While clinics and Doctors look to survive and thrive in the Practice arena, it doesn't look good ! I/we have 24 Verticals all under 1 Umbrella giving you the advantage to all others.

1. ANCILLARY MEDICAL SOLUTIONS
Ancillary Services Proposal

2. ANCILLARY MEDICAL SOLUTIONS
Dear S A M P L E
Thank you for your interest in partnering with Ancillary Medical Solutions (AMS), the nation`s
LARGEST supplier of medical ancillary services.
Ancillary Medical Solutions was created in response to the increasing needs of healthcare providers
to address two key elements of the current medical climate:
1. Provide patient-centric solutions enabled by technology
2. Incorporate new revenue streams to solidify practice finances
With this mission in mind, AMS has carefully and precisely crafted the most robust portfolio in the
sector to become the nation`s leading provider of Ancillary Services. We offer over twenty gold-
standard product lines, and utilize the company`s proprietary Ancillary Checkup to engage
healthcare providers at every level and, after a thorough practice examination, provide a customized
analysis to determine which solution would best fit your clinic.
This personalized consulting service is provided free of charge and the partnerships that are formed
with providers solidly endure. We are committed to growing your practice with the latest and most
relevant Ancillary Services that the industry has to offer.
We have created a simple and effective model: AMS is the single point of contact for providers when
they look to expand their service offerings in the Ancillary space. You have a vision for your practice
and Ancillary Medical Solutions wants to be your trusted partner.
We look forward to working with you.
In Excellence,
Michael Berg
Co-Founder and President

3. ANCILLARY MEDICAL SOLUTIONS
EXECUTIVE SUMMARY
The Problem
Physician reimbursement has declined steadily in recent years, forcing independent physicians to
integrate into larger groups. 86.4% of physician pay has been flat or declined over the past 3 years.
The Affordable Care Act has created additional opportunities for clinics to bill for ancillary services.
However, most physicians are largely unaware of their options. Researching and vetting each
ancillary opportunity is too time consuming for physicians that are already overworked.
The Solution
AMS represents 23 best-in-class ancillary services. Each service is vetted by our Medical Advisory
Board and must meet our criteria:
Patient-centric, first and foremost
Turnkey for the practice
Meets the highest ethical and legal standards
Generates maximum return for physicians
AMS has also created the medical industrys only ancillary certification, ensuring that your clinic can
integrate each solution seamlessly.
Why Choose Us
AMS is the nations largest provider of medical ancillary services. With our team of experts at the
helm, we can guarantee that your clinic will receive the individualized attention that is required
when implementing ancillary services. Tailor-made packages, competitive pricing, and efficient and
prompt service make us the ideal choice for your clinic.
Proposal
AMS was founded by the leading experts in medical ancillary services. Our combined experience
helps ensure the highest standards in customer service. Over 100 satisfied clients are evidence of
AMS superior customer service.
By choosing AMS, you are partnering with experts who can customize solutions for your practice.
We provide in-depth training to each office, which ensures that implementation is seamless, and that
maximum revenue enhancement is achieved.

4. ANCILLARY MEDICAL SOLUTIONS
PROPOSED ANCILLARY SERVICES
SOLUTION DETAILS
Chronic Care Management
Description
Easy to Use technology partnered with concierge services providing the
most comprehensive care coordination solution available. 24 hours a day
7 days per week patient phone access to clinical Health Assistants. 20
minute phone call each month to monitor chronic disease states. HIPAA
compliant and Care plan shared with all providers. Real time data and
patient monitoring. All patient notes are compiled in the physician
portal. Identifies additional office visits. Improves quality time with
patient when in office. Save time on looking for information from other
providers. All aspects of 99490 are taken care of by the service provider.
Office bills.
Benefits
Turnkey solution to help meet requirements of CPT code 99490 as well
as provide Meaningful Use Credits.
CPT Codes 99490
Practice Requirements Medicare patients
Reimbursements Medicare reimbursement avge of $43 per patient per month
Cost $28 per patient per month
Patients Anyone over 65 with 2 or more chronic conditions
Estimated Revenue $42 per month, per patient

