SUITEMEDThursday, July 23, 2009

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Proudly offered for your consideration by: 

Kunal Shah Sales Director, Meditab Software, Inc.

Danielle Taimuty CEO, Medical Billing Solution Services, Inc.

Dr. Rakesh Malik practicing Cardiologist and software user

Dana Deardorff Account Executive, MediPro, Inc.

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TABLE OF CONTENTS

SuiteMed Statement4

About SuiteMed5

SuiteMed Offers8

Presentation 12

Patient Kiosk Login Screen13

Patient Portal14

Accessibility from Scheduler15

Multi-Provider Appointment View from Scheduler16

Setting Up User-Specific Parameters17

User/Group Security Settings18

Patient Check-In Screen19

Patient Master Screen20

Eligibility Checking21

‘Fix Error’ in Claims Scrubbing22

Setting Up Claims Scrubbing Parameters23

Manual Entry of Charges24

Using Macros to Simplify the Billing Process25

View Claims, Batches and Transmissions Opportunities 26Claims History

27View Responses from ENS Clearinghouse

28Insurance Payment Posting

29ERA Batch Posting

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Patient Ledger31

Marketing Analysis Query 33Report Parameters/ Data Mining Filters

34‘My Tasks’ 35Forwarding Reminders

36‘Fax Received’ Area

37View Sent Faxes

38Setting Up Fee Schedules

39Audit Log

40Physicians Charting Tools

41Note Customization

42Lab Order Tracking

44Midmark ECG Integration

45Working with ECG Reports

46Compare ECG Reports

47Mass Scanning Area

48Letter Template Selection Screen

49Medication Ordering and Management

50Patient Alerts

51Health Maintenance

52Sample Cardiology Note

53Cardiology Template Inventory

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SUITEMED STATEMENT

 SuiteMed, LLC is a California-based medical software company that exists as part of a larger group of very successful private companies that specialize in the creation of unique software designed to solve problems that are common to the delivery of many varieties of healthcare services. SuiteMed provides an innovative suite of intelligent, integrated, and intuitive software solutions that combine both Practice Management and Electronic Health Records and are focused on supporting the primary process of healthcare delivery. SuiteMed's revolutionary software solutions connect physicians, patients, pharmacies, insurance companies, and long term care facilities nationwide. Providers are empowered with innovative tools that enhance the efficiency and profitability of their practice and the quality of care they deliver to their patients. The SuiteMed business model is based upon delivering software that approaches problems common to these healthcare segments in a unique and cost-effective manner. We pride ourselves on delivering superior software, implementation, training and support services at an affordable price. Our goal is to expand upon our current successes to become a major presence in the integrated PMS/EHR marketplace while restoring the physician's ability to practice medicine as they desire through the use of superior software design.

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ABOUT SUITEMED

ABOUT THE MANUFACTURER ABOUT SUITEMED SOFTWAREFounded in 1998 by practicing pharmacists and physicians, Meditab Software, Inc. provides an innovative suite of intelligent, integrated and intuitive Software Solutions supporting the primary process of healthcare delivery.  Based in northern California, Meditab’s revolutionary software solutions connect physicians, patients, labs, pharmacies and long-term care facilities nationwide.Providers are empowered with key knowledge that enhance the way they conduct business and service their clients. Meditab’s Software Solutions include: • Intelligent Medical Software (IMS)• Intelligent Facility Software (IFS)• Intelligent Dental Software (IDS)• Intelligent Pharmacy Software (IPS) • Intelligent Radiology Management

Software (IRMS). With any one of Meditab's integrated solutions, saving time and money becomes second nature and service continues to be the number one priority.

The Meditab Intelligent Medical Software (IMS) company sought another business model in 2008 for mass distribution channels and opened its product line to Value Added Resellers. During this process, a new name evolved: SuiteMed. This dynamic solution has over 15 medical specialties including Cardiology.  As medical practices across the nation realize that progressive software technology doesn’t have to be costly, SuiteMed is gaining market share and notoriety.  During this time of government incentives , SuiteMed has stated their intent to make sure the software meets or exceeds new government standards and initiatives.

