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September
AdvantEdge Healthcare Solutions     2012
Enabling Healthcare Providers to Thrive




AHS is a technology enabled provider of
 Revenue Cycle Management Services,
Informatics, and Expertise that enables
   healthcare providers to maximize
 financial performance and eliminate
           compliance risks.



             AHS CONFIDENTIAL INFORMATION – Do Not Distribute
About AdvantEdge
   AdvantEdge Healthcare Solutions
      Top 10 medical billing, coding and practice management company
      Over 675 employees in 8 regional offices in the US and 1 office in Bangalore, India
      Collecting over $1.25B for its physician clients

   Recognized industry leader - uniquely positioned

   Clients are typically large medical group practices with a high propensity
    to outsource due to practice characteristics

   Clients trust that we deliver the best performance for the money, and
    expertise specific to their specialty

   Since 1966, AdvantEdge (and/or its acquired entities) has served some
    of the nation’s most respected healthcare institutions




                                   AHS CONFIDENTIAL INFORMATION – Do Not Distribute
Business Characteristics
   Highly predictable recurring revenues and strong cash
    flow

   Superior client retention

   Significant Operating Leverage: Scalable platform
    based on proprietary technology and workflow

   Effective buy-and-build strategy: Integrate, Migrate,
    Operate

   Sales & marketing focus with aggressive organic
    growth strategy

   Management Team has extensive industry, acquisition
    and integration experience
                        AHS CONFIDENTIAL INFORMATION – Do Not Distribute
Market Leading Strategy


Creating Value for Clients, Employees, and Stakeholders through:




                                    ZERO CLIENT
 GROWTH         EFFICIENCY                                             TECHNOLOGY   INTEGRATION
                                    ATTRITION




                         AHS CONFIDENTIAL INFORMATION – Do Not Distribute
Geographic Presence
  AHS has a broad footprint across the US and Bangalore, India




AHS Office
AHS Client
AHS Clients (Multiple/many clients)


                             AHS CONFIDENTIAL INFORMATION – Do Not Distribute
AdvantEdge Value Proposition
                             The Problem
  Constant threat                                                            Attract & retain
  of reduced                                                                     high-quality
  reimbursement                                                                         staff
  rates




  Increasing
  complexity &                                                                Technology and
  regulatory                                                                 staff investments
  requirements                                                                  are expensive



                          The AHS Solution
 More Money, Faster
 Compliance, Built-in
 Business Intelligence and Reporting – Anytime/Anywhere
 Client First™ Service

                          AHS CONFIDENTIAL INFORMATION – Do Not Distribute
Proprietary Technology

                           Claim
                       Scrubbing                 Smart edits:
                                              Compare LOS, Dr.,
                                               Proc & Diagnosis
                                              Codes, Coverage,
                      Dictated Reports                                  Interfaces w/over      Electronic Claims
      Computer-          With or w/o
                                                Sex, Pt. History
                                                                      600 payors, all ANSI
                        demographics                                    transactions: 837
                                                                                               Filing, Remittance &
Assisted Coding       Natural Language                                 (claim), 835 (ERA),     Eligibility Checking
                         Processing                                         276, 277,
                       Flag Exceptions                                     278 (status)


             HL-7, CSV, ADT,
                                                 Virtual
 Interface     EMR, ACC                         Manager                              Parameter-based
              Demographics                                                         electronic tasking and
                                                                                                            WorkFlow
   Engine        Charges                                                                  workflow
                 Reports                             i5                                management
              Accession #s


                        HIPAA-secure
                                                                          All ANSI denial
                     InfoEdge client web
       Business                                                        codes from EOB’s,       Denial
                       portal, drill-down,
                                                                        auto-routing, work
    Intelligence         data export,                                                          Management
                                                                       queues by function,
                         scheduled &
                                              Client contracts by        defined workflow
                        ad-hoc reports
                                              proc and effective
                                             date, exception rules,
                                              auto-routing, work
                                                queues, reports

                                                                    Contract Management

                                     AHS CONFIDENTIAL INFORMATION – Do Not Distribute
Business Intelligence and Reporting

   InfoEdge Web-based Reporting Portal
     Anytime anywhere access to practice information
     Fully secure with customized authentication capabilities
     All reports delivered through secure, HIPAA compliant portal

   Business Intelligence Platform
     Summary information on physician dashboard
     Detailed information via “point and click” technology
     Standard and customized reporting available
        Ad hoc
        Memorized




                            AHS CONFIDENTIAL INFORMATION – Do Not Distribute
Market Opportunity
           The market for the Company’s services is                                                                            Large and growing market:
                   estimated at $4B - $8B                                                                                         Physician expenditures
                                                                                                                                   increasing by 8% + / yr.
             Office-based
             RCM
                                                                                                                                  Increasing shift to
                                                                                                                                   outsourcing (RCM); currently
                                                                                                                                   less than 20% of total
                        $0.70                                                                                                     Largest competitor has
                                                                                                                                   under 5% of total market


