Medical Records Coding Nuance Quantim Coding (QuadraMed) 3M Codefinder OptumInsight Web.Strat/WinStrat *

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1 KLAS Data Performance Report Generated By Regina Hall - Nuance on September 03, 2013 Medical Records Nuance Quantim (QuadraMed) 3M Codefinder OptumInsight Web.Strat/WinStrat * Component [C] Superseded [S] Not Primary [NP] Regional [R] Single Physician [1] Early Data *

2 Promotional Use KLAS Performance Report This promotional use report allows vendors to share product performance ratings with healthcare providers. It provides the person generating the report to share individual product ratings or compare products against other products of their choosing. KLAS recommends that providers visit to access current research or to see the rest of the market segment by registering for a complimentary account on the KLAS homepage. Contact KLAS (klasinfo@klasresearch.com) for assistance with any questions you or your organization may have regarding this report, market segment, or KLAS in general. This promotional report is a compilation of data gathered from interviews with healthcare providers and represents a snapshot in time of information in the KLAS database. The data represents opinions of providers and does not represent the opinion of KLAS. The information is intended solely as a catalyst for a more meaningful and effective investigation of healthcare technology on an organization s part and is not intended nor should it be used to replace an organization s due diligence. This information is provided under copyright by KLAS Enterprises, LLC and is intended to be shared as a promotional report by the generator s organization with a third party. Unauthorized users will be liable to compensate KLAS for the full retail price. KLAS Overview Who We Are: KLAS is a research firm on a global mission to improve healthcare delivery by enabling providers to be heard and be counted. Working with thousands of healthcare executives and clinicians, KLAS gathers data on software, services, medical equipment, and infrastructure systems to deliver timely reports, trends, and statistical overviews about the healthcare industry. The research directly represents the provider voice and acts as a catalyst for improving vendor performance. Founded in 1996, KLAS staff and advisory board average 25 years of healthcare information technology experience. How the data is collected: KLAS utilizes two methods to collect candid performance data. The first is a series of direct product/vendor evaluations completed by healthcare provider organizations covering 25 performance areas. Second, KLAS performs in-depth, confidential interviews with healthcare providers completing the questionnaire to gather valuable insight into specific strengths, weaknesses and future expectations for the product. From these two sources, readers are able to gain valuable insights into how a vendor or product is performing. KLAS KonfidenceKLAS Konfidence Level Description Lowest possibility in variability of score Medium possibility in variability of score Highest possibility in variability of score (min. required to publish a ranking) * Limited data, typically early trending data

3 Data Details Quantim (QuadraMed) Codefinder Web.Strat/WinStrat* Konfidence Level Konfidence Level Konfidence Level * Performance Indicators Well Above Average Above Average Average Below Average Well Below Average Sales & Contracting Quantim (QuadraMed) Codefinder Web.Strat/WinStrat* Medical Records Software Avg. Contracting experience N/A Product works as promoted Money s worth Avoids charging for every little thing 100 % 60 % 86 % 79 % 77 % Implementation & Training Quantim (QuadraMed) Codefinder Web.Strat/WinStrat* Medical Records Software Avg. Quality of implementation N/A Implementation on time N/A Quality of training N/A

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5 Full Report Card - cont. Service & Support Quantim (QuadraMed) Codefinder Web.Strat/WinStrat* Medical Records Software Avg. Quality of phone/web support Proactive service Vendor executive involvement Lives up to expectations Keeps promises 100 % 93 % 75 % 94 % 86 % General Quantim (QuadraMed) Codefinder Web.Strat/WinStrat* Medical Records Software Avg. Part of long term plans 94 % 100 % 75 % 95 % 87 % Overall communication Recommend to peer/friend Overall satisfaction Forecasted overall satisfaction Would you buy again 100 % 97 % 75 % 96 % 83 % Ranked client's best solution 37 % 55 % 0 % 45 % 31 % * Preliminary scores do not meet KLAS' minimum konfidence level.