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SUITEMED PROVIDES CLIENTS WITH EXPERT KNOWLEDGE IN THE FOLLOWING AREAS:

Integrated Electronic Health Record Exceptional Web-based Communications

Portal Comprehensive Practice Management Flexible Healthcare Documentation Secure Access Information Assembly Information Utilization Regulatory Compliance

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SUITEMED PRODUCTS ARE DESIGNED TO DELIVER OPERATIONAL EFFICIENCIES:

Improving reimbursement Enabling information availability Assuring information accuracy Expediting clinical decision making Improving patient care Fostering communications Leveraging current technologies Compensating for Business and IT staff shortages Maintain Regulatory compliance Ensuring patient safety and reducing medical errors

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SUITEMED OFFERS: Functionally-rich modules that provide a clear,

powerful, and sensible path to a fully automated, electronic health record environment

Solutions based on out-of the-box standard, open technology that allow you to capitalize on your investments in hardware, software, and staff knowledge

Scalable, system-wide capabilities Expert work-flow and integration Focused, professional customer support and

implementation services In-depth knowledge of healthcare processes,

system installations, and training with the most comprehensive range of solutions, support, and services available.

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SUITEMED: THE CHOICE FOR YOUR ORGANIZATION

Built for Production

SuiteMed solutions boost the effectiveness and productivity of your organization. Each solution is designed by healthcare professionals to meet real-world priorities and solve real-world problems. Seamless integration ensures that data is entered only once at the primary source and used to throughout your entire organization. The knowledge and flexibility built into each SuiteMed application allows facilities to maximize their productivity in the shortest amount of time.

Standard Technology

SuiteMed is committed to delivering the best value to customers through powerful systems that use today's standard and most reliable technology. SuiteMed provides CCHIT, certified, HIPAA-enabled, Microsoft® Windows® -based systems. In addition, SuiteMed employs Sybase and other databases to ensure the highest degree of flexibility and access.

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Implementation and Support Services

At SuiteMed, client satisfaction is our number one priority. To ensure complete, customer-focused service, SuiteMed provides thorough and flexible implementation, training, and customer support services. Implementation and training is provided by experienced and knowledgeable SuiteMed partners/staff.

SuiteMed provides comprehensive customer support. You and your staff will always be able to contact SuiteMed through 24 hour, six day a week, direct online and/or telephone support. All clients enrolled in SuiteMed's support programs receive software upgrades and enhancements at no additional cost.

Additionally, SuiteMed offers top-of-the-line implementation and technical services, including: new system development, implementation across multiple facilities, pre-integration testing, data conversions, data pre-population, and interface development.

Our staff is available to help clients achieve their goals, work more effectively and efficiently, and maximize their investment in SuiteMed solutions.

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Conclusion

In this turbulent environment, healthcare organizations need a sound business partner with solutions to streamline financial operations while improving patient care. SuiteMed will be there, providing superior solutions and effective support to the success of your entire organization.

PRESENTATION

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The SuiteMed software provides several meth-ods for patient data input. From electronic forms, patient kiosks or an internet based pa-tient portal, the Suite-Med system offers medical offices with the technology to maximize front office flow.

SuiteMed patient kiosk log-in screen

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SuiteMed Patient Portal

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SuiteMed provides user-friendly scheduling which can utilize the patient portal for appointment request communication, as well as a secretary-based or call center approach.

Creating an appointment within SuiteMed is as easy as double-clicking on the preferred time slot, selecting the patient and applying a reason for the visit, if desired. A patient’s entire chart from billing to clinical can be accessed by simply right-mouse clicking. The SuiteMed schedule was developed around a multi-provider, multi- office capacity.

Access the patient chart from the scheduling area

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At-a-glance, multi-provider appointment view from the scheduler.

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The SuiteMed software provides system or user defined settings to help streamline tasks within the program. Security levels may be set by group, user and/or patient chart.

Setting up user-specific parameters

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User or group security settings

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SuiteMed has several cross-checking features to assist in maintaining accurate patient demo-graphic information. This system has an address-verification tool as well as a visual cue to confirm patient information upon check-in. SuiteMed also incorporates user-defined mandatory fields, which require specific patient information to be entered before initiating the creation of a virtual chart.

  

Patient check-in screen

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Patient Master screen, where patient demo-graphics are entered. Mandatory fields include: chart number, provider name, patient’s first/last name, date of birth, gender, street address and zip code.

Patient Master Screen

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SuiteMed provides users with the capability to request and process elig-ibility from the schedule or the patient check-in screen. The system utilizes an integrated eligibility process with ENS, an Ingenix company, for individual queries or a batch format.

Eligibility-checking from the scheduler

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SuiteMed offers internal claims scrubbing based upon required Carrier or Plan fields, which are established by the user. You may create rules based upon multiple criteria for insurance and set warnings or required rules so that errors may be fixed directly from the claims scrubbing screen. 

Claims scrubber ‘Fix Error’ prompt

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Setting up the warning or required

fields by insurance

for internal claims

scrubbing

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Zero navigation for manual entry of charges

SuiteMed offers your group the ability to use a customized electronic fee ticket as well as an Evaluation & Management tool for suggesting office visit codes. We also have billing macros, which can be utilized to save time and redundant line-item entry. Optical Character Recog-nition scanning is in development and will be available in future versions at no additional charge.

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Using macros to

simplify the billing

process with orders/ procedures, which have

multiple codes

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SuiteMed offers batch scrubbing for all insurance payors - both paper and electronic - on the same screen. You can fix errors from one screen as SuiteMed’s smart logic takes the user directly to places where information may be missing. As stated before, SuiteMed allows the practice to set up customized rules/guidelines for warnings or required claim elements. Users also have the capability to print/send batch claims, put claims on hold, edit claims, and print or send HCFA/UB92/UBO4 forms from one screen!

Easy to view claims, batches, and transmission opportunities

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Claims History

SuiteMed provides a complete claims status history as well as the ability to view claim responses - from viewing Level 1 & 2 reports for submissions and batch status summaries.

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The billing department

or claims specialist can

view claim responses

from the ENS clearinghous

e

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Your billing department can work efficiently from the Insurance payment posting screen. Whether manual or auto posting, SuiteMed offers EOB scanning with page number reference per line item. For maximum results, utilize the auto posting of payments directly within the system. SuiteMed can post payments from the patient ledger, provide reason codes for adjustments and offers the capability to populate any and all information from the same screen for patients.

Insurance Payment Posting

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ERA Batch Posting

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Set up the patient ledger with color-coded lines for quick deciphering of information. Right- mouse click to access all of the billing com-ponents to ensure ac-curate processes.

Patient Ledger

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The SuiteMed software has a direct integration with ENS, an Ingenix company. This system is able to work with other clearinghouses as long as they are ANSI compliant. If auto-posting is of interest, ENS has provided SuiteMed users with powerful tools to make this a part of daily operations.

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Marketing Analysis Query

With over 400 reports available for access, you can easily check the profitability of your group, providers, user task management and much more! SuiteMed has thought of just about everything from market analysis reporting, Export/Import capabil-ities of data, preview summaries before report is run, and filters.

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Generating report parameters and setting up filters for data mining

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‘My Tasks’

Every SuiteMed user will have their own ‘My Tasks’ area within the software. From reminders, notes, follow-up requests, elec-tronic faxes and labs to review, SuiteMed empowers your organization to get away from paper and automate daily correspon-dence with ease. There is also functionality to link tasks to certain criteria for an individual or group to receive auto reminders.

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Forward reminders to another colleague

for follow-up

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Fax received area where you can annotate documents as well as forward them to an

additional user for review.

