1 st to serve over 40 HBMA member companies

1 st to serve over 40 HBMA member companies 1 st offshore healthcare vendor with over 1600 employees 1 st offshore vendor with 125+ quality assurance and compliance personnel 1 st Offshore vendor to develop and implement realtime workflow software 1 st offshore vendor to serve Third Party Medical Billing Companies and Payers 1 st Offshore vendor to engage billing industry experts for onsite staff training 1 st Offshore vendor with multiple, redundant backup systems 1 st Offshore vendor with a fully implemented Compliance Program 1 st Offshore vendor with Errors and Omissions insurance 1 st Offshore vendor to secure ISO 9001:2000, BS 7799 certification and SAS 70 assessment

Who we are. Who we are. Collaborators. Innovators. Leaders. Experts. Recognizing the high administrative and human resource cost to businesses performing transaction services, Vision Healthsource pioneered outsourced transaction processing for the U.S. based healthcare industry. Today, we are the leading provider of offshore medical billing services. Our experience spans almost every state, all major specialties and dozens of billing systems. This depth, combined with our workflow technology and tested service delivery model, gives us the ability to work closely with our clients, understand their requirements, and custom design solutions. Our Company Was founded in 1997 Over 1600 employees Acquired by Perot Systems in 2003 Serving over 50 clients First offshore vendor with capabilities to work on Payer and Provider services First offshore healthcare services vendor to be certified by KPMG and Ernst & Young (BS7799, ISO 9001:2000, SAS 70) Over 125+ full time employees focusing only on quality and compliance Our Values We serve our customer We value our people We operate with integrity We reward our stock holders We contribute to our community

What we do. Processes. Applications. Consultative Approach. Customer Value Proposition Significant Cost Savings Typical 3050% cost savings has been experienced by our customers Minimal upfront capital investment for enabling technologies Flexible and utility based pricing based upon customer business needs Enhanced Operational Transparency, Visibility & Control Improved visibility and access to service level performance Enhanced backoffice transparency with VIMS (Extranet) Improved internal controls and healthcare compliance capabilities Leading Practices & Enabling Technology Guaranteed service levels and performance metrics Enhanced documentation, internal controls and knowledge management Transaction processing best practices and optimization tools Workflow monitoring and live reports through VIMS Industry Expertise and Leading IP Fully automated workflow technologies ensuring efficiency and accuracy Transition, Knowledge & Project management proven methodology Healthcare claims administration & revenue cycle management

What we do. Better quality, Enhanced processes, Fewer Denials, Faster reimbursement and Overall growth. Third Party Medical Billing Services Coverage & Eligibility Verification Coding Charge Entry Payment Posting Denial/Rejection Analysis Payer A/R Followup Credit Balance/Refund Processing Payer Services Data Capture Claims Entry and Vertexing Claims Adjudication Benefits & Configuration User Acceptance Testing Enrollment and Eligibility Inbound Call center Hospital Services Patient Information Management Outcomes Analysis Resource Scheduling Patient Scheduling Eligibility Verification Physician Referral Inventory Management Record Management Claims/Billing/Collection Insurance Coverage/Eligibility Verification Patient/Insurer Followup Denials Analysis Credit Balancing Performance analysis NonHealthcare Services Finance & Accounting Financial Services Procurement

How we work. Envision. Design. Deliver. Existing set of BPM tools mean that managing our processes is not only easier but also scalable Workflow Mgmt Skillsbased routing Work distribution and management Extranet client reporting Knowledge Mgmt Knowledge repository Clientspecific changes Latest rule changes Updated daily/weekly Training Mgmt Online weekly tests Healthcare tests General Aptitude tests Training tools Support Services Bug Villa System Problem Registry Admin online HR Request Management Systems & Processes Compliance Mgmt Anonymous complaints Compliance tracking HIPAA awareness Full time compliance staff Performance Mgmt SelfAppraisal Supervisor appraisal MyHR/eHR Vision $Instant reward system Employee Comm. Message board, Intranet Employee profiles, Polls Classifieds, News Handbooks, Policies Workforce Mgmt Bird s eye view of seats, floor plans, people Shift changes We have the highest level of automation in the offshore billing space providing clients with improved level of efficiency and accuracy. VIMS, workflow management tool tracks users, productivity, quality and other key operational data. VIMS gives our clients a transparent view of the work sent offshore, collaborate with the offshore team, and provide multidimensional reports thereby giving them complete control over their outsourced processes. VCIS (Vision Client Information System), knowledge management tool provides easy click and pick access to complex insurance, state and individual client rules reducing occurrence of errors. netboard provides a suite of technology including Compliance, Operations, HR, Accounting, Training and other tools to improve overall efficiency.

How we work. How we work. Vision Information Management System (VIMS) Proprietary Internetbased workflow technology Allows client to dynamically track and monitor information sent to Vision, over the Internet Skillsbased routing allows Vision to manage clients efficiently Has processbased rules builtin as per client specifications and inputs such as complexity, employee skills and requirements The application's generically designed databases allow rapid customization and implementation for any Business Process Outsourcing (BPO) situation. Client Extranet Process Internet Receive Billing and A/R Followup Agent Organization Directory Rules Engine Submit Process Definitions Quality & Audit Environment Automatic Routing Architecture Reporting Tools Workflow next participant Vision Healthsource works closely with the clients to understand their requirements, provides custom designed solutions and integrates those innovative ideas with better processes and technology to deliver superior results. Scheduling Mgmt. Reporting Pre Registration Revenue Enhancement AR Followup Patient Admission Information Capture Insurance & Government Eligibility Verification Discharge & Financial Counseling Dictation & Transcription Management Vision Healthsource works closely with clients to Jointly identify the root causes of claim denials Define process / technology solutions to avoid rework Provide a continuous improvement model Cash Posting Receivables Management Secondary Bill Submit & Bill Resubmit Denial Management Claims Status Bill Submission Code and Abstract Charge Capture & Billing Claims Editing Process

