8/14/2019 PROJECT OBJECTIVES This Study Will Evaluate the Operational And

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PROJECT OBJECTIVES

This study will evaluate the operational and financial impact of anti-VEGF treatment on providerpatient throughput, revenues, and direct and indirect costs. The study will include freestandingpractices, and hospital-based retina programs.

PROJECT METHODS AND DATA COLLECTION

Data collection for this project will involve qualitative and quantitative methods. We'll want to identify the keycontacts at your practice including those with clinical, operational, reimbursement, and financialresponsibilities. We'll also want to review what should be readily available reimbursement and financial reports.We expect to be able to gather data through a combination of telephone interviews, existing reports, and sitevisits. There are no requirements for manual chart review or review of patient level information. A list of data tobe requested from providers is listed below:

OPERATIONAL DATA AND REPORTS

• Schedule for all physicians in the group practice• Scheduling protocol (i.e. a description of what factors and rules are used in determining how patients and

associated services are scheduled)• Map/Diagram of facilities (include square footage for each room and description of what each room is used

(e.g. office visits, injections/minor procedures, ambulatory surgical procedures, diagnostic tests))• Charge master for all practice services• Itemized list of acquisition costs for consumables furnished during physician services• Sample/typical claim form for anti-VEGF treatment visit (initial/subsequent)• Itemized list of consumables for anti-VEGF treatment visits

FINANCIAL ACCOUTING REPORTS (multi-year data; pre- and post- anti-VEGF adoption)

• Accounts receivable report for by third party payer• Accounts receivable report for by physician service• Chart of accounts (from existing accounting software/reports)• Summary trail balance• Physician payroll, benefits, and hours billed• Staff payroll, benefits, and hours billed• Itemized list of all capital equipment, associated costs and depreciation rates• Itemized list of facility overhead and costs (rent, utilities, malpractice insurance, etc.)

All information will be kept strictly confidential; we will forward a confidentiality agreement to you. Ultimately, weare interested in pursuing publication of the data and findings, but by collecting and compiling multi-center data,we do not expect to identify any site specific information.

WHO WE ARE

Quorum Consulting, Inc. specializes in evaluating health care provider practices from operational and financialperspectives. Our Principals have experience in operations, accounting, finance, and revenue cycle management.Our offices are located in San Francisco, CA and Fairfax, VA.