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turnkeyradiology.comAn Integrated System to Maximize Return on InvestmentTurnkeyRadiology™

Higher CashFlowLower CostsHigher RevenuesGreater ProductivityActionable MetricsIncreased ReferralsAre these your imaging center goals?

Higher Revenues➢ “White list” payers = lower bad debt➢ Optimize government vs. commercial exam mix➢ Automated patient text messages (appointment confirmations, reminders, patient responsibility)Accounts Receivables become Working CapitalImprove Payer MixMaximize Time-of-Service Collections➢ 98.5% initial clean claims➢ Ensure compliance with contracted rates vs. allowed amounts➢ Bi-directional integration with Imagine billing systemBilling Integration

Greater Productivity➢ Set cycle times by modality by CPT Code by site➢ Replace patient phone calls with programmed texts➢ Registration: a) Mobile b) Online c) Tablet ➢ Codify clinical rules by CPT Code, e.g. NPO➢ Connectivity with any PACSGreater StaffEfficiencyPACS AgnosticMaximize Productivity

Increased ReferralsOptions:➢ Phone calls➢ Online scheduling(no phone calls)➢ EMR Order parsing(pdf. - no phone calls)➢ Accessed via RIS or PACSPatient No-showsRadiology ReportsReferring Office Ease of Scheduling➢ Referring offices notified of no-shows via secureemail(no phone calls)

Actionable Metrics➢ Revenue Cycle: • Analysis by: a) payer b) CPT code c) modality • AR, budget variances➢ Financial➢ Operations➢ Modality Profitability➢ Referrals➢ User-defined Alerts➢ Best practices recommendations ➢ Audits of payer contract complianceConsulting ServicesReal-Time Metrics

Imaging Center OptimizationSCHEDULING$$$ INTO YOUR BANK ACCOUNTTurnkeyRadiology™

TurnkeyRadiology™Revenue CycleReports

1. Days AR2. Days AR3. Days AR4. Days AR5. Net Collections (Rolling 12 Months)Last 365 Days, by Month$7,216,801 Sum of Net Collections (Last 12 Months)6. Cash AR7. Net CollectionsThis Year$512,713 Sum of Net Collections (YTD)I. CollectionsTurnkeyRadiology™

8. Net Collections by Site by ModalityYear to Date$662,095 Sum of Net Collections (YTD)TurnkeyRadiology™

9. Net Collections by Payor Type (Rolling 12 Months) Last 12 Months$6,355,401 Sum of Net Collections (YTD)10. Net Collections by Payor (Rolling 12 Months) Last 12 Months$6,355,401 Sum of Net Collections (YTD)TurnkeyRadiology™

TurnkeyRadiology™OperationsReport

14. Exam Totals (Year-Over-Year, Rolling 12Months)[Filters: Location andModality] Last 365Days, by Month 35,674 Sum of ExamsII. Operations15. Exams by Site by Modality (By Service Date, YTD)Jan 1, 2020 - Sep 6, 202346,846 Sum of Exams (YTD)TurnkeyRadiology™

18. Scheduling Backlog - All Sites (Next 30 Days) [Filters: Primary Insurance Class]by DayTurnkeyRadiology™

TurnkeyRadiology™MarketingReports

TurnkeyRadiology™Referring MD Information

Without TurnkeyRadiology™>10% defective initial claims = High ARLow/no reimbursement payers “slip in”No productivity controls or metricsOnly “ballpark” estimates of patient financial responsibilityFront staff tempted to “cut their own patient deals”Lengthy on-site registration makes it difficult to keep patients on schedule + raises costsNo real-time financial, productivity metrics

WITH TurnkeyRadiology™<2% defective initial claims = lower ARExcludes payers with no contracts e.g. silent PPOs, etcApp. 15% more capacity with no increase in personnel costsCompliance with NSA; Maximize Time-of-Service CollectionsReal-time financial, operating, referral metricsa) Mobile, b) Online, c) In-office tablet registrationManagement sets patient payment term, e.g., 3 months

FREQUENTLY ASKED QUESTIONS➢ We have a RIS that came with our PACS. It seems OK.RIS is an “afterthought” to PACS vendors who are radiology-centric. In contrast, the TurnkeyRadiology™ RIS was developed by an imaging center operator as the “business hub” to consolidate and optimize all non-clinical operations and revenue cycle services. TurnkeyRadiology™ works with any PACS via an HL7 connection.➢ We use a “big name” billing, collection company. Isn’t that better?We used to be a client of the “big name” companies too until we realized how much of our money they wereleaving on the table because…a) they aren’t focused on patient collectionsb) don’t even post collections by examc) have very lax policies on refiling denied claimsThe “big name” guys only make “half-hearted” attempts to collect patient dollars which can be 35%+ of totalcollections and essential to survival. Posting is typically by patient account – not by exam.TurnkeyRadiology™ has software rules that won’t allow complete patient registration (and hence, exams) unless all demographics are accurate, time-of-service obligations (including prior balances) are met and approved payment plans set up.Bottom line: TurnkeyRadiology™ is designed around best practices operations and a revenue cycle model we use ourselves. We’re constantly improving TurnkeyRadiology™ to reduce operating costs as well as improve our own collections. You benefit from these ongoing enhancements - no additional fees.

FREQUENTLY ASKED QUESTIONS (cont.)➢ We’ve been doing outpatient imaging for years. How can you improveour productivity?The TurnkeyRadiology™ software can optimize exam times with the level of detail you determine. Over the course of a day or week, etc., you’ll have more open time slots which means you’re less likely to get behind schedule and incur overtime costs. If you have demand, you’ll maximize your collections without incremental capital investment.➢ Do I really need mobile, online, or tablet registration?Covid-19 highlighted the need to minimize the time patients are in an imaging center.Patients appreciate efforts to respect their safety and their valuable time. (Becomes a competitive advantagefor you.) Plus, registration in advance improves patient throughput, scanning productivity.➢ Do I really need real-time reports? We’ve gotten along pretty wellwithout them so far.Real-time data on operating metrics and collections in graphical formats are very insightful. Graphs allow youto easily and quickly visualize problems and opportunities for improvement.TurnkeyRadiologyTMincludes free consulting services to help maximize your ROI and achieve financial and productivity improvements.

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