ERGO SCIENCE PHYSICAL THERAPY BIRMINGHAMP R O P O S A L

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October 4, 2012

Ryan Hunt & Glenda Goldman

ErgoScience Physical Therapy

402 Office Park Drive

Suite 260

Birmingham, AL 35805

Dear Ryan & Glenda:

I want to take this opportunity to thank you for meeting with us again. It sounds like this is a very

dynamic time for your company, and I hope that we at Code+Collect can assist you through this

period of transition.

Attached is the proposal as promised. This includes full coding, billing and consulting services as

discussed. I will contact you shortly to discuss this proposal, but please feel free to call me or Misty

if you have any questions or if I can be of further assistance. I can be reached at 205.913.3620 or

bcogburn@codecollect.net.

Sincerely,

Burt Cogburn

Vice President of Sales

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I N T R O D U C T I O N

Code+Collect, established in 2008, is located in

Birmingham, Alabama and extends its services

to clients nationwide. It has an experienced team

of certified coders to assure that charges and

reimbursements are maximized, as well as medical

billers who provide intensive A/R follow-up to

assure that all claims are paid in a timely manner.

We want to ensure physicians, hospitals and

outpatient centers have the finest medical billing

services available. Code+Collect is able to provide

clients with superior service at a fraction of the

cost of our competitors—we work on a percentage

collected and get paid after our clients do.

Code+Collect eliminates the cost of recruiting

and training, reduces labor cost, lowers annual

continuing education expenses and improves

accuracy through its high-quality operations. With

our dynamic process flow, Code+Collect is able to

handle all of the credentialing, coding and billing,

payor submissions, denials or remits and electronic

posting of the payments. We guarantee faster

reimbursement by submitting claims the same day

dictation is available.

Most importantly, this can all be achieved

by lowering costs. Code+Collect works on a

percentage collected; we only get paid if YOU do!

PA G E 4 C o p y r i g h t © 2 0 1 2 . C o d e C o l l e c t . A l l R i g h t s R e s e r v e d .

REVENUE CYCLE MANAGEMENT – Our true value is realized by clients for whom we manage the entire revenue cycle. The

medical practice handles everything up to the submission of the superbill, and we take it from there. Our licensed coders

verify accuracy by coding from the office note and submit claims the same day that office notes are received. We provide

feedback to clinicians pointing out strategies to ensure compliance while maximizing revenue. We handle all follow-up on

rejected claims and appeal denials. We send out statements monthly and work the private pay accounts according to each

client’s collections philosophy up to and including utilization of an outside collection agency. Outsourcing these business

processes to Code+Collect allows the doctors and staff to focus on patient care, and saves money that would have been

spent on recruiting, training, salary and benefits. We like to say, “You take care of your patients. We’ll take care of the rest.”

A/R AND PATIENT BALANCE WORKDOWN – Code+Collect’s staff is adept at handling aged accounts that most would

rather ignore. We will re-file the delinquent insurance claims and post the payments and adjustments. Once patient balances

are updated and verified, we will work those, too. We have a private payment specialist on staff who can utilize specialized

software to manage the process and load an auto dialer with guarantor demographics for the generation of automated phone

calls en masse. Those old balances can be a real mess. We can help clean it up.

EMR & PM ANALYSIS – We can help you evaluate your current software platform and make sure you are utilizing it to its full

potential. We can assist in compiling functionality documentation and review, as well as organize training for your staff so that

they can fully embrace the recommendations. Or, if you are ready for a change, we can help you find and evaluate software

vendors and actively participate in the implementation.

PROCESS ANALYSIS – In order to maximize your outcomes, you need to optimize your workflow. Our expert consultants can

identify your key business processes, analyze gaps that adversely impact revenue, conduct risk assessment and control, and

evaluate and recommend action plans that will help plug those holes.

PATIENT PAYMENT CALLS & COORDINATION – We have special tools that help us better work your private pay accounts

whether through automated outgoing calls or fielding the flood of incoming calls during the week following statement

processing. Let us handle those inquiries from your guarantors.

