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

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As one of a select list of companies chosen to participate at the William Blair & Company’s 15th Annual Private Equity Conference in September 2012, AdvantEdge’s President and CEO, David Langsam, …

As one of a select list of companies chosen to participate at the William Blair & Company’s 15th Annual Private Equity Conference in September 2012, AdvantEdge’s President and CEO, David Langsam, described how AdvantEdge has grown both organically and through a disciplined acquisition strategy to become one of the largest providers in the medical billing, coding and practice management industry. In an industry that is experiencing increasing regulation and cost pressures, acquisitions are one of the most efficient solutions to the challenge of achieving the scale needed to make the investment in technology that enables providers to comply with increasingly complex government reporting while also reducing unit costs for healthcare professionals.

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  • 1. SeptemberAdvantEdge Healthcare Solutions 2012
  • 2. Enabling Healthcare Providers to ThriveAHS 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 StrategyCreating 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, IndiaAHS OfficeAHS ClientAHS 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 marketsBilling and Practice Management Service Market (Falcon Capital): $8.0BTotal RCM Market (Wallingford Capital/HBMA, 2007): $4.7 B; top 10 billing cos.: $1.0B AHS CONFIDENTIAL INFORMATION – Do Not Distribute