5. ANCILLARY MEDICAL SOLUTIONS
Platelet Rich Plasma
Description
PRP (Platelet Rich Plasma) is an advanced treatment physicians are
using to help repair damaged or injured tissues in the body. This
minimally invasive procedure helps initiate the regenerative process by
harvesting the numerous growth factors that platelets are known to
contain.
Benefits
PRP treatment is autologous; there is little to no risk of rejection or
allergic reaction. The treatment is quick, essentially painless and
harnesses the body`s natural healing abilities without surgery or drugs.
CPT Codes 0232T - Podiatrists and Orthopedic only, prior authorization required
Practice Requirements Must purchase kit package, training recommended
Reimbursements
Orthopedic and Podiatric only with prior authorization. Cash only on
cosmetic procedures. $750 to $3500 per treatment for wrinkle and scar
reduction, ortho $1000 per treatment, Podiatry $1500 per treatment,
sexual wellness $1200, Hair $1500
Cost
$119-$129 / test kit, centrifuge = $1,600 (order of 50 kits = free
centrifuge)
Patients
Hair restoration, facial rejuvanation, injury repair, pain managment,
sexual dysfunction
Estimated Revenue $750 - $3,500 per procedure

6. ANCILLARY MEDICAL SOLUTIONS
BioIdentical Hormone Replacement
Description
We provide training, consulting and software services, enabling delivery
of high-quality care to patients suffering from hormonal imbalance and
dysfunction. The treatment approach employs the principles of Targeted
Hormone Balancing Therapy with BHRT, which first and foremost
utilizes only therapeutic hormones that are molecularly identical to
human hormones, prescribing them in a targeted fashion in the lowest
dose required to achieve results.
Benefits Improve patient outcomes
Practice Requirements Internet access
Reimbursements $350 to $725 per pellet insertion (avge $425)
Cost $2,500 for training certification
Patients Patients with diminished hormone levels
Estimated Revenue $3,000 - $5,000 per patient

7. ANCILLARY MEDICAL SOLUTIONS
Medication Dispensing
Description
Implement a full service solution for dispensing your most commonly
prescribed medications directly to your patients at the point of care.
Benefits
No start-up costs. Patient convenience, improve patient compliance,
retain more patients, only carry most commonly prescribed medications
and JIT inventory system keeps inventory at minimum required level
CPT Codes Cash model only
Practice Requirements
Locking cabinet to store medications. Medical staff can dispense in
approx 1 minute. All equipment and software provided at no cost.
Reimbursements Recommended markup is $5 per bottle but up to practice discretion
Cost Varies by medication. Medication prices available upon request.
Patients As prescribed by physician
Estimated Revenue $5-$20 per generic medication, $500-1,000 for adjudicated medications

8. ANCILLARY MEDICAL SOLUTIONS
Holter Monitor
Description
We supply all of the gear and supplies necessary to perform Cardiac
Monitoring in any office. The Holter recording gets recorded on a
memory card, you then send us the info via our secure software (HIPAA
compliant) and you will have the report in about 8 business hours. It gets
delivered as a PDF file via our software; open it, save it, print it, attach it
to your EMR system, etc. We bill the patients insurance for our part
(technical), you bill for your part (professional codes included).
Benefits
FREE monitor and supplies, no contracts or deposits, Increase revenues
with no overhead costs, improved patient care and convenience. Sleep
apnea report included.
CPT Codes 93225, 93227, 93799-26, 95806-26, 93025-26, 95921-26
Practice Requirements Regular use of monitor
Reimbursements Medicare: $78, Commercial: $225, Medicaid: n/a
Cost $0.00
Patients Patients with arrhythmia or chest pain
Estimated Revenue $75 - $250 per patient

9. ANCILLARY MEDICAL SOLUTIONS
Home Sleep Apnea
Description
Our device is the smallest and lightest home sleep monitor with AASM
recommended guidelines. Our 8-channel device is ergonomically
designed for patients to perform an easy self-sleep test at home. Our
HIPAA compliant Web Portal option allows seamless, secure access to
patient’s sleep study data, scoring, and interpretation.
Benefits
Home sleep apnea testing allows patients to be tested with ease in their
home.
CPT Codes 95800, 95806, G0399
Practice Requirements Instruct patients on how to use the SleepView
Reimbursements Medicare: $180; Commercial $275
Cost
$2400 each, $25/study kit and web portal access, $62/interpretation
(optional)
Patients ICD 9 codes: 327.23, 327.26, 780.51, 780.53, 780.57
Estimated Revenue $180 - $300 per patient

