PATHS provides revenue cycle management services to healthcare providers. It offers services including A/R billing, A/R system conversions, auto/workers compensation claims management, behavioral health billing, cash acceleration programs, claims management software, consulting, credit balance adjudication, denial management, Medicaid entitlement, and physician practice management. PATHS has over 30 years of experience in healthcare revenue cycle management and manages over $3 billion in accounts receivable annually. It is committed to using technology, employee training, and best practices to provide cost-effective solutions and exceptional customer service.

1. Tony DiLuca
Principal
tdiluca@hcpaths.com
Roger Poremsky
VP Sales and Marketing
rporemsky@hcpaths.com
Terry Martin
Marketing Representative
terry.martin@hcpaths.com
Phone: 856-671-6000

2. Introduction
Bios
Agenda
2
Agenda
Introduction
What Sets Us
Apart
Bios
Services
Agenda
Introduction
What Sets Us Apart
Bios
Services
A/R Billing
A/R System
Conversions
Auto/Workers
Compensation
Behavioral
Health
Cash
Acceleration
Claims
Management
Consulting
Credit Balance
Adjudication
Denial
Management
Medicaid
Entitlement
Physician Practice
Management
A/R Billing
A/R System Conversions
Auto/Workers’ Compensation
Behavioral Health
Cash Acceleration
Claims Management Software
Consulting
Credit Balance Adjudication
Denial Management
Medicaid Entitlement
Physician Practice Management17
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6
7-17
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9
10
11
12
13
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15
16

3. Introduction
3
Physician and Tactical Healthcare Services, LLC (PATHS) was formed to provide solutions for receivable
management in the Healthcare Industry. We offer a broad range of revenue cycle services to assist the needs of
our healthcare clients. Our clients include hospitals, physician groups, rehabilitation facilities, nursing homes,
cancer centers, clinics, emergency departments, ambulance services and behavioral health facilities. Our
programs are tailored to ensure compliance with the various regulatory requirements imposed upon healthcare
providers. Our goal is to identify those key elements, which may be hindering the attainment of revenue and cash
objectives of our clients and to implement strategies for process improvement.
• Responsible for the management of over $3 billion dollars annually
• Key management experience averages over 30 years in the healthcare field
• 400 employees strategically located in offices and onsite with hospital clients
• 66,000 sq. ft. of modern office space designed for compliancy and future expansion
PATHS has acquired EMCsoft’s Claim Agent, a claim management software that assures the delivery of clean
medical claims to insurance payers. In addition, we have launched SPARHC, LLC to maximize cