EnduraCare. We are committed to exceeding our customers expectations.

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1 AmEriCA s leading provider of hospital therapy services We are committed to exceeding our customers expectations.

2 We re not just out to change the world of therapy, we re actually changing it.

3 services Inpatient Rehab Units Skilled Nursing Units Outpatient Inpatient Acute About Us Acute Care Services, LLC ( ), founded in 1981, is the nation s largest privately-held provider of rehab therapy program management for hospitals. We are headquartered in Franklin, Tennessee and have more than 700 therapists operating in 13 states. We partner with hospitals and deliver labor productivity, revenue growth, staffing solutions, educational resources, and rehab expertise to ensure optimal performance. We provide this management in all rehab venues including Inpatient Rehab Units ( IRU or IRF ), Skilled Nursing Units ( SNU, SNF, or swing beds), outpatient departments, and inpatient acute. Our average contract tenure of more than 10 years demonstrates our focus on long-term relationships with satisfied customers. We are experts at and understand the complex reimbursement structures across all rehab venues. Our proprietary rehab-centric systems enable us to manage therapy efficiency and productivity in real time and drive measurable value to our customers. We do one thing, and we do it well.

4 Inpatient Rehab Units focus on functional independence Rehab Management in the IRF: Therapy in your IRF requires team collaboration, patient education, and participation while focusing on functional improvement in a medically complex patient population. We understand the importance of the interdisciplinary process, delivering the required intensity of service and regulatory requirements driving service delivery. Focus on Quality Measurement and Outcomes: We work with our customer s IRF nursing team to become fully integrated into our customer s care management process. We collaborate with physicians and care managers to manage utilization and length of stay. The focus on quality measures and outcomes drives the need for therapists to participate in our customer s quality initiatives. Our therapists are involved in specific initiatives to drive clinical outcomes, such as lift teams, fall prevention teams, and transport teams. We partner with our customers to provide a specialized team with dedicated tools. IRFs serve medically fragile patients who require an intense level of physical, occupational, and speech therapy with the prevailing goal of returning to their community with the highest level of independence. We have proven experience in the implementation, expansion, and enhancement of: Census development; Clinical programming; Improved FIM scores; Regulatory compliance; Operational management; and Patient scheduling strategies.

5 Skilled Nursing Units meeting maximum individual needs Rehab Management in Skilled Nursing: partners with customers offering skilled nursing care as a part of the post-acute continuum. We often see that therapy services, care coordination, and nursing are often fragmented. We bring a strategic approach to the SNU, working in concert with the nursing and physician care teams to align interests. Commitment to Meeting Individual Patient Needs: We recognize the transition from home or hospital to a care facility can be difficult. Ensuring that patients are engaged and that their care is coordinated well across settings is our primary focus. The RUG system is not based on patient diagnosis or discharge location, it is based on the amount of time a therapist spends assisting a patient in meeting their individual goals. We train therapists to understand this dynamic and work seamlessly with the nursing team to deliver value-based care. Optimize Business Results: Skilled nursing patients in the hospital environment are most often a higher acuity and medically complex. Therapists working in this environment receive functional training that prepares them to better serve the specific population and understand the service delivery requirements. Accurately assessing the care needs of patients upon admission assures they will be assigned to the most appropriate level of care. Accurate coding of the ADL Index plays an important role with 5-Star Quality Measure scoring and reimbursement. We offer a unique, web based software platform used to promote electronic documentation, accuracy in billing and coding practices, tracking of the therapy cap, utilization and service delivery management, and outcome reporting.

6 Outpatient Rehab returned functional Capacity Rehab Management in Outpatient: Outpatient rehabilitation programs are a critical component to the continuum of care for any health system. As the population continues to age, trends show an increased need for outpatient rehabilitation services. At the same time, changing regulatory and compliance rules are bringing new pressure on the delivery of therapy. These trends create challenges that make expert management more important than ever. Increased requirements for quality and transparency mean that outpatient rehabilitation departments must optimize performance and produce supporting documentation and data. Well-run outpatient rehabilitation programs require specific expertise and skills to ensure the department is running efficiently. The rehab department's success depends on growing the business line and ensuring clinical outcomes that deliver value, improved financial performance, increased market share, and (most importantly) patient satisfaction. Working with can help your hospital or physician clinics position their organizations for success. We tailor our partnerships to meet your unique needs, whether it be enhancing your current campus outpatient department or developing satellite clinics. We provide the talent and expertise to grow and expand your outpatient rehabilitation programs with: Referral development; Staffing/labor management; Specialty programming; Patient scheduling strategies; and Protocol development.