10. ANCILLARY MEDICAL SOLUTIONS
Medical Weight Loss
Description
Bolt-on weight loss program which includes: comprehensive one-on-one
medical training and shadowing, detailed marketing and advertising,
staff training, diets and patient protocols and programs, office
procedures, 500-page operations manual, vendor contacts, EMR and
DEA dispensing  implementation are included.
Benefits No franchise fees. No mandatory vendors.
CPT Codes Cash model only
Practice Requirements
Ability to travel to vendor location for on-site training, training sessions
at practice
Reimbursements Avg $1,000 per patient (4 visits)
Cost $30,000-$40,000, financing available
Patients Any patient who needs or desires to lose weight
Estimated Revenue Average $2,700 per patient

11. ANCILLARY MEDICAL SOLUTIONS
Urodynamics
Description
Offer a monthly in-house Urodynamic Testing Clinic on a pre-determined
day. A highly trained urology testing specialist brings equipment and
supplies to complete tests which are then interpreted by a board
certified urologist and sent to physician within 48 hours with suggested
treatment options
Benefits No startup costs.
CPT Codes 51729, 51797, 51784, 51741, 51792
Practice Requirements 7 patient minimum on pre-determined testing day
Reimbursements
Covered by most all insurances, including Medicare. Reimbursements
range from $600-$1500 per patient
Cost Flat $350 per patient tested, billed 30 days after test performed
Patients
Patients with overactive bladder, lower urinary tract symptoms, and
stress urinary incontinence.
Estimated Revenue $600 - $1,500 per patient

12. ANCILLARY MEDICAL SOLUTIONS
Mental Health Screening
Description
Our electronic psychological assessment is the beginning step to help
patients take control of their mental health. This is a confidential, HIPAA
compliant assessment that patients can complete while waiting to be
seen by their physician. After the patient has finished the assessment the
physician will receive an overview of their patient`s potential risks for
anxiety, depression, opoid risk, alcohol dependence and somatic
symptoms.
Benefits
Generate additional revenues while the patient is waiting without
assistance from other staff. Identify those at risk for depression and
anxiety early reducing societal risks. Patients can be identified and then
retested for improvement.
CPT Codes 96103, G0442, G0444
Practice Requirements Tablet device - a 1st Gen iPad can be purchased for $149 if needed
Reimbursements Medicare approx $64, commercial up to $120
Cost $20/assessment (plus iPad if needed)
Patients
AWV for Medicare beneficiaries; patients suffering from chronic pain or
conditions such as ADHD, Cancer, COPD, Diabetes, HIV/AIDS, Irritable
Bowel Syndrome; Patients complaining of symptoms such as anxiety,
constipation, diarrhea, fatigue, headaches, hyperactive sexual desire,
insomnia, malaise, memory loss, myalgia myositis, nervousness, post-
pardum depression, weight loss/gain; patients on anti-depressant
medication
Estimated Revenue $65 - $120 per patient

13. ANCILLARY MEDICAL SOLUTIONS
Critical Care Assessment
Description
Sudomotor dysfunction is one of the earliest detectable neurophysiologic
abnormalities in microcirculation and sweat gland nerve fiber density. It
is the first sign of distal peripheral neuropathy, and the first
complication of diabetes. The Sudo Path system is a programmable
electro medical system measuring galvanic skin response.
Benefits
Uncover patients who are at risk for cardiovascular / peripheral
neuropathies, and endothelial dysfunction with a quick test performed in
a matter of minutes.
CPT Codes 95921,95923
Practice Requirements
Room available for a supplied MA to perform testing. Min of 35 patients
per day, smaller offices may be able to be accomodated
Reimbursements $180-$330 per test; Medicare, Medicaid and commercial insurance
Cost
Vendor retains TC of commercial insurances and the physician retains
the PC, plus all Medicare and Medicaid monies
Patients Patients with diabetes, cardiovascular disease
Estimated Revenue $15,000/mo (based on 2 to 4 tests per day)