How we deliver. Transition. It s all about results. Information Security. Quality Management System. Our Project Management and Process Migration Approach is a proven endtoend methodology that ensures consistent, holistic, quality results. The process migration approach utilizes our expertise in managing four key components (People, Process Technology and Infrastructure) and takes a methodical approach to replicating your business processes offshore. Transition Methodology Opportunity Identification Qualification Process Discovery Process Opportunity Development Proposal Process Due Diligence Understand Customer Needs Solution Design Present Solution Agree to proceed Knowledge Acquisition & Pilot Transition Planning Process Understanding Detailing Process Verifying Design & Pilot Service Delivery Production Setup Stabilization Phase Control & Review Customer Service Business Reviews Resolution Process Continuous Improvement Focus on Key Deliverables, Service Level Guarantees & Process metrics Key Components PEOPLE PROCESSES TECHNOLOGY INFRASTRUCTURE Recruitment Staffing Training Benefits & Retention Knowledge Management Documentation Client Dashboards& Reports ISO based QA Process Compliance Connectivity, Redundancy LAN WAN VPN/Firewall Facilities management Network infrastructure Information Security Redundancy BCP/DR Our transition and account management teams work with your staff to capture and document the process knowledge, setup connectivity, perform a pilot and stabilize the service delivery framework. And we keep you involved as we customize our best practice training methodologies to the specific needs of your business processes.

How we deliver. Information Security BS7799:Part2:2002 ISO 9001:2000 Six Sigma Quality Management Systems Compliance & Internal Controls SAS70 SarbanesOxley Common tools, audit and governance frameworks Vision Healthsource is committed to the implementation of bestofthebreed processes and controls around information security and healthcare regulatory compliances. This has led to the establishment of a rigorous Quality Management System (QMS) that takes an integrated view into the management of quality, internal controls, information security which exceeds industryspecific regulatory and compliance guidelines. Vision Healthsource s information security management system is certified as compliant to BS7799, which is widely recognized as the platinum standard for information security. The control requirements exceed all applicable norms under HIPAA. Further, we have also been issued a clean SAS 70 Type II report for our internal control processes and practices. Virus Protection Encryption Business Continuity Data Classification Disaster Recovery Policies Access Control Compliance Security Administration Our Quality Assurance framework has been modeled on Six Sigma based processes. Delivering superior quality is at the core of all our operations planning. We believe that the key to delivering great quality is to have a very accurate understanding of the customer s requirements and a quality methodology that is built on a solid platform of metrics, that are consistently measured and analyzed for patterns; so we can train our staff leading to a continuous improvement. Quality Methodology Define Track Alert Audit Update Continuous Improvement Define the quality metrics Freeze the tools & the measurement Measure data Scope Individuals & Teams Root cause analysis Feedback & training Quality calibration process Rebuttal process Business rules changes Knowledge management Root cause analysis Opportunities identified methodology system updated Freeze the sampling process Define frequency Report the data Individual /Team based monitoring Suitable corrective action Knowledge gap identification Operations audits for process compliance Updates exchanged Continuous training Measure, monitor improvement

Why we re different. Expertise. Relationships. Results. We have the highest level of automation in the offshore medical billing services Advanced workflow automation, tracking and reporting systems Endtoend medical billing services provided only to third party medical billing companies We serve over 50 third party medical billing companies and work in every state Fully developed and mature compliance program Fully developed and sophisticated training programs delivered by international faculty International certifications covering information security, quality and compliance World class facilities, cutting edge technology tools and presence in multiple locations to enhance business continuity Robust Business Continuity ProgramsDisaster Recovery (BCPDR) allowing uninterrupted services Redundant bandwidth with multiple leased lines to the east and west coasts A truly global company with a personalized approach to service delivery and consistent with results We are a subsidiary of Perot Systems Corporation, a Fortune 1000 company with revenues over $2 billion annually

Why we re different. Stage1: Prove it to me Cautious attempts at outsourcing Lower end processes, piece meal outsourcing Limited use of technology Low benefits of outsourcing to buyers Stage2: Scale it for me Middle end processes Deployment of technology Still oneshore, offshore Focus still on building process capabilities as against customer deliverables Stage3: Help me manage my business Endtoend focus, increasing role for system integrators and technology, greater complexity You own the processes and the deliverables Metrics driven relationshipsophisticated contracting based on Industry standard benchmarks Multishore, be where your customer wants you and then, at some more places, for risk mitigation Business benefits are not dependent on just efficiency and productivity but on integrated delivery Complex Deliverables require a specialist with the right set of processes and tools! Vision Healthsource has been recognized as a premier offshore medical billing services provider and a thought leader. From Prove it to me, we have scaled to Manage my business for me stage. We work closely with our clients; understand their requirements and custom design flexible service delivery frameworks, there by managing their business processes, which gives them more time to focus on business building. SAS 70 Type ll Assessed by Ernst & Young Statement on Auditing Standard Quality Information Security

It s all about results. Now that you know us, we d like to get to know you. Tell us about your business, technology, or operational challenges, and we ll help you get results. Call us today at +1 888 726 8576 or visit our website and put the strength, expertise and people of Vision Healthsource to work for you. INDIA Vision Healthsource A9, Industrial Estate, 1st Main Road, Ambattur, Chennai600058. India. Call us : +1 888 726 8576 info@visionhealthsource.com USA Perot Systems Corporation 2300 West Plano Parkway Plano, TX 75075 United States of America toll free: +1 888 31 PEROT main: +1 972 577 0000 www.perotsystems.com americas@ps.net