SuiteMed offers external communications through a fully customizable Patient Portal as well as the sending and receiving of electronic fax documents right from the software!

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At-a-glance view of all the faxes that have been sent out. Right-mouse-click functionality on the line item to help with additional routing of the document.

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SuiteMed has the ability to import Fee Schedules while providing a user or history developed format. 

In the set up center, you can have multiple fee schedules as well as make any necessary

changes to set fees.

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Audit Log

With regards to in-depth user level security and audit tracking, SuiteMed offers a complete and thorough tracking component. Sec-urity can be based per office, patient, groups, user, and screen level. The de-tailed audit tracking shows a history of previous values as well. To assist with nar-rowing down the viewable information, SuiteMed has a filter option to make mining the searchable data a breeze!

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SuiteMed is well-suited for a group of physicians who require various methods to chart their patient en-counters. We offer Card-iology-specific templates through a point-click medium, voice recognition with Dragon Naturally Speak-ing, hand writing recog-nition from a Tablet PC, copy from a previous visit, transcription and free text boxes.

The physicians charting tools are in one screen to assist with efficient documentation

efforts.

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Customization screen for the exam portion of a note

With the purchase of SuiteMed, all Cardiology specialty templates will be provided. However, if your group would like to fine tune or make changes to an existing template, SuiteMed provides full customization abilities for the end user. We can also assist with building additional temp-lates if needed.

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SuiteMed is currently building an application for claim capture for PDA’s. The system can also be interfaced with hospital systems by building a bridge or tunnel for capturing patient demo-graphics, a face sheet and super bill.

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SuiteMed offers bi-direc-tional Lab interfaces with Labcorp and Quest. We can build additional interfaces with Laboratories if they have HL7 capabilities. SuiteMed integrates with Midmark and Welch Allyn diagnostic devices, elec-tronically sending/receiving faxes as well as the Patient Portal to communication with patients for appoin-tment requests, medication refills , access to care plans, online patient registration, viewable parts of their chart.

Diagnostic and lab order tracking area

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Simulated ECG screen within the SuiteMed software using a Midmark ECG integration

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The physician has the ability to annotate, sign off, or forward this report to another user in the practice for review.

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Comparison of two ECG reports on one screen

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This dynamic system offers scanning, document man-agement, electronic faxing, and has the ability to attach files directly to the software as well as the patient chart.

SuiteMed’s mass scanning area

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Document publication fea-tures are available in SuiteMed with a built-in Word application, extensive letter writing component, and we also have the ability to synchronize with Outlook for mailers.

Letter template selection screen

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Directly through Suite-Med, you can send requisitions to the lab-oratories as well as receive the results back elec-tronically in the system, then associate them with a patient chart. We also offer the ability to print prescriptions, fax or utilize ePrescribing.

Medication ordering and management screen

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SuiteMed provides your practice with numerous communication tracking elements:• My Task area• Sending/receiving fax

manage-ment• Laboratory/Diagnostic

component• ePrescribing services• Patient alerts which the

user can decide if they pop up on the screen for Scheduling, Check-in, Billing or Check-out areas of the system

• Patient Portal

A patient alert popping up in the check-in area

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The software incorporates several parameters to monitor time sensitive patient information. From drug checking/interaction, laboratory tracking, reminders, alerts and health maintenance, SuiteMed ensures pro-active patient care which ultimately results in increased revenue generation.

Health Maintenance Reporting and Letter Generation

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SAMPLE CARDIOLOGY NOTEPatient: Abram, Jorge DOB: 07/23/1978 Visit: 12/02/2008 Page: 1  SAMPLE SuiteMed Software Visit Note  Provider: Ronald Davidson, M.D.Encounter Date: Dec 02, 2008Patient: Abram, Jorge (PT00002020)Gender: Male DOB: Jul 23, 1978 Age: 30 year 4 monthRace: African-AmericanAddress: 1501 Wade Green Rd, McRae, GA 31055 Complaint:Patient is here for evaluation of angina. Condition was first diagnosed 4 weeks ago.