14. ANCILLARY MEDICAL SOLUTIONS
Annual Wellness Visit
Description
The AWV focuses on preventing the onset of disease or to slow the
progression of existing conditions. Our turnkey program is unique from
all others due to the addition of neurocognitive and genetic screening
increasing patient care and billable revenues. Doctor does all the billing.
Benefits
No start-up costs, keep patients healthy and at home through a
preventive approach from risk assessment, improve PQRS, HEDIS and
meaningful use credits, provide additional pull through to other services
the office can provide. No start up costs. Potential revenues range from
$200 to $525 per patient based on the testing outlined PLUS any pull
through revenue - typically $125 more per patient on average.
CPT Codes G0438, GO439 , G0442, G0444, 96102/96119, 96118 or 99214, 99213/4
Practice Requirements One exam room for MA
Reimbursements
$200 to $550 per patient plus pull through revenue on other services not
listed
Cost $75/assessment $30/cognitive
Patients Medicare beneficiaries
Estimated Revenue $165 - $300+ per patient

15. ANCILLARY MEDICAL SOLUTIONS
Allergy Testing & Immunotherapy
Description
This solution enables an office to provide both testing and treatment for
environmental allergies to occur in office. Complete training and
equipment is provided at no start up cost to the office. Skin testing or
blood allergy panels can be run. Allergens are mixed in office and the
patient then commences on office based immunotherapy, providing a
treatment and complete solution for patients suffering from allergy.
Qualifying offices may be able to receive a subsidy for technician wage.
Benefits
No start-up costs. All equipment including refrigerator, consumables and
antigens are provided. Full training and support is provided to the office
and staff to ensure successful implementation.
CPT Codes 95004 and 95165
Practice Requirements Room for allergy testing and treatment to be performed.
Reimbursements
Average reimbursements range from $2200 to $3800 per patient. There
are variances between states. Suited to Medicaid, Medicare and
Commercial.
Cost $1400 per patient.
Patients
Adult patients suffering from allergy symptoms. Suited to Family and
Internal Medicine and other practices wishing to expand their niche.
Estimated Revenue Profit of $800 to $2200 per patient, average of $1400 profit per patient.

16. ANCILLARY MEDICAL SOLUTIONS
Durable Medical Equipment
Description
Our process will get you up and running with on-site DME, and then
backs you with one full year of free consulting services. Our team of
DME experts are well versed in billing and coding, credentialing, legal
compliance and group purchasing.
Benefits
Provides rehabilitation equipment directly to your patients in the
convenience of your office, maximize clinical outcomes, while lowering
overall health care costs, turn-key operation that includes the billing
component (the monies go directly to the practice), legal compliance, in-
office protocols and complete operational guidelines.
CPT Codes N/A
Practice Requirements Storage space for 2 weeks worth of DME
Reimbursements Reimbursable by Medicare, commercial insurance and worker`s comp
Cost Cost Analysis provided by vendor
Patients
Patients who suffer from acute or chronic back pain, osteoarthritis,
carpal tunnel syndrome, cervical pain, and many other injured body
parts
Estimated Revenue Average $5,000 - $10,000 per month, per provider

17. ANCILLARY MEDICAL SOLUTIONS
Pathology Solution
Description
Enables larger offices (typically 5 or more providers) to bill the
professional component of lab testing. Suited to GI, Ob-gyn, Uro and
Primary Care. A range of specialized tests are available. Speciment is
sent to lab then a slide is returned to the office. A pathologist will be
present in the office 1 or 2 days per week to read the tests.
Benefits
Can significantly enhance office revenues through billing of the
professional component of the pathology which has not been readily
available to the physician before.
CPT Codes N/A
Practice Requirements
Minimum of 5 or more providers with sufficient sample sizes. Multi office
practices can also work. Smaller practices with high volume samples
may qualify.
Reimbursements Dependent on test type and volume
Cost No cost start up
Patients PAP smears, Bladder, Gastro, Skin
Estimated Revenue Average $10,000 per month, per provider

