Company Overview. Our Vision. Our Mission. Products & Services

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2 Company Overview Metasolutions, Inc is a U.S. based company providing integrated healthcare solutions to healthcare organizations (physicians, medical groups, hospitals/care facilities). Metasolutions, Inc is comprised of healthcare professionals and IT/Software professionals. This unique combination of IT and healthcare expertise allows Metasolutions, Inc to leverage technology to provide superior and efficient solutions at a great value. Metasolutions, Inc is a privately held California Corporation One-stop provider of a range of integrated practice-related solutions to healthcare organizations of every size (sole practitioners to large health organizations) Metasolutions, Inc has a unique blend of expertise and resources in healthcare services, information technology, software development. Senior management is comprised of software engineers and healthcare professionals 45 healthcare and IT professionals worldwide Staff/Offices in 3 locations: Los Angeles metro, CA (Office, Data Center) Hyderabad, India (Call Center, Operations) Bangalore, India (Overseas Development Center) Our Mission Deliver a complete package of integrated practice solutions to healthcare organizations at a great value by leveraging cutting-edge technology and expert, outsourced personnel. Our Vision To be a premier healthcare solutions company that applies technological innovation to healthcare. Products & Services The complete back-office solution Medical Billing and Collections Services Medical & Surgical Transcription Services EMR & Practice Management Software Scheduler Electronic Charting Medical Billing & Collections Virtual Front Office Medical Assistant Medical answering service Appointment Scheduling/confirmation Insurance Eligibility Verification Electronic Archiving and e-charts IT Services Medical websites LAN/network/computer support

3 Industry/Business Environment Current market Fragmented market with different vendors offering each product or service used in a practice Increasing costs, especially labor costs Inadequate level of service Outdated technology *No company to our knowledge provides a complete range of practice products and services Medical practice environment Decreasing reimbursement Increasing workload Increasing overhead Lmited office space Diminishing profits per unit of work Increasing challenge to hire, train, and retain skilled employees Meta Medical Billing & Collections Advantages Your practice will gain: specialized billing expertise greater accountability significant cost reduction increased focus on patient care increased efficiency improved collections Features Same day billing Electronic / Phone Eligibility Verification Electronic claims submission Most collections within 14 days Secondary claim submission Patient billing Immediate F/U on every denied claim Collection on every claim Differentiating Features Greater control Medical Billing Liaison assigned to your practice Continuously available Back-up available by phone/pager Dedicated billers and collectors Personal biller & collector dedicated to you Complete attention to every claim Follow-up on every claim irrespective of: Amount Age Type Follow-up on every co-pay/deductible Unparalleled Accountability and Reporting

4 Online Billing & Collections Account Personalized account information Secure & continuous updates of billing & collections 24 x 7 Crystal reports By provider By patient By procedure By dates By practice Secure Access with 128-bit encryption Hosted at our secure data center or your server Access from anywhere, anytime Medical Billing Survey shows the prevalence of poor billing practices Medical Association of Billers Survey (2004) Only 40% use a superbill Only 50% review codes annually Only 60% use current coding manuals 43% use practice management software 68% bill electronically 46% perform insurance verification Meta Premium Billing & Collections Summary Your own dedicated biller(s) & collector(s) Experienced in a range of specialites AAPC Certified Professional Coders Secure, online account updates 24 x7 Electronic & Paper Claim submission (within 24 hours) Most payments received in 14 days Aggressive collections on every claim 3-tier QA process HIPAA compliant Security 128-bit encryption Access controls Secure Data Center Meta Billing & Collections Service Flexible fee model to suit your needs Percentage As low as 6% Based on specialty, size of practice, and history of collections Fixed cost Fixed rate per biller/collector

5 Meta Medical & Surgical Transcription Common problems Antiquated methods Lack of security High cost Lack of integration with electronic records Slow turn around times Inadequate customer support Meta Medical & Surgical Transcription Highly secure, digital environment 100% HIPAA compliant Web based Access from anywhere Instant uploads and delivery Actual voice files can be saved and reviewed Meta Medical & Surgical Transcription Dictate from anywhere Hand-held digital Local or toll-free phone line Delivery Via web Print, fax, store, copy Autofax capability Meta Transcription Storage and retrieval Store both transcriptions and voice files as electronic records Search & retrieve by various search parameters Secure retrieval on demand from anywhere, anytime Unbeatable features at an extraordinary price Average rate at 10 cents a line based on specialty, volume, and turn-around time A line is defined as 80 characters HIPAA compliance 128-bit encryption Online access 24 x 7 Use of physician/practice specific templates Accept handwritten notes & faxes Dictate via digital voice recorder or phone Autofax capability (eliminating printing & faxing) Full features and functionalities at the lowest market price Customer Base: Solo Practitioner Small group practice Large medical Groups Outpatient Surgical Centers Specialty Centers Dialysis Centers Community Hospital

6 Experience with a breadth of transcription types and formats: H&Ps Admission Discharge Summaries Consultation Reports Surgeries and Procedures Multiple Specialities: Internal medicine, surgery, cardiology, oncology, neurology, GI, cardiology, nephrology, rheumatology Electronic Archiving and e-charts E-Charts is an innovative medical document management solution that converts your existing paper records into electronic records. Store, use, and retrieve your e-charts securely and conveniently without the need for office space - from anywhere, anytime Problems with paper documents Space and storage costs High labor and time costs involved in: Organizing Filing Storing Retrieving Copying Faxing Refiling Problems with paper documents Legal liabilities When records cannot be located When records are accidentally misplaced, damaged, or destroyed Electronic Archiving and e-charts A complete electronic chart Looks and feels like a paper chart User-friendly 100% HIPAA compliant Low cost Adapts to physician/health providers normal/ natural work habits and work flow. Saves space Eliminates cost of managing paper records 3 Simple Steps Scan/image paper records Metasolutions, Inc staff will categorize each document and convert these to electronic, searchable records Access and use your electronic records instantly using e-charts, our proprietary document management platform

7 Summary Eliminate/Reduce paper records Save office or storage space No more lost or misplaced paper records Save staff time wasted in finding and managing paper records Reduce legal liability Enhance compliance with medical record requirements Access records instantly and conveniently Enhance HIPAA compliance Enhance security of medical records Cost Metasolutions, Inc will generate a custom quote after learning about your current medical records and your requirements. Approximate cost of e-charts: producing e-charts from your scanned documents is as low as 5 to 10 cents a page. Monthly data storage & software cost is as low as $100 (depending on the volume of medical records and number of providers) Electronic Medical Record (EMR) & Practice Management Software Why do physicians want an EHR? Medical Records Institute 2004 EMR Survey Improve clinical processes or workflow efficiency 85% Improve quality of care 87% Improve clinical documentation to support billing levels 74.8% Reduce medical errors (improve patient safety) - 73% Share patient record information - 70% Improve clinical data capture - 67% Access to patient records at remote locations - 63% Facilitate clinical decision support - 57% Meet legal, regulatory, or accreditation standards -55% Reduce healthcare delivery costs - 54% Totals 436 (119 physician/np) respondents Barriers to EMR Adoption** Barriers Lack of adequate funding or resources 58.5% 64.2% 55.5% Finding an EHR at an affordable cost 31.7% 32.3% 36.0% Lack of support by medical staff 35.4% 37.2% 35.4% EHR solution is fragmented among vendors or IT platforms 28.7% 30.2% 34.1% Migration from paper to EHR 31.2% 29.2% 27.6% Finding an EHR solution that meets our application/technical requirements 22.9% 27.3% 27.3% Inadequate HIT standards or code sets 25.2% 22.9% 27.3% Building a strong business case (ROI) 20.1% 21.9% 24.7% Difficulty in evaluating EHR solutions 24.9% 17.2% 23.1% Lack of structured medical terminologies 12.4% 18.1% 16.9% Total Respondents **Medical Records Institute, 2004 EMR Survey

8 Why get an EMR? Improve workflow and productivity Eliminate or reduce paper records & related staff Enable improved, streamlined documentation Improve access to medical records Improve appropriate exchange of medical records Capture services rendered fully Improve billing & collections Reduce errors and improve quality of care Prepare for disease management / pay-for-performance Better meet looming legal/regulatory/payor requirements E-Prescribing Looming payor requirement e-prescribing Feb, CMS issued a proposed rule requiring eprescribing Likely to be implemented within 2 years Many private payors also likely to require this Why Metasolutions, Inc? We remove the most significant barriers to EMR adoption (MRI, 2004 EHR survey) Remove cost barriers Purchase model or monthly subscription model Monthly subscription model has no upfront costs We remove technological barriers Web-based /ASP model Only 12% of current EMRs are based on ASP/website model* 78% are based on expensive client server/main frame equipment that is installed in your office* No need to buy and maintain expensive servers Eliminates the need to hire or contract with IT personnel to maintain your servers Eliminates the need for data back-up and storage Removes security concerns Slashes cost significantly Only 40% of current EMRs integrate EMR with Practice Management functions (scheduling & billing)** Most other EMR systems are: Incomplete as stand alone products Require building an interface to other software to make the system complete. For example, a billing software interfaces with a charting software to make it an EMR This could lead to technical problems with the interface Add significantly to the cost of the EMR because you are having to license two separate systems. Meta EMR & Practice Management is one complete software that accomplishes most practice-related activities: EMR Flexible charting options follows your workflow Order entry E-Prescription (Rx - electronically to pharmacies) Clinical Support tools Medical database Drug-drug interactions Allergies

9 Patient instructions / medical information Document management (Integrates paper records) Messaging module for in-office communication Integrate transcriptions Integrate with labs Meta Practice Management System Appointment Scheduling & Confirmation Electronic Eligibility Verification Managing Demographic/Insurance Information Patient module enables patients to electronically enter their medical history and questionnaires Billing & Collections System Electronic Superbill management Electronic Claims Processing Easy to use Claims templates Managing Aging, A/R, and Collections Generate patient account statements Customized reports Integrated with demographics & charting Metasolutions, Inc is the only provider with the ability to deliver a range of practice solutions from one source Medical Billing & Collections Service Medical & Surgical Transcription Service EMR software (web-based) Practice Management Software (web-based) Remote front office services IT/web services Leads to efficiency and integration Dramatic cost reduction IT / Web Services Metasolutions, Inc provides specialized IT/computer/LAN services for your medical office: Comprehensive no-cost evaluation of your practice needs Custom-designed computer and networking systems that are appropriate and cost-effective for your practice needs Our team of software engineers and system designers will recommend appropriate computer systems, software, and services We use a wide range of products and services that are specific to medical professionals Our recommendations balance the cost-savings of new systems with the cost of acquiring these systems Implementation Purchase or help acquire needed systems and services Networking and wiring your office Complete set-up and testing of computer systems and software Staff training on computer systems and software Quality testing and follow-up Ongoing support, consultation, and service by phone, , or fax Monthly support contracts to lower costs

10 Meta Medical Website Design & Hosting We custom-design attractive, professional medical websites, build interactive features, and host them on our secure servers. Benefits Portray a professional image Showcase your practice for patients / medical community Provide information about your practice and interests Provide medical information to patients Use the website to interact with patients or other providers Interactive appointment scheduling features Messaging Discussion boards Cost savings More for less Meta Medical Website Design & Hosting Features Websites are professionally designed by experienced graphic artists and web designers Custom-designed look and feel based on the professional image you want to convey Interactive features built per your needs and specifications Approximately half the cost of other graphic design companies Ongoing updates, maintenance, and hosting of your website Clinical Trial Services Business Model SMO Model Physicians join Metasolutions network of trial sites Metasolutions creates and maintains practice profiles of each site in its directory Network of Metasolutions clinical trial sites are offered to sponsors Metasolutions negotiates budget with sponsors Physicians are guaranteed a percentage of revenue for each trial conducted Clinical trials represent an additional revenue stream for physicians Pre-trial services Setting up the clinic for research Training physicians and current staff in the conduct of clinical trials Hire, train, and supervise research coordinators if needed. Site Management services Establish SOPs (Standard Operating Procedures) Study Plan and implementation Subject recruitment Data Management Preparing documents for IRB Liaison between sponsors and physicians Quality Assurance services Implement GCP (Good Clinical Practice) and ICH (International Conference on Harmonization) guidelines Conduct internal audits Implement Quality Assurance process Quality control of equipment

11 Summary Packaged Solutions Metasolutions, Inc offers a range of practice solutions that are integrated from one provider. Our one-stop package options allow significant cost-savings. We can custom create a packaged solution that best meets you needs. For example: Medical Billing + Transcription services EMR + Medical Billing EMR, Medical Billing, and Transcription Services EMR, IT Services, Medical Websites Please ask us for a quote **One Source, One-Stop, One Partner for all your practice needs** Metasolutions, Inc Contact Information Website Phone (Business development) (Operator / Messages)

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