           $3.30
                                                                                                     $4.00
 In-House:                                       $4.00
 Practice Management                     Hospital Based MD
                                         RCM
                                                                                                   AHS Target
                                                                                                     Market
                                                                                                                                          Target markets




Billing and Practice Management Service Market (Falcon Capital): $8.0B
Total RCM Market (Wallingford Capital/HBMA, 2007): $4.7 B; top 10 billing cos.: $1.0B


                                                                            AHS CONFIDENTIAL INFORMATION – Do Not Distribute

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AdvantEdge Healthcare Solutions Presentation at William Blair & Company’s 15th Annual Private Equity Conference

  • 2. Enabling Healthcare Providers to Thrive AHS is a technology enabled provider of Revenue Cycle Management Services, Informatics, and Expertise that enables healthcare providers to maximize financial performance and eliminate compliance risks. AHS CONFIDENTIAL INFORMATION – Do Not Distribute
  • 3. About AdvantEdge  AdvantEdge Healthcare Solutions  Top 10 medical billing, coding and practice management company  Over 675 employees in 8 regional offices in the US and 1 office in Bangalore, India  Collecting over $1.25B for its physician clients  Recognized industry leader - uniquely positioned  Clients are typically large medical group practices with a high propensity to outsource due to practice characteristics  Clients trust that we deliver the best performance for the money, and expertise specific to their specialty  Since 1966, AdvantEdge (and/or its acquired entities) has served some of the nation’s most respected healthcare institutions AHS CONFIDENTIAL INFORMATION – Do Not Distribute
  • 4. Business Characteristics  Highly predictable recurring revenues and strong cash flow  Superior client retention  Significant Operating Leverage: Scalable platform based on proprietary technology and workflow  Effective buy-and-build strategy: Integrate, Migrate, Operate  Sales & marketing focus with aggressive organic growth strategy  Management Team has extensive industry, acquisition and integration experience AHS CONFIDENTIAL INFORMATION – Do Not Distribute
  • 5. Market Leading Strategy Creating Value for Clients, Employees, and Stakeholders through: ZERO CLIENT GROWTH EFFICIENCY TECHNOLOGY INTEGRATION ATTRITION AHS CONFIDENTIAL INFORMATION – Do Not Distribute
  • 6. Geographic Presence AHS has a broad footprint across the US and Bangalore, India AHS Office AHS Client AHS Clients (Multiple/many clients) AHS CONFIDENTIAL INFORMATION – Do Not Distribute
  • 7. AdvantEdge Value Proposition The Problem Constant threat Attract & retain of reduced high-quality reimbursement staff rates Increasing complexity & Technology and regulatory staff investments requirements are expensive The AHS Solution  More Money, Faster  Compliance, Built-in  Business Intelligence and Reporting – Anytime/Anywhere  Client First™ Service AHS CONFIDENTIAL INFORMATION – Do Not Distribute
  • 8. Proprietary Technology Claim Scrubbing Smart edits: Compare LOS, Dr., Proc & Diagnosis Codes, Coverage, Dictated Reports Interfaces w/over Electronic Claims Computer- With or w/o Sex, Pt. History 600 payors, all ANSI demographics transactions: 837 Filing, Remittance & Assisted Coding Natural Language (claim), 835 (ERA), Eligibility Checking Processing 276, 277, Flag Exceptions 278 (status) HL-7, CSV, ADT, Virtual Interface EMR, ACC Manager Parameter-based Demographics electronic tasking and WorkFlow Engine Charges workflow Reports i5 management Accession #s HIPAA-secure All ANSI denial InfoEdge client web Business codes from EOB’s, Denial portal, drill-down, auto-routing, work Intelligence data export, Management queues by function, scheduled & Client contracts by defined workflow ad-hoc reports proc and effective date, exception rules, auto-routing, work queues, reports Contract Management AHS CONFIDENTIAL INFORMATION – Do Not Distribute
  • 9. Business Intelligence and Reporting  InfoEdge Web-based Reporting Portal  Anytime anywhere access to practice information  Fully secure with customized authentication capabilities  All reports delivered through secure, HIPAA compliant portal  Business Intelligence Platform  Summary information on physician dashboard  Detailed information via “point and click” technology  Standard and customized reporting available  Ad hoc  Memorized AHS CONFIDENTIAL INFORMATION – Do Not Distribute
  • 10. Market Opportunity The market for the Company’s services is Large and growing market: estimated at $4B - $8B  Physician expenditures increasing by 8% + / yr. Office-based RCM  Increasing shift to outsourcing (RCM); currently less than 20% of total $0.70  Largest competitor has under 5% of total market $3.30 $4.00 In-House: $4.00 Practice Management Hospital Based MD RCM AHS Target Market Target markets Billing and Practice Management Service Market (Falcon Capital): $8.0B Total RCM Market (Wallingford Capital/HBMA, 2007): $4.7 B; top 10 billing cos.: $1.0B AHS CONFIDENTIAL INFORMATION – Do Not Distribute