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Your RCM Solution Provider

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Impact Healthcare Solutions | 1813 Northpointe Lane | Ruston, LA 71270 | www.impact-healthcare.netR E V E N U E C Y C L E M A N A G E M E N T& C O N S U L T I N G S E R V I C E S

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T a b l e O fC o n t e n t s02Introduction03The Advantage of Impact05Privacy and Security | Our TeamCustomized Approach | Value | Results0604Meet the TeamTools for Success0807Results, cont.We Work in Your Environment09Services10Testimonials11Connect With Us12

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The critical role of effective revenue cycle management (RCM) is unprecedented in healthcare. Asmultiple regulatory initiatives converge with existing demand for faster billing cycles and costcontainment, provider organizations are facing a perfect storm of clinical and financial challenges.Changing regulatory requirements, increasing patient payment responsibilities, and heightenedcompetition are adding reimbursement pressure and complexity and are altering how successful healthsystems operate. Beginning with front office knowledge gaps limiting a staff's ability to collect moniesowed and extending to a lack of proactive management among back-office personnel to ensure payersand patients follow through with payment, providers are leaving valuable revenue on the table.Payment delays can be attributed to a host of issues, including inaccurate coding to the more severeissue of rejected or denied claims that can negatively impact the bottom line.Often, ineffective approaches to RCM are the culprit. Even some of the most prominent healthcaresystems experience significant losses, primarily within outpatient areas of service. and there can be a 20-25 percent loss in revenue in certain clinical departments.Timely revenue cycle processes are critical to future success and positioning, especially in light of the riseof high-deductible health plans and the increasing number of patients responsible for their ownhealthcare costs. To better position for future reimbursement challenges, practices must embrace newRCM models and best practices to improve collections.Vital steps for healthcare providers facing uncertainties in revenue cycle management are to optimizerevenue cycle processes, identify and implement risk strategies, and leverage available resources tomaximize the ability to collect payments.Impact Healthcare Solutions offers infrastructure and expertise to meet your needs in all three areas. Ourstrategic solutions can help produce sustainable financial and operational improvements across yourrevenue cycle.I N T R O D U C T I O N 02REVENUE CYCLE MANAGEMENT:Financial Stability for the Future of HealthcareHiring Impact HealthcareSolutions was one of thehardest decisions and thebest decisions I have made asa CEO. Jackie R.

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Impact Healthcare Solutions was founded in 2009 by healthcare administrators whorecognized the need in hospitals and physician practices for specialized revenue cycleexpertise. We offer a comprehensive portfolio of revenue cycle management solutionsbacked by advanced training, efficiency, security, and compliance. Our goal is to optimize your revenue cycle to maximize your collections and decreaseyour risk.Our executive team is made up of healthcare administration and revenue cyclemanagement professionals. We understand the challenges organizations face in thecurrent regulatory environment, including financial decisions that lead to operationalsustainability. Our approach with our client-partners is to incorporate members of oursenior leadership in strategic supporting positions. The secret to an optimized revenue cycle is the people. The complexity of revenue cyclework, process improvement, denial management, winning with insurance companies, andcollecting patient balances requires a multidisciplinary team. The team members must becapable of critical thinking, logical reasoning, multitasking, and communicating effectively. 03T H E A D V A N T A G E O F I M P A C T

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03WE LEVERAGE SENIOR-LEVEL STAFF STRATEGICALLY TO SUPPORT YOUR ORGANIZATIONEngaging Impact's serviceswas the best decision I havemade since I've been a CEO. Blake K.David CastonMBA, MSHAChief Executive OfficerLandon TookeMLS, CHC, CCEP, CPCO, CHCSP, CHSRAPChief Operating Officer Chief Compliance OfficerEric CrippsCHFP, CSAFChief Financial OfficerPhillip ThomasMA, SHRM-SCPStrategic Relationship ManagerLenin LemusChief Administrative OfficerMEET THE TEAMImpact Healthcare Solutions is a top-tier revenue cycle management services and consultingfirm. We are solely focused on helping you make your healthcare business an industry leader.We utilize our extensive experience with rural hospitals, community hospitals, healthcaresystems, and physician practices, combined with our high-performance infrastructure tocreate unmatched results. We can support your organization’s mission using our services tohelp you meet your strategic goals and achieve your vision. 04