6 Functionality and Upgrades User Commentary (Last 12 Months) Aug 2013 Director A good coding system is key to accurate billing, and the system has done a nice job of providing what we need. We are actually pretty optimistic about the fact that Nuance now owns the system. I think they will continue to develop the tools and make them even better. May 2013 Director Quantum is a workhorse. We have had it for many years, and it continues to perform very well. I do no worry about HIPAA and ICD-10 because Nuance is always on top of things. They have proven this to us time and time again. Apr 2013 Director Our staff is satisfied with how the Nuance Quantim product is functioning. There have been minimal issues. The product is continually updated. Apr 2013 Director Quantim is a good product. Many here think it is better than 3M's product. They feel like it is more intuitive and user friendly. Quantim is extremely easy to learn to use, and it has all the bells and whistles at a much lower cost. Apr 2013 Director We haven't noticed much of a difference since the Nuance acquisition. The product has always been good, and the vendor has done an excellent job of keeping up with the necessary regulatory requirements. We are confident that Nuance will help us be prepared for the ICD-10 flip. Quantim works very well. I liked the flow of this system compared to the 3M system that I have used before. It is easy to get the reference material. We don't have to necessarily be looking at a particular patient's information in order to look at the references. It is cost effective and works well with our computer vendor. I like the way we can export data out of Quantim. I like that I can take nine Medicare cases, group them into a secondary DRG, and get the HCAPS report. I wouldn't be able to do that if I didn't have this system. I am very happy with Nuance overall. I can't think of any way the system could improve. Dec 2012 Manager I like that the coder looks and feels like an actual code book, which makes it easy for coders coming out of school to learn and use. The system is accustomed to how coders learn to code in school. It has always worked, and I have never had problems with it. Since 1993, I have only had to call technical support one time. We are planning to continue with the system. Implementation and Training Mar 2013 Analyst/Coordinator Nuance is always very open and honest about what will and will not work, and that includes everything from hardware requirements to providing user guides and training. They offer quite a bit of training free of charge, especially for ICD-10. Interfacing and Integration Nuance is proactive with ICD-10. Quantim is easy to use and interfaces well with most software programs. We absolutely plan to continue with the product. Jan 2013 Analyst/Coordinator Nuance Quantim integrates very well with the Epic software that we have in our hospital.

7 Relationship Dec 2012 VP/Other Executive I can't say enough positive things about our relationship with Nuance. Every time we move forward with them on a new contract, they are very accommodating and make sure our needs are met. We are very appreciative of that. Dec 2012 VP/Other Executive We purchased Nuance's new ICD-10 piece and are in the process of building the new interfaces for that package. We are very happy with our relationship with Nuance and with how the product works. It saves us a lot of time and money. We looked at other vendors, like 3M and OptumInsight, but their costs were higher and we didn't hear glowing reviews about them. We felt like Nuance had the best solution for our needs. Service and Support Jan 2013 Director Nuance's customer service is very good. If I have something going on, I can them or call a representative, and they are quick to get back to me. Nuance is on top of things all of the time, and they communicate upcoming changes to us. ICD-10 is something that is on my mind a lot right now, and they have already provided some software to us. That is impressive to me. Overall, we are pretty much where we need to be for ICD-10. We are set up for that. They have been good about making sure everything is in line. My coders are telling me that the education modules for QuadraMed have been very good, and that makes my job easier. Nuance's service is very prompt. When we have an issue, we hear back from them right away letting us know that they are working on it. Nuance's support is very proactive and explains things in a simple way. Nuance's support is very responsive. We have had few issues with the software, but when we have had issues, Nuance has always gotten back to us promptly. When we switched interfaces, the support techs helped with every aspect to get things resolved. The system is easy to update and is, overall, low maintenance. I can't think of anything that needs to be improved with the system. Whenever we have issues or special circumstances, QuadraMed, now Nuance, is great to work with. For example, we had additional coders come in for a short period of time, and QuadraMed expanded our licenses so we could accommodate those extra coders. Their response was very quick, and they were very good to work with. They are always available when we need anything. Dec 2012 Manager Nuance's service is always prompt and of the highest quality. Dec 2012 Analyst/Coordinator Nuance's support staff is the best. I support seven systems at our hospital, and Nuance has the best response time of any of the vendors I work with. They always figure the problem out and fix it. They stay accountable for things and are always very kind and understanding no matter how stressful the task is. When I put in a ticket, I get contacted within two hours. I put in a support ticket once every couple of weeks, and the support has never let me down. They always take care of me.

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