The document introduces Patient Access Partnership, a program from Apollo Health Street that audits and corrects 100% of patient accounts prior to billing to increase cash collections and decrease costs. It highlights the limitations of traditional and automated-only approaches to account review. The Partnership utilizes a blend of automation and human review to validate insurance and demographic information, make corrections directly in hospitals' systems, and provide robust reporting. The results hospitals can expect include increased cash collections, reduced costs to collect, improved data quality and a strengthened quality assurance process. It provides an example case study of a mid-sized hospital that saw a 31% increase in cash collected in 0-30 days and $5,000 monthly reduction in business office re-working

1. Introducing Patient Access Partnership

2. Apollo Health Street partners with hospitals and healthcare organizations across the country to achieve healthcare’s True Return – the financial strength you need to offer excellent patient care today and tomorrow. Achieving Healthcare’s True Return | Confidential | Page

3. Ready to partner with your team to create a process-focused solution that is fast, accurate and designed to achieve your financial goals Will tackle your challenges on any scale – a targeted troubleshoot spot or a full-scale, sustainable platform for managing the entire process Bring first-hand, specialized knowledge of the hospital revenue cycle, delivering the results our customers need Industry Leader | Confidential | Page

4. 1 2 3 4 5 6 9 Corporate Office 9 8 6 5 3 2 1 Leveraging People, Process and Technology 4 7 8 7 | Confidential | Page Conshohocken, PA Bloomfield, NJ New York, NY Boston, MA Springfield, IL Americus, GA Atlanta, GA Sunrise, FL Los Angeles, CA

5. Comprehensive Suite of Revenue Cycle Management Solutions | Confidential | Page Full Revenue Cycle Outsourcing Focused Outsourcing Solutions Third Party Solutions Denial Management Zero Balance Recovery Private Pay Solutions Medicaid and Patient Advocacy Patient Access Partnership EMS Billing and A/R Management Transaction Service Solutions Pre-registration Medicaid eligibility and patient advocacy Financial counseling Charge integrity Complete billing services Cash posting and EOB processing Third party follow-up Denial management Customer service Accounts receivable management Self pay collections Management reporting

6. This program is designed to audit and correct 100% of patient accounts. It offers a unique blend of automation and people power to make corrections prior to bill drop, thus increasing the rate of cash collections, decreasing the cost to collect and providing timely root cause analysis to improve overall quality. The Patient Access Partnership | Confidential | Page

7. Patient Access Recap: Review of 100% of accounts is labor intensive Multiple data entry points increase the likelihood of errors High turnover of staff Patients don’t always provide accurate and/or updated information Complex IS systems make training never ending Inherent Problems | Confidential | Page

8. Excessive errors often lead to the following: Lost and/or significantly slowed revenue due to administrative denials Increase in days in A/R Increased cost to collect Friction between patient access and patient accounting Poor patient satisfaction The Adverse Impact | Confidential | Page

9. Limitations to Traditional Approach Hospitals often have some means of reviewing patient accounts, yet the following often occurs: Errors are identified, but not always corrected prior to bill drop Many errors are missed due to lack of resources available to thoroughly audit 100% of accounts Ongoing issues and common mistakes take longer to identify and trend Data reporting requires lengthy manual preparation | Confidential | Page

10. Limitations to Automated-only Approach Technology is available in the marketplace to audit accounts and provide feedback regarding errors. Such tools are helpful, yet still have the following limitations: Hospital staff still has to correct errors Information is often not validated against external sources Automation alone cannot reach 100% accuracy because they do not: Compare diagnosis to service Determine WC/NF on follow up visits Correct DOB mismatches Carefully review accounts returned from automated eligibility as not eligible or not found to determine if coverage exists Understand the subtle differences between plan codes in the providers information system | Confidential | Page

11. Apollo utilizes a blend of automation and human intervention to provide 100% account review: Validation of patient insurance and demographics Corrections are made live on the hospital system prior to bill drop Robust reporting provided which will assist in identifying root cause as well as detailed, individual registrar scorecards Physicians will be able to contact us via our toll free telephone number to obtain updated insurance information The Apollo Approach | Confidential | Page

12. By partnering with Apollo and implementing Patient Access Partnership, the following results can be expected: Increase rate of cash collections Reduce the cost to collect Improve system data integrity Enhance quality assurance process, continuous monitoring and adjustments Rapid staff feedback Ability to provide focused training based on QA results Robust reporting system “ Ghost Effect”- People perform better if they know someone is watching; build instant accountability The Apollo Results | Confidential | Page

13. Best Practice Process Flow without Patient Access Partnership Registration performed Eligibility processed through Automated Eligibility Processing Eligible no discrepancies Eligible with discrepancies Discrepancies displayed to registrar Accept changes & post back to HIS If time allows, check by phone call Not available through Electronic Eligibility Processing If time does not allow, no check performed End End Do not accept changes Not eligible Not found Change to self pay | Confidential | Page

14. Process Flow with Patient Access Partnership Registration performed, then transferred to Apollo Health Street Eligibility and demographic review Eligible no discrepancies Eligible with discrepancies Discrepancies reviewed Changes made directly to provider HIS Not available through Electronic Eligibility Processing End End Not eligible Not found Manual Eligibility look up performed including: 1) review of insurance co. web sites; 2) review of other websites; 3) phone call to carrier Phone call made to carrier to determine eligibility Eligibility discovered changes made to provider HIS No eligibility found Transfer to supervisor for review No eligibility to change to self pay Results reviewed by a live agent | Confidential | Page

15. Patient Access Partnership Case Study New Island Hospital | Confidential | Page Challenge Reduce delays in collections due to incorrect insurance information collected at scheduling/registration Lack of consistency in entry of information Higher cost to collect due to business office re-work Improve registrar accuracy and establish accountability Decision Evaluated several internal initiatives, process redesigns, staff augmentation and outsourcing Results > > > 31% increase in cash collected in 0-30 days $5,000 per month in reduced business office re-working costs Increase from 93% to 98% in average departmental accuracy Unmatched impact of a better trained staff and a stronger patient experience

16. Mid-sized suburban facility 100,000+ outpatient visits per year Comparison Period: January to June Project Goal: Increase the Speed of Cash Collections | Confidential | Page

17. Project Goal: Reduce the Cost of Collections | Confidential | Page Number of Annual Registrations 5% Error Rate 10% Error Rate Cost to Rework a Rejected Claim Cost at 5% Error Rate Cost at 10% Error Rate 100,000 5,000 10,000 $25 $125,000 $250,000 250,000 12,500 25,000 $25 $312,500 $625,000 500,000 25,000 50,000 $25 $625,000 $1,250,000 750,000 37,500 75,000 $25 $937,500 $1,875,000 1,000,000 50,000 100,000 $25 $1,250,000 $2,500,000

18. Project Goal: Enhance Quality Assurance Process Enhanced quality assurance Consistent objective data 100% review Flexible audit parameters Experienced patient access team to assist in analysis Robust on-line reporting system | Confidential | Page

19. Project Goal: Improve Registrar Accuracy Continuous learning environment including focused re-training based on QA data | Confidential | Page

20. Sample A: Error Log | Confidential | Page

21. Sample B: Error Ranking by Occurrence Report | Confidential | Page

22. Sample C: Average Score by Registrar | Confidential | Page

23. Contact Information Michael S. Friedberg , FACHE, CHAM Associate Vice President, Patient Access Services [email_address] Office 973.233.7644 Mobile 732.809.0260 Learn more at www.apollohealthstreet.com