ZyloMed Transcription & Documentation Automation Services for Improved Profitability

1. ZyloMed Transcription & Documentation Automation Servicesfor Improved Profitability HomeTown Health Presentation April 27, 2011 “Remember that change is the fabric of the future. Preparing for change is the glue that will make it work.” Jimmy Lewis, CEO HomeTown Health

2. Company History • Highly specialized, vertical focused organization with more than ten (10) years of experience in the healthcare industry. • ZyloMed’s core strength has been its knowledge, experience and expertise in transcription and the medical records industry. • 250+ customers, with over 3,000 providers and 8,000 users • Employees over 300 part and full time employees with corporate headquarters in Bonita Springs, FL • 100% US Based • Recently acquired by Accentus, Canada’s largest transcription and documentation company

3. Growth & Presence 2006: 11 States 2007: 16 States 2008: 22 States 2009: 29 States 2010: 38 States

4. Medical Transcription • Not a “Dirty Word” • Bane of the administrator’s existence • Foundation for the healthcare organization • Often creates the strategy, “if it isn’t broke, don’t fix it” • Creates inefficiencies, reduces productivity, resulting in increased costs

5. If it isn’t broke, BREAK IT

6. ZyloMed Road Show • Outdated or non-intuitive technology used for transcription and medical records management. • No or limited connectability between disparate health systems, specifically between the transcription and medical records management system. • Vendor related issues such as poor quality, 2-5 day turnaround time, inability to interface with disparate health systems. • Scanning transcribed documents into their EMR. • No or limited auto fax and automated document routing. • Digital signatures not used or available. • Inefficient workflow or outdated workflow requirements.

7. System Workflow Diagram Dictation Sources File Exports Interfacing Engine ShadowLink Streaming TCP/IP Digital Recorder Other Audio Sources ZyloMed InSync Workflow Management & Configuration InCommand Transcription & QA Process InScribe End-User Portal InQuiry Automated Fax Delivery iPhone/iPad/iPod Touch ZyloMed Mobile Automated Printing ShadowPrint All communications secured via 128-bit SSL encryption Telephone Dictation ZyloMed InTouch

8. ZyloMed Can Capture it All Content Management The strategies, methods and tools used to capture, manage, store, preserve, and deliver unstructured content and documents related to key organizational processes Virtual Patient File Confidentiality Forms Lab Results X-rays / injury photos Electronic Clinical Notes Prescriptions / Dosage Patient History Dictation Physician Records First Responder Information Admission Information Test Results Insurance / Care Instructions

9. Document Imaging Workflow

10. Why ZyloMed? – We Save You Money • Savings range from $20,000 to several hundred thousand dollars annually • VIRTUALLY NO CHANGE FOR PROVIDERS • Complete tracking form beginning to end of cycle • Improved report TAT • Real time corrections/edit capabilities with multi-location viewing capabilities • Customizable structured workflow with online document storage • Graphical / textual electronic signature • Integration with EMR and other HIS • Qualified Text Transcription

11. Qualified Text Savings Standard Report$2.99 QT Fully Implemented$2.42 Savings: $0.57 or 19%

12. ZyloMed and Meaningful Use Through the inherent power of HL/7, reports can be imported to the proper sections of the encounter within the EMR. Mr. Williams returns for follow-up. He is a 78-year-old patient who was seen three weeks ago… He is doing well. Denies fever, headaches, sore throat, chest pain, shortness of breath, cough… VITALS: Stable. HEENT: There are no oral lesions. NECK: No lymph nodes. LUNGS: Clear to auscultation… A 24-hour urine collection showed a proteinuria of 173 mg in 24 hours. He had an M-spike in the urine of 48% with free kappa light chains of 120. In the blood,… Mr. Williams has three very small monoclonal proteins in the blood. The highest titer is an IgM spike, which could indicate early stage macroglobulinemia…

13. Reporting Capabilities • Production ReportsTranscription Listing, Associate Referral Count, Document Counts • Workflow ReportsAction Monitor, Workflow Monitor, Dictation Upload Summary, Appointment Comparison Report, TAT Reports • User Reports • Miscellaneous ReportsTelephone Dictation Instructions, Transcription Comments, Associate Listing, Referring User Listing, Failed Faxes, Physician TAT • Export to ExcelAll reports can be exported to Excel for Advanced FunctionsReports can be saved and scheduled • Restricted by UserReports can be limited by the user for security

14. ZyloMed Summary • Transition to ZyloMed is easy • 15 minutes training for Physicians • 30 minutes training for office staff • Modular application • ZyloMed MTs are all US-based • Special rates offered through partnership with HTH • Full integration into EMRs and other HIS, at no charge • Ability to help your organization meet meaningful use requirements with discrete data interfacing and conversion

15. Complimentary Needs Assessment • A brief session with executives to understand the current medical documentation workflow process • Can be completed • Conference Call • Onsite • At the Spring Conference • We identify areas of opportunity where: • You are losing money • You can become more profitable • From there we help map out an implementation plan to help you reduce or eliminate the expenses and ultimately become more profitable • We do it with little to no disruption in the workflow of the provider • With no out of pocket capital expenditure

16. To Schedule a Needs Assessment Contact Bob Hapner at: bhapner@zylomed.com Or Call 770-464-9376 or 678-725-5752