18. ANCILLARY MEDICAL SOLUTIONS
Fall Prevention
Description
Our Vestibular Autorotation Test (VAT) testing system is designed to
assist in the screening, diagnosis, and treatment plan for patients with
balance problems, dizziness, and vertigo. The VAT evaluates how well
the inner ear is functioning. The test results are also used to design a
treatment plan specific to your patient`s problem. The test is easy to
perform and only takes 18 seconds. The device is FDA approved and
fully reimbursable through Medicare.
Benefits
Evaluate the central and peripheral vestibular systems, can be
performed by a medical assistant in less than 20 minutes with immediate
results and interpretation.
CPT Codes 92542-59 + 92546-59 + 92546-5976 + 92270-59 + 92547 w/ 3 units
Practice Requirements Staff to perform test
Reimbursements
Approx $250 per patient, covered by all insurance types. Return visit
approx $100 plus another office visit
Cost
$39,500, Financing available at approx $800/mo, no payments for 90
days OAC
Patients Patients complaining of dizziness, unsteady or previous falls
Estimated Revenue Average $250 per patient

19. ANCILLARY MEDICAL SOLUTIONS
ADDITIONAL REVENUE ENHANCEMENT
In-Network Laboratory
Description
A Laboratory solution that analyses your current payer and test mix to
source the best lab to ensure your patients are only billed In Network.
General chemistry, wellness panels, tox and some specialized testing
available.
Benefits
Enhance patient loyalty as patients will no longer receive high out of
network bills. Ease of access to reports, via portal and/or efax, tailored
panels. Better rapport with your insurance providers due to no out of
network billing.
CPT Codes Varied
Practice Requirements Blood draws. A phlebotomist can be supplied to qualifying offices.
Reimbursements Wellness panels can generate additional revenues
Cost No cost
Patients Any patient requiring a blood or urine sample

20. ANCILLARY MEDICAL SOLUTIONS
Patient Engagement
Description
Links facial recognition by gender, ethnicity, age and even mood to
generate targeted advertising to the patients that are sitting in the
waiting room in real time. The advertising includes educational content
such as healthy eating as well as advertising from drug companies. The
content library covers common concerns and FAQ. HIPAA compliant and
does not collect specific patient information.
Benefits
The content helps lower patient perception of waiting time, reduces
waiting room anxiety and improves health literacy.
Practice Requirements Have a waiting room television
Reimbursements
Dependent on patient volume and wait time - approx 25c per patient per
half hour
Cost $1499 one time only
Patients All visitors to waiting room
Estimated Revenue From $70 per week for a 1 provider office with avge wait times

21. ANCILLARY MEDICAL SOLUTIONS
Medical Records Storage
Description
Eliminates the space required to store medical records and provides
efficient chart retrieval that can be easily accessed. All patient records
and Xrays etc are scanned securely and indexed with full character
recognition for easy retrieval. Fully HIPAA compliant. Practice keeps all
records on site electronically once records have been scanned and can
also be available via secure internet.
Benefits
Create usable office space by eliminating on site paper storage. Free up
ongoing storage costs and time by eliminating off site paper storage and
ease of access to patient records electronically.
CPT Codes N/A
Practice Requirements Paper records
Cost $150/box
Patients All patients
Estimated Revenue Save 30-50% of records storage

22. ANCILLARY MEDICAL SOLUTIONS
Patient Finance
Description
Our Multi Lender Platform includes more than 16 National Lenders. This
program helps you gain access to at least 86% of the clients walking
through your door. And your clients can combine offers from our lenders
for 100% financing. $199 per patient approval - patient pays
(Electromed)
Benefits
Increase your client`s approval rates by 40%, no credit check, easy on-
line application
Practice Requirements Internet Access
Cost $499/mo plus $599 set up - Electromed
Patients Any patient requiring financing for procedure
Estimated Revenue $5,000 - $25,000/mo

23. ANCILLARY MEDICAL SOLUTIONS
Patient Text Reminder
Description
Our solutions are consumer-facing, two-way mobile messaging programs
that drive patient compliance, increase your frequency of touch, and
allow you to share important information with patients and caregivers in
real-time.
Benefits Save staff time, improve efficiency, 2-way communication with patients
Practice Requirements Internet access
Cost $200/mo
Patients All patients