CTI Solutionsin partnership with Jefferson Hospital

Established and incorporated in 1993 Headquartered in Mount Laurel, NJ

◦ Convenient partnership, local expertise◦ 15,000 square foot facility

To-date conversion of over 2 billion images 100+ years experience in document imaging and records

management Offering a full spectrum of end-to-end document

management solutions and services NextGen Certified Chart Scanning & Abstraction Partner

Corporate Overview

Our Consultative Approach

The CTI Service Team will physically inspect the premises while answering the client’s questions to ensure accurate needs analysis.

The end goal of our service team is to educate our client, gain an understanding of their needs, and ultimately provide them with meaningful workflow solutions.

At CTI, we believe we can only be successful by making our clients successful. Improving our clients’ internal business processes is our top priority.

Our highly specialized staff will meet with the client to analyze their workflow. Drawing on our 20+ years of experience from thousands of conversion projects, we will determine the best way to proceed.

Consulting Services◦ Workflow Analysis◦ Records Management

Scanning Services◦ Paper to Electronic◦ On and Off-Site, Backfile, & Day Forward Services

Data Conversion Services◦ Legacy System & Media Conversion

Data Entry Services/Abstraction Hard Copy Storage Secure Document & Media Destruction

Services Offered

Outpatient Medical Chart Scanning◦ Primary & Ambulatory◦ Gastroenterology◦ Cardiology◦ Endocrinology◦ General Surgery◦ Hematology◦ Immunology◦ Nephrology◦ Neurosurgery◦ Oncology◦ Otolaryngology◦ Orthopedic◦ Genetics◦ Pulmonology/Allergy◦ Rheumatology

Inpatient & ER Chart Scanning

Scanning Services

Medical Data Abstraction Services◦ Remote data entry of selected medical

information◦ Managed by professional nurse with over 20 years

of diverse medical experience◦ Meaningful Use◦ Care360 and ePASS◦ PQRS Quality Measures

Abstraction Services

Scan and abstract at least one year of patient charts

Recommended data elements needed for Meaningful Use:◦ Active Problem List◦ Past Medical History◦ Past Surgical History◦ Immunizations◦ Allergies◦ Medication List◦ Family and Social History

Abstraction Services (cont.)

EMR Charts Application

EMR Charts (continued)

Assessment forms are (on average) 8 pages long and can take over an hour to complete

Care360

◦ We understand the challenges posed to providers:

ePASS

Stay compliant with current healthcare initiatives

Daunting process of form completion costs valuable patient-facing time

Lack of time and resources to complete ePASS assessment forms

Loss of revenue and potential reimbursements

Let CTI save you time and make you money

ePASS (continued)

Benefit from CTI’s experience, technology, and best-practices approach

We will digitize and populate your patient data

No need for changes in personnel or practice management

Which will reduce form completion time by 75-80%

We will provide our services at low cost to you

And allow you to see more patients

Maintain the integrity of your practice with our profitable healthcare solutions

Annually recurring opportunity to uncover additional revenue!

Care360 and ePass Cost Analysis

PQRS is a reporting system that uses a combination of incentive payments and payment adjustments to promote reporting of quality measures by Eligible Physicians (EP)

The program provides an incentive payment to practices with EPs who satisfactorily report data on quality measures for covered Physician Fee Schedule (PFS) services furnished to Medicare Part B Fee-for-Service beneficiaries

Allows EPs to assess their quality of care

PQRS: Overview

Source: CMS.gov

EPs and Group Practices may choose to report quality information through one of the following methods:

PQRS: Reporting

Individual EPs Group Practices

Medicare Part B Claims Qualified PQRS Registry

Qualified PQRS Registry Web Interface (for groups of 25+ only)

Direct EHR using CEHRT Direct EHR using CEHRT

CEHRT via Data Submission Vendor

CEHRT via Data Submission Vendor

Quality Clinical Data Registry (QCDR)

CG CAHPS CMS-certified survey vendor (for groups of 25+ only)

Source: CMS.gov

The types of measures reported under PQRS change from year to year and generally vary by specialty

When selecting measures for reporting, EPs should consider factors such as:◦ Clinical conditions commonly treated◦ Types of care delivered frequently◦ Settings where care is often delivered◦ Quality improvement goals◦ Other quality reporting programs in use or being

considered

PQRS: Reporting (cont.)

Source: CMS.gov

Individual EPs who meet the criteria for satisfactory submission of PQRS data for services furnished during the 2014 reporting period will qualify to earn an incentive payment equal to 0.5% of their total estimated Medicare Part B PFS allowed charges for covered services furnished during the same reporting period

PQRS: Incentive Payments

Source: CMS.gov

EPs who do not satisfactorily report data on quality measures for covered professional services during the 2014 PQRS program year will be subject to a 2% payment adjustment to their Medicare PFS amount for services provided in 2016

PQRS: Adjustments

Source: CMS.gov

In 2014, EPs have the opportunity to earn the PQRS incentive and an additional incentive of 0.5% by working with a Maintenance of Certification Entity

Required:◦ Satisfactorily submitting data for a 12-month

period◦ Participate in a Maintenance of Certification

Program and successfully complete a qualified MCP practice assessment

PQRS: Maintenance of Certification Program

Source: CMS.gov

Healthcare Clients & Partners

Nassau University Medical Center (NUMC) – GNYHA ◦ Approximately 200,000 charts or 20 million images

scanned in 4 months, both on and off-site◦ 4-year contract for inpatient, outpatient, and ER

records. Still in progress.

St. Christopher’s Hospital of Philadelphia◦ Sub-contractor for Ricoh◦ Approximately 110,000 outpatient charts, or 10

million images to be scanned and abstracted◦ 15 out of 29 practices completed

Past & Present Projects

Lourdes Medical Associates◦ Approximately 45,000 outpatient charts or 6

million images scanned and abstracted from 16 practices

Aria Health Physician Services◦ Approximately 100,000 outpatient charts to be

scanned and abstracted◦ Still in progress: 40+ practices to be completed

Past & Present Projects (cont.)

Langhorne Physician Services◦ Approximately 56,000 outpatient charts or 7.5

million images scanned and abstracted from 5 practices

◦ Migrated approximately 16,000 charts from AllScripts EMR system into NextGen

Past & Present Projects (cont.)

Memorial Sloan-Kettering◦ 12,000 medical employee files, 1.5 million images◦ Each folder indexed by employee ID number, employee

name, scan date, box number, and document type◦ Final images are provided in MedGate importable format◦ Scanning was completed on-site, on time, and under budget

HR Project◦ Scanned and indexed approximately 1.3 million HR images◦ Over 71 million characters keyed from 29 different document

types◦ Input media sources were microfilm and original paper

documents◦ Project still in progress

Past & Present Projects (cont.)

Questions?