OTHER SERVICES INCLUDE:

» Transaction Processing & Posting

» Code Auditing

» Report Writing, Benchmarking, & Analysis

» Facility & Payor Credentialing

» Charge Master & Fee Schedule Review

» Payor Contract Negotiations

C O D E + C O L L E C T S E R V I C E S

PA G E 5 C o p y r i g h t © 2 0 1 2 . C o d e C o l l e c t . A l l R i g h t s R e s e r v e d .

C L I E N T T E R M S

October 4, 2012

Ryan Hunt & Glenda Goldman

ErgoScience Physical Therapy

402 Office Park Drive

Suite 260

Birmingham, AL 35805

Re: Coding, Billing and Consulting Services

Contract Term: 90 days starting on November 1, 2012 with either party having the exclusive right to terminate upon 30 days

written notice, with or without cause.

Fees for service: 5% plus an additional $250 per month. (This will include 1 hour per week with our Executive Vice President.)

Scope of Work: 1. The software for which the balances and demographic information is currently housed shall be made remotely

available via the internet to Code+Collect. Code+Collect is being engaged specifically to use its best and

reasonable efforts to collect any monies which are owed on ErgoScience Physical Therapy’s behalf, using standard

and industry acceptable practices in the collection of payments.

2. Code+Collect shall review any denials for payment, and promptly analyze and re-submit to any payors.

3. Any claims that are past timely filing (for these purposes shall be defined as 270 days from the date of service),

will be immediately adjusted to zero balances once confirmed by Code+Collect.

4. Should any claim be denied for mis-coding or incomplete encounter documentation or demographic information,

Code+Collect shall request the reasonable information from ErgoScience Physical Therapy, and ErgoScience

Physical Therapy will use its best efforts to provide to Code+Collect within 48 business hours of the request.

5. A reasonable facsimile of all Explanation of Benefits documents and associated payment receipts or checks

received by ErgoScience Physical Therapy, whether Insurance or Private Pay, shall be forwarded to Code+Collect

in a timely manner.

Information: All information and work product associated with this project is and shall continue to be exclusive property of

ErgoScience Physical Therapy.

HIPAA: Both parties shall enter into a mutually acceptable Business Associate Agreement.

Payment: Code+Collect shall bill ErgoScience Physical Therapy within 5 days of the end of every month during the term of

this agreement. Payment shall be remitted to Code+Collect within 10 days of receipt by ErgoScience Physical

Therapy.

Contingency: Both parties shall enter into a mutually agreeable billing services agreement which shall include, but is not limited

to the terms set forth herein.

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C L I E N T T E S T I M O N I A L S

August 1st, 2009

Mr. Pat Lynch

Code+Collect

2301 Morris Avenue

Suite 105

Birmingham, Alabama 35233

Re: Recommendation Letter

Dear Pat:

It was great seeing you the other day, and I appreciate you taking the time to come by and follow-up with our group.

As I understand you are growing the business, I will continue as a reference for any new and potential clients. Your organization

has been a tremendous resource for our practice, and we appreciate all of your hard work first on our initial accounts receivable

work down, and since with revenue cycle management.

I hope we can continue to grow the relationship in the future, and I wish you continued success with the business.

Sincerely,

Lawrence J. Lemak, M.D.

Founding Partner

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C L I E N T T E S T I M O N I A L S

November 1st, 2010

Mrs. Misty Walker

Executive-Vice President, Operations

Code+Collect

2316 1st Avenue South

Suite B

Birmingham, Alabama 35233

Dear Misty:

Thank you for visiting with us in Demopolis earlier this week, starting a new practice has certainly been a handful.

As we discussed, I would be happy to provide a reference to interested clients of CodeCollect. You guys have been a valuable

service to our clinic, and we certainly hope we can continue the relationship for a long time to come.

Please let me know if there are any other ways we may assist, and keep up the good work!

Sincerely,

Dr. Tony Tropeano

PA G E 8 C o p y r i g h t © 2 0 1 2 . C o d e C o l l e c t . A l l R i g h t s R e s e r v e d .

C L I E N T T E S T I M O N I A L S

2316 First Ave. S. | Birmingham, AL 35233 | 205.329.7519 | CodeCollect.net