Muhammad Chebli VP of Information Technology

1. The October Project Begins Now! Muhammad Chebli VP of Information Technology • Determine Eligibility • How do I get started? • What do I have to do? • When should I start?

2. About Us • Founded in 1999, MTBC currently serves 35 unique medical specialties in 43 states. • We have 1200+ employees, with 24/7 operations • We are ranked among the Deloitte Technology Fast 500 • We are a Microsoft® Certified Gold Partner • We are an Inc 500 | 5000 Company • We are a Surescripts® Certified Solutions Provider • We provide an ONC-ATCB certified EHR.

3. What is Meaningful Use? • The American Recovery and Reinvestment Act of 2009 specifies three main components of Meaningful Use: • The use of a certified EHR in a meaningful manner, such as e-prescribing. • The use of certified EHR technology for electronic exchange of health information to improve quality of health care. • The use of certified EHR technology to submit clinical quality and other measures. • Physicians, depending on their specialty, will need to meet a Core Set of 15 requirements and a Menu set of 10 requirements (choose 5) to qualify for payments in 2011.

4. Stages of Meaningful Use • Stage 1 (2011). Focus on electronically capturing health information in a coded format, and using it to track clinical conditions and for care coordination purposes. Test interoperability connections. • Stage 2 (2013). Dramatically expand on Stage 1’s testing by asking providers to “prove” care coordination. Care coordination, development of care plans, evidence-based clinical decision support, and implementation of standards for care summaries. • Stage 3 (2015). Expand on Stage 2 to promote decision support for high priority conditions, patient access to self management tools, access to comprehensive patient data and improving public health. Stage 3 will be defined in a subsequent rule.

5. Medicare Incentives

6. Medicare Penalties

7. Medicaid Incentives Key Points: 30% of patients must be covered by Medicaid* No penalties for not adopting EHR Potential incentive: $63,750k State based and managed. * The total for pediatricians who meet the 20 percent patient volume but fall short of the 30 percent patient volume is $14,167 in the first year and $5,667 in subsequent years. This adds up to a maximum Medicaid EHR incentive payment of $42,500 over a six-year period.

8. Important Dates

10. 2012 90 Day Reporting Period

11. Core vs. Menu Implement

12. Implement: Core

13. Implement: Core

14. Implement: Menu

15. Implement: Menu

16. Begin& Track Meaningful Use

17. Begin& Track Meaningful Use

18. Project October Timeline You are here!

19. Achieve Meaningful Use with MTBC • EHR included with revenue cycle management services at 5% of collections. • Minimal hardware requirements • Integrated services for e-prescribing, eligibility, PHR, labs, etc. • We assist with government/health agency reporting • 24/7 Technical support

20. Value Added Services

21. Questions?

22. Contact • Muhammad ChebliVP of Information Technology732.873.5133 x 116mchebli@mtbc.com • MTBC Sales866.266.6822www.mtbc.com