Revolutionizing Payment Acceptance in Healthcare

Rising healthcare costsConsumer-driven coverageHigher deductibles

Higher patient A/R, longer collection cycles and increased write offs.

Regain “Elite” control

The McKinsey ReportPATIENT BAD DEBT STATISTICS• 36% of Patients have a Balance of 60 Days or More Past Due• Currently $60 Billion in Patient Bad Debt (5% of Patient A/R)• 2005 - $250 Billion Out-of-Pocket Payments by Patients• By 2015 Expected Rise is 68% or $190 Billion = $420 Billion• 2-4% increase in bad debt (as a % of revenue) for providers by

2012• Just a 1% increase in bad debt with a 4% operating margin equals

a whopping 25% profitability decrease for the average practice.

SUGGESTED SOLUTIONSProvider-Centric Approach that includes:

• Automated Payments• Discounts for early or prompt payment• Convenience fee for payment plans• Payer to provider electronic transactions (claims, payments)• Information/Data Integration

Source: The McKinsey Report June 2007Source: The McKinsey Report June 2007

While others are simply THINKING about it…

…….Elite Healthcare .Elite Healthcare Processing has it!!!Processing has it!!!

Introducing A-Claim™

Point of Service Collection• Typical Provider Collection Strategy

– Cash in-person– Checks in-person and via mail– Debit/Credit Card Visa/MasterCard brand via mail, phone & in-person

• SUGGESTIONS FOR IMPROVEMENT– Collect Deductibles and Co-Pays at time of service at ANY location

• Terminal and/or Virtual Terminal Based– Web Initiated card payment by patient via website– Automate collection of patient financial responsibility at the POS by

collecting payment information for delayed payment & payment plans– Expand card types taken (Discover, American Express, JCB)

• Electronic Check – Available Soon In 2008– Checks are sent electronically to the bank for deposit– Saves time, reduces “float” and NSF cycle time

Innovation – Enhanced Merchant Processing

Front-End & Back-End Functionality Eligibility Checking (including remaining deductible) Collection of Co-Pay at POS Electronic Collection of Patient’s Deductibles, Out of Pocket

Expenses, Co-Insurance %’s, including 100% Self-Pay Patients

THE TWIST Collect patient payment data at the front-end for back-end payment

A Unique Methodology & Technology Blended to Collect Patient Debt

Real-time Insurance Eligibility

Claims Adjudication

Patient PaymentsOptions

A-Claim Online

Regain “Elite” control

A-Claim Modules

Real-time insurance eligibility Verify eligibility for all-payers Co-payment amount Deductible (Individual & Family including met to-date) In and Out of network

Patient Payments Options Real – Time Payments – Immediately paid by patient at time of service Delayed Payments – Stored card data for payment after adjudication Payment Plans – Automated monthly card payments

A-Claim Online Secure, online receivables management; PCI-DSS and HIPAA compliant Initiate payments and view status of existing claims and payments Ensure the proper adjudication by payers with 835 Remit Matching Confirm application of secondary insurance Generate custom reports and administer payment schedules

Patient checks in

Instantaneous insurance eligibilitycheck through A-Claim

Patient sees physician

Real-time/Delayed claim adjudicationthrough A-Claim*

* Regional availability

Real-time payment

Payment planDelayed payment

Card Based Payment Options

Regain “Elite” control

http://care.companiontechnologies.com/A-Claim

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Sales

New Sale

Void

Refund

Pre-Authorization

Completion

Post-Authorization

Find a Sale

Payment Plans

New Payment Plan

View Existing Plans

Find a Plan

A-Claim Home

Remits

Matched Remits

Enter a Remit

Find a Remit

Administrative

Account Information

Provider Information

Devices and Locations

Add a New Provider

View All Reports

Indicates required field.

Balance Due

$150.00

Payment Plan Information

Begin DatePaymentAmount Interval

Days

Show Payment Schedule

01/15/2007 $50.00 30

Payment Plan

Merchant:

Sale ID: 123456789012

MerchantA

123456789

Credit Card Number:

Date of Service:

****-****-****-0012

12/15/2007

Previously Paid: $50.00

Expiration Date: 12/07

View Receipt

Click “View Authorization” to generate a printer-friendly receipt. To delete this payment plan, click “Delete”. If you would like to make additional changes to the payment schedule, enter the changes and then click “Save” again. The payment schedule will reflect the new changes.

Merchant 1Merchant:

Payment Plan successfully saved.

Patient Name: Michael Myers

Sales – Find a Sale – Payment Plan

Payment Schedule

AmountDate

View Authorization

$50.00

$50.00

$50.0001/15/2007

03/15/2007

02/15/2007

Patient AccountNumber:

Find a Sale

Multiple Entry Options

Verifone VX570w/keyboard

** For use when Electronic Check becomes available

Virtual Terminal Virtual Terminal through any web through any web

browserbrowser

A-Claim Features & Benefits• Product Feature• Real-Time Eligibility

• Real-Time Claim (Limited Area)

• Real-Time Payments

• Delayed Payments

• Benefit to Provider• Baseline of patient’s financial responsibility• Saves time & increases staff productivity• Estimate patient financial responsibility

• Speeds payment of claim• Accelerates cash flow

• Discounted merchant fees• Interchange management

• Speeds & secures payment• Decreases statement mailing• Eliminates refunds

A-Claim Features & Benefits• Product Feature• Payment Plans

• Automated Payment Capture

• Multiple Terminal Options

• Benefit to Provider• Secures payment at POS• Fosters patient satisfaction• Increases cash flow• Allows for forecasting

• Decreases/eliminates staff time for payment entry• Shrinks collection accounts

• Adapts to YOUR environment• Multiple entry modes

A-Claim Features & BenefitsProduct Feature

• Excel Based Reporting Tool

• Multi-Merchant, Multi-User & Multi-Location Application

• Consolidated Reporting

• HIPPA & PCI Compliant

Benefit to Provider• Data integration & import capability• Custom reports in seconds

• Easy financial reconciliation• User based authority levels

• Chain/Outlet level reporting• Easy electronic statements

• Secure patient data• Reduce fraud risk

A-Claim Features & BenefitsProduct Feature

• User Friendly

• Quick Implementation

• Cost Effective

Benefit to Provider• One solution for multiple

tasks• Easy online administration• Staff training provided

• Fits with existing processes

with minimal change• 15-30 days maximum• Minimal IT involvement or

resources required• Low cost hardware• Low monthly program fee

Elite Healthcare ProcessingElite Healthcare Processing

Toll Free (888) 612-0100Secure Fax (262) 364-2033Email sales@elitepaymentsystems.comWeb Url www.elitepaymentsystems.com

Corporate Office15417 W. National Avenue #310 New Berlin, WI 53151

Florida Office2338 Immokalee Road #242Naples, FL 34110

THANK YOUElite Healthcare Processing is a division of Elite Payment Systems, LLC 2008