He was last seen in clinic Nov 24, 2008. Currently the patient is classified as Grade II (slight limitation of ordinary physical activity). At present, he complains of chest pain, dizziness, excessive sweating, nausea and palpitation. He feels that the symptoms are poorly controlled with treatment. Patient denies any other illnesses. Latest diagnostics include: Stress test on Nov 24, 2008 which revealed inducible ischemia (antero-lateral wall ). No laboratory tests have been done. He denies any recent ER visit or hospitalization.

 Current Medication:1. Aspirin SIG: 1 every morning2. Vasotec 50 Mg Tablet SIG: 1 at night3. Coumadin 5 Mg Tablet SIG: 1 every evening4. Vasotec 10 Mg Tablet SIG: Take one twice a day5. Benicar 20 Mg Tablet SIG: 1 every morning6. Inderal 20 Mg Tablet7. Nitrostat 0.4 Mg Tab Sl SIG: Take 1 pill at onset of chest pain. May repeat

every 5 minutesfor up to 3 times.8. Avandia 4 Mg Tablet SIG: Take 1 tablet daily.9. Keflex 500 Mg Capsule SIG: Take 1 three times a day.10. Septra Ds SIG: Take 1 twice a day.11. Altace 5 Mg Capsule SIG: 1 every morning12. Af-aspirin 81 Mg Tab Chew (Other MD)13. Aldactone 25 Mg Tablet (Other MD) SIG: 1 every morning, 1 every evening

ROS:

General: (-) fever, (-) chills, (-) night sweats, (-) fatigue, (-) weakness, (-) changes in appetite orweight.Skin: (-) rashes, (-) lumps, (-) itching, (-) dryness, (-) acne, (-) discoloration, (-) recurrent skinPatient: Abram, Jorge DOB: 07/23/1978 Visit: 12/02/2008 Page: 2infections, (-) changes in hair, nails or moles.Head: (-) headaches, (-) head injury or deformity.Eyes: (-) visual changes, (-) eye pain, (-) eye discharges, (-) redness, (-) itching, (-) excessivetearing, (-) double or blurred vision, (-) glaucoma, (-) cataracts.Ears: (-) hearing changes, (-) tinnitus, (-) vertigo, (-) dizziness, (-) earache, (-) ear infection, (-)ear discharge, (-) use of hearing aids.Nose and Sinuses: (-) frequent colds, (-) nasal stuffiness or itchiness, (-) postnasal drip, (-) hayfever, (-) nosebleeds, (-) sinus trouble.Mouth and Throat: (-) bleeding gums, (-) toothache, (-) odd taste sensations, (-) sores ontongue, (-) frequent sore throat, (-) hoarseness, (-) dentures use.Respiratory: (-) cough, (-) hemoptysis, (-) shortness of breath, (-) cyanosis, (-) wheezing, (-)nocturnal choking or gasping, (-) TB exposure.Cardiac: (+) exertional chest pain, (+) dyspnea on exertion, (+) edema, (-) high blood pressure,(-) irregular heartbeat, (+) murmur, (-) orthopnea, (-) palpitations, (-) paroxysmal nocturnaldyspnea.Gastrointestinal: (-) abdominal pain, (-) heartburn, (-) constipation, (-) diarrhea, (-) nausea, (-)vomiting, (-) hematochezia, (-) melena, (-) change in bowel habits.Urinary: (-) dysuria, (-) frequency, (-) urgency, (-) hesitancy, (-) polyuria, (-) nocturia, (-)hematuria, (-) urinary incontinence, (-) flank pain, (-) change in urinary habits.Genito-Reproductive: (-) genital sores or lesions, (-) history of STD, (-) sexual difficulties.Musculoskeletal: (-) muscle pain, (-) joint pain, (-) bone pain.Peripheral Vascular: (-) intermittent claudication, (-) cramps, (-) varicose veins, (-)thrombophlebitis.Neurological: (-) numbness, (-) tingling, (-) tremors, (-) seizures, (-) vertigo, (-) dizziness, (-)memory loss, (-) any focal or diffuse neurological deficits.Psychiatric: (-) anxiety, (-) depression, (-) sleep disturbance, (-) irritability, (-) mood swings, (-)suicidal thoughts or ideations.