7 Does Your Outpatient Department Perform? Does your director have all of the support from the health system to operate a successful outpatient department? Does your outpatient department program deliver specialty programs that differentiate it from other outpatient programs? Is your outpatient rehab program contributing positively to the bottom line of your hospital? Does your outpatient department have a fully dedicated, rehab-focused recruiter to fill costly openings? Do you have productivity standards for your outpatient program? How effective is your scheduling process in managing staff levels and productivity? Does your team manage no-show/cancellation rates? Does your therapy team see new patients within 48 hours of the referral? Does the therapy team s clinical documentation support its charges? Is your billing and collections process effective in maximizing reimbursement? Is your director skilled in clinical treatment, program development, staffing and productivity, compliance and regulatory monitoring, financial, and operational management?

8 Inpatient Acute promote patient mobility Rehabilitation Management in Acute Care The role of therapy in acute care is to facilitate patient movement through your hospital, easing patient transition to the next care setting, and working to keep patients from readmitting unnecessarily. We strive to accomplish these goals while also winning physician and nursing confidence in our service delivery. We take an active role in supporting initiatives, such as the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), which help our hospital customers maintain market share and avoid losing reimbursement. In today s healthcare environment, safe, high-quality care is expected from hospitals. The patient s experience at the hospital may be what differentiates one hospital from another. We educate our therapists about the HCAHPS survey and how they can assist our customers improve their scores. Key Initiatives for Acute Care: Timeliness of initiating evaluations and treatment. Reducing the patient s length of stay. Physician satisfaction and confidence with therapy service line. Enhanced patient experience with services. Transition from acute to post-acute care must be accomplished effectively and efficiently. Our therapists participate in the navigation of patients by providing recommendations for post-acute placement so that clinical and financial outcomes are optimized.

9 We recognize the important role therapy plays in expediting patient recovery and any post-acute needs upon discharge. Inpatient acute therapy also is important in maintaining excellent physician relationships and reputation in the community. We serve to promote patient mobility and shorten their length of stay with: Clinical expertise of licensed therapists Protocol development Joint Camps Prompt evaluations

10 Education and Compliance s in-house education and compliance team provides clinical support, guidance, and training to our Directors, site level employees, and our customers. We receive updates from CMS, the APTA, AOTA and ASHA, Medicare Administrative Contractors, and the OIG related to reimbursement, medical review, fraud alerts, new research, and evidence-based practice. Our education and compliance team provides education and training through conference calls, webinars, remote and onsite audits, in-services, continuing education courses, site visits, and written resources on multiple topics, including: Regulatory requirements (e.g., CMS, Joint Commission, CARF); Payer requirements (e.g., Medicare Part A and B, managed care, commercial insurance, Medicaid, workers compensation); Practice Act requirements; Documentation requirements and systems; Coding compliance (e.g., CPT, HCPCS, ICD-9, ICD-10); Venue-specific issues (e.g., SNF, IRF, OP, HH, acute care, CAH, swing bed); Program development (e.g., SNF caseload development, OP referral development, niche program development and implementation); Clinical skills development (e.g., modalities, wound management, lymphedema, stroke rehab); Medical review (e.g., ADR and appeal process, reviewing bodies, proactive auditing); Clinical policy and procedures; and s Corporate Compliance Program. Our commitment to education and compliance is instrumental to developing successful partnerships with our customers, creating a positive work environment for our employees, and delivering the best possible clinical care for our patients.

11 Management Expertise Partnering for Success For over 30 years, has partnered with hospital systems to ensure optimal clinical and financial performance in physical, occupational, and speech therapy operations across all provider settings (Inpatient Rehab Unit, Skilled Nursing, Outpatient, and Inpatient Acute). Through a consistent process of measuring services and comparing benchmarks, we enable therapy programs to improve on patient care delivery models and overall operational efficiency. Careful data analysis provides a set of realistic goals that are designed to promote cost savings, increase market share, and result in a better patient experience. We have a variety of flexible partnership options and shared-risk agreements that consistently allow us to align our clinical and financial goals with the healthcare clients that we serve. Request a No Cost Opportunity Analysis today! Call (615) or visit AC.com AmEriCA s leading provider of hospital therapy services

12 381 Riverside Drive, Suite 440 Franklin, TN (615) AC.com Copyright AcuteCare 2015

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