best outsourcing service providers in Fortune Magazine 2012 and 2013 • We code and bill for surgery centers and practices in 40+ states • Management team is highly seasoned with deep billing expertise • Cutting edge processes and technologies • We significantly increase cash per case in compliant fashion • Highest customer satisfaction rates in the industry We Are the Revenue Cycle Experts … Just Ask Our Clients www.­nationalASCbilli­ng.­com CONFIDENTIAL

6. What We Do • We provide the following services for our clients: • Complete revenue cycle outsourcing • Coding services • Comprehensive coding and billing audits • Managed care contract consulting www.­nationalASCbilli­ng.­com CONFIDENTIAL

7. Our Coding Expertise • Certified coders with extensive experience in multi-specialty surgery coding • State of the art coding software • CCI edits • Checks ASC approved codes • Local Medicare review polices • State and carrier specific requirements • Experts in identifying opportunities for missed revenue and trained to handle complexities such as: • Inappropriate bundling • Medical record documentation requirements • Capturing all procedures in complex cases www.­nationalASCbilli­ng.­com CONFIDENTIAL

8. Our Billing Process • Reconciliation between OR schedule and EDI reports daily • All claims (except those requiring attachments) are billed electronically within 48 hours from receipt of all source documentation • EDI provider is ASC experienced and compliant with HIPAA transactions and 5010 code set requirements • Contract review takes place at time of billing and payment posting • Daily reconciliation of deposits received to bank transactions and system postings www.­nationalASCbilli­ng.­com CONFIDENTIAL

9. Our A/R Process • Established relationships with carriers • Experienced in handling out-of-network claims • Superior reporting capabilities • Spot trends • Monitor cash flow • Aging reports analyzed at least once a week • Aggressive and successful appeals process • Medical necessity • Usual and customary reimbursement • Medicare • Coordination of Benefits (COB) www.­nationalASCbilli­ng.­com CONFIDENTIAL

10. Our Customer Service • Dedicated account representatives to take patient calls and answer questions • Patient statements sent weekly • Outbound calls made daily on delinquent balances • Recommend high tech, web based patient portals to allow online payment ability and access to account review www.­nationalASCbilli­ng.­com CONFIDENTIAL

11. Our Detailed Reporting • Our cutting edge business intelligence software and analytical tools allow us to provide you real time insights into the performance of your surgery center, thus enabling us to provide you with all of the key reports you will want • Missing information report sent at least once per week • Unbilled report generated each month • Cash sheets sent daily to reflect totals and projected collections in relation to monthly goal www.­nationalASCbilli­ng.­com CONFIDENTIAL

12. Managed Care Contract Consulting • Evaluate and assess current and proposed managed care contracts • Identify contract nuances and educate billing team in order to maximize reimbursement • Work with network managers on carrier updates and communicate these updates with facility and billing team www.­nationalASCbilli­ng.­com CONFIDENTIAL

13. Implementation and Transition Continuous QC >4 months Continuous quality and process improvement. Optimize productivity -All resulting in increased revenue and compliance. New Client On site kick off meeting Establish initial operating procedures, communication processes, and plan for transition. Transition 2-4 weeks Finalize detailed process design & migrate process. Go-Live Process 1-2 weeks Process stabilized. Ongoing tracking and monitoring. Process Management Rigor Structured Account Management www.­nationalASCbilli­ng.­com CONFIDENTIAL

14. Client Services • Knowledge Mgmt • Knowledge repository • Client-specific changes • Latest rule changes • Updated daily/weekly • Client Communication • Weekly team calls with • heads of each department • and facility team • Training Mgmt • Internal audit process for • all departments • Continuous audit feedback • to employees • Support Services • Software management and • system helpdesk Client Services • Compliance Mgmt • Compliance tracking • HIPAA awareness • Performance Mgmt • Self-appraisal • Supervisor appraisal • Workforce Mgmt • Work distribution and • management • Review proper coverage • for all points of revenue cycle • Employee Comm. • Weekly staff and department • meetings • Quarterly team building • Handbooks, policies www.­nationalASCbilli­ng.­com CONFIDENTIAL

15. Why We Deliver the Best Results • Surgery Specialization • Deep Billing Expertise • Seasoned Managed Care Contract Negotiators • Specialized Certified Coders • Skilled Accounts Receivable Experts • Seamless Transition • Strong Compliance Focus • World Class Processes and Technology • State of the Art Reporting • Unparalleled Customer Service www.­nationalASCbilli­ng.­com CONFIDENTIAL

16. Ask Our Clients Revenue Cycle Expertise Led to 32 Percent Increase in Cash “NMBS’s dedication to and focus on maximizing revenue is evident in our cash performance. Their combination of exceptional customer service, highly knowledgeable staff and deep industry expertise has made NMBS our "go to" company for billing and coding. Most importantly, they increased our cash by 32 percent.” President, ASC Management Company Atlanta, Georgia www.­nationalASCbilli­ng.­com CONFIDENTIAL

17. Ask Our Clients cont. NMBS's Billing and Coding are Highly Superior to In-house Resources “We were handling our billing and coding in-house and thought that things were fine. NMBS offered to do an analysis of our business office at no cost to us, so we agreed. Upon reviewing the results, we were stunned to find out how much revenue we lost due to the fact that we were  improperly billing and coding expensive implant charges. This process also taught us that it was virtually impossible for our business office to employ specialized billers, coders and AR experts in the way that NMBS does. NMBS is purely focused on billing and coding, and it shows. The results? NMBS increased our cash by 35%. We will never again bring the billing back in-house.” ASC Administrator Shreveport, Louisiana www.­nationalASCbilli­ng.­com CONFIDENTIAL

18. Ask Our Clients cont. NMBS’s Coding Expertise Identified and Captured Lost Revenue “NMBS’s coding audit identified that our previous billing partner was coding and billing our claims improperly. We were actually losing money on some cases because costly implant charges were not being coded and billed correctly. NMBS was able to go back and capture significant lost revenue. Their specialized, expert coders have maximized our revenue and compliance.” Medical Director Cleveland, Ohio www.­nationalASCbilli­ng.­com CONFIDENTIAL

19. Summary • We are the premier revenue cycle company • Deep billing expertise and experience • “Bend over backwards” customer service mindset • Exceptional results • Trusted, high integrity partner • Loyal and happy clients – Please ask them! www.­nationalASCbilli­ng.­com CONFIDENTIAL

20. Revenue Cycle Management. It’s All We Do. It’s All We Think About. And It Shows. 16759 Main Street, Suite 220 ° St. Louis, MO 63040 Office 636-273-6711 ° www.nationalASCbilling.com ° Fax 636-821-2517