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Vital Signs:Weight: 248 lbsHeight: 5' 8"BMI: 37.70Temperature: 99.00 FPulse: 89BP: 154/78Respiration: 16Oxygen: 98Allergy:Sulfa (Sulfonamides)Physical Examination:General Appearance: The patient is well-developed, well-nourished, and in

nocardiorespiratory distress. He is alert and oriented to time, place, and person.

The patientambulates to the examination room without assistance. He is able to sit

comfortably on thePatient: Abram, Jorge DOB: 07/23/1978 Visit: 12/02/2008 Page: 3examination table without difficulty or evidence of pain.Respiratory: Lungs are clear to auscultation and percussion. No wheezes,

rales, rubs or rhonchiare noted.Cardiovascular:On inspection there is an unilateral bulging in the left upper chest, there is an

unilateralretraction in the right lower chest, there is a localized bulging in the right

lower chest, there is alocalized retraction in the right upper chest, there is spinal deformity(scoliosis

).Gastrointestinal: The abdomen is soft, non-tender without rebound or

guarding. Normoactivebowel sounds are heard without rush. No palpable masses or

hepatosplenomegaly is appreciated.No visible scars, hernias or sinuses are seen.

Neurologic: Alert and oriented X 3. Cranial nerves II-XII are grossly intact. Strength 5/5 in allmuscle groups. Sensation is intact to light touch and pinprick. Reflexes are equal and symmetricbilaterally in the upper and lower extremities. Babinski is negative. Cerebellar function grosslyintact. Finger-to-nose coordination is within normal limits. Gait normal without ataxia.Psychiatric: Patient is conscious, cooperative and well oriented to time, place and person. Thereare no mood swings or psychotic features. Patient's insight is good. Memory and judgment areintact.

X-Rays & EKG:Chest X-ray:Patient: Abram, Jorge DOB: 07/23/1978 Visit: 12/02/2008 Page: 4.EKG:Diagnosis:413.9 Angina pectoris NEC NOS786.0 Dyspnea and Respiratory Abnormalities786.59 Pain chest NECCareplan:(1) AnginaDiagnostic/Lab:QuestB-TYPE NATRIURETIC (BNP) (83880)Follow-up:Patient: Abram, Jorge DOB: 07/23/1978 Visit: 12/02/2008 Page: 514 Day(s) Follow-UpCC:Blue Choice PPO /GA : 02/02/2009

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CARDIOLOGY TEMPLATE INVENTORY

HPI (In depth coverage of whole Cardiac Symptomatology)

Aneurysm Anticoagulation Aortic Dissection Cardiac Arrhythmia Cardiac Tumor Cardiomegaly Cardiomyopathy Carotid Sinus Syndrome Carotid Stenosis CHF Congenital Heart Disease (CHD) Coronary Artery Disease Detailed Physical Examination and

Cardiac Examination Hypercholesterolemia Hyperlipidemia Hypertension

Hypertriglyceridemia Murmur Evaluation

Myocarditis Papillary Muscle Dysfunction (PMD) Pericardial Disease Pericarditis Peripheral Vascular Disease Prosthetic Valve Pulmonary Embolus/Infarction Pulmonary Hypertension Rheumatic Heart Disease Ruptured Chordae Status Post MI Valvular Heart Diseases   Duplex Peripheral Vascular Study Echocardiography EKG, Holter Monitoring, Event Monitoring Myocardial Perfusion Studies (Nuclear Imaging

Studies) Stress Tests