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We hire candidates with post-secondary degrees, and many with multiplepost-secondary degrees, who undergo comprehensive interviews andaptitude testing designed to screen for the brightest minds in math,science, technology, and project management. Each new team memberparticipates in rigorous training on revenue cycle principles, processes,techniques, and strategy.To graduate through each step of training, a competency test is used toassess proficiency. Our team member onboarding process offers us theopportunity to provide you access to teams able to maximize performanceand productivity, collect and analyze data, ensure privacy and security, andprovide management reporting and process improvement applications.OUR TEAMRevenue cycle personnel must have the technical expertise to not onlyoperate successfully in a digital age but also to ensure data privacy andsecurity. Impact Healthcare Solutions has the right team with the rightexpertise to perform and produce while mitigating risk.We designed our IT infrastructure to successfully manage informationprivacy and security, regulatory compliance, disaster recovery and businesscontinuity, and project management. We randomly conduct internal auditsin addition to regularly scheduled HIPAA Risk Analyses and SOC Audits.PRIVACY AND SECURITY 05

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CUSTOMIZED APPROACHWe begin each partnership with the end goal in mind. We work with your team to develop agreed-upon operating procedures that not only optimize workflows but also do not interfere with youroperations. We work to understand the risks and potential barriers to success. Our people, ourmethods, and our processes drive our approach and are what distinguish us in the Revenue CycleManagement market.VALUEOur billing philosophy is simple - we strive to ensure that the value of the services we provide isgreater than the cost of our services to you. We analyze the cost of your revenue cycle infrastructurewith the estimated accounts receivable at risk for loss as bad debt. We measure this against youropportunity cost of capturing lost revenue and resolving your accounts receivable through collectionsinto your operating account. We consider our use of risk mitigation strategies in privacy and securityas well as business intelligence provided to you through reports generated by our team of revenuecycle analysts. We also consider the consultation provided by our executives.RESULTSWe do not engage with customers unless we are certain that we can deliver exceptionalservice that results in value. Our customers routinely experience game-changingincreases in revenue collection resulting in monthly collection records.Hospitals and medical practices experiencing chronic growth in Accounts Receivablebalance watch their balance fall into benchmark range while Days Cash on Hand increases to historic levels. Our partnership will result in reduced claims denials, accelerated cash flow, fewer regulatory compliance headaches, and improved revenue integrity.We deliver results.WE ENSURE THAT THEVALUE OF THE SERVICESWE PROVIDE IS GREATERTHAN THE COST OF OURSERVICES TO YOU 06

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PPS Hospital CAH PPS Hospital PPS Hospital Private Practice100% 75% 50% 25% 0% PPS CAH PPS PPS Private Practice250 200 150 100 50 0 PPS CAH PPS PPS Private Practice$10,000,000 $7,500,000 $5,000,000 $2,500,000 $0 RESULTSREVENUE CYCLE OPTIMIZATIONA Five-Client StudyOur team becomes an extension of your teambringing high performance and productivity tohelp you and your organization achieve yourgoals. Impact Healthcare Solutions is strategicallypositioned to employ highly capable individualsable to process claims, perform denialmanagement, and provide follow-up whileproviding the critical thinking required to navigatethe challenges of high-performance RevenueCycle Management.03ANNUAL FINA NCIAL I MPACTDAYS IN AR REDUCTI ON02COLL ECTIONS INCREA SE01 07

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Rapid assessment, accelerated implementation and a roadmapfor long-term improvementRevenue IntegrityWe operate within your software infrastructure without theneed of changing your operating system or moving your dataoutside of your IT environment. Our extensive experience withmultiple platforms and clearinghouses provides us the flexibilityto adapt to your organization's environment. We are not atechnology company selling software. We are a Revenue CycleManagement company with the ability to master yourtechnology.High-end TechnologyEnd-to-end people, processes and technology optimization toaccelerate cash, automate processes, and improve operatingmarginsRevenue Cycle TransformationOur partnership model allows your costs to be proportional tothe amount of work and quality of work provided. Impact'sperformance incentives are directly aligned with yourfinancial goals allowing us to be successful together.PartnershipTOOLS FOR SUCCESS 08

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We Work In Y o u r E n v i r o n m e n t 09

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Revenue Cycle ManagementRevenue Cycle Performance AssessmentRevenue Cycle Performance Improvement PlanningBilling and CollectionsDenial ManagementAccounts Receivable ResolutionTemporary Staffing ServiceRevenue CycleS E R V I C E SHospital AdministrationHealthcare Financial ManagementData AnalyticsOperational and Financial AssessmentStrategic PlanningCapital PlanningHuman Resource ConsultingLeadership TrainingCybersecurity Risk AssessmentHIPAA Risk AnalysisHospital Board TrainingAuditsSpecial ProjectsIT Risk ManagementConsulting 10

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Impact provides us with a solution to resolve ourcomplex AR challenges and keep our balance inline with our goals. They provide honest feedbackand ideas for improvement. Their reporting isextensively detailed, but they make it all very easyto understand. Their team and their performanceare nothing short of amazing. Using Impact hasbeen a game-changer for us!When we started our contract with Impact HealthcareSolutions, we had just canceled a contract with anotherrevenue management company. Our experience had notbeen a good one and we were pretty wary of a newcompany. I am happy to report that Impact Healthcarebegan work on our account immediately and we sawtangible results! We talk and email with the team on adaily basis. They have been quick to assist in any project orgather any information that we requested. We have amonthly meeting and review all activities which keepseveryone moving in the same direction. I don’t think youcould ask for a better working relationship.Engaging Impact’s services was the best decision Ihave made since I’ve been a CEO. When ImpactHealthcare Solutions began working with us, wewere missing out on thousands of dollars a week inbillings and our A/R was over 200 days. In one yearour A/R was below 30 days and we had made $6million dollars more than the previous year. AndImpact is paid on a contingency basis so they areincentivized to collect every dollar possible.Impact Healthcare has been the key component ofour hospital’s strategic plan since 2009. They havehelped position our hospital for long-term successthrough process improvement, facility planningand improvement, revenue stream development,hospital management, medical staff development,and billing and collections services. ImpactHealthcare quickly became, and remains, anindispensable part of our team.Since we engaged Impact Healthcare Solutions toassist with our Revenue Cycle, they have provided asolution for every problem that has been presentedto them. From coding to interim management, tofully outsourced billing, they consistently providehigh-quality services to our facility. Their revenuecycle expertise has helped us to identify andcorrect longstanding issues, resulting in a 59-daydecrease in A/R days over 12 months. Our averagemonthly payments have increased by over$160,000 during the same time frame, addingalmost $2million to our bottom line. Impact trulylives up to its name in a positive way each andevery day.Hiring Impact Healthcare Solutions is one ofhardest decisions, and the best decision I havemade as a CEO. Impact is not just anotherconsulting company. They bring years of hospitalexperience beyond Revenue Cycle Management tothe table. I value the support team and thepartnership we have formed, for they are trulyvested in the success of Rural Healthcare. Wewouldn’t be here without them.T E S T I M O N I A L S 11

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pthomas@impact-healthcare.netPhillip Thomas1813 Northpointe Lane | Ruston, LAwww.impact-healthcare.net318-243-4916C O N N E C T W I T H U SHave questions about our services or ready to take the next stepto resolving your revenue cycle challenges? Please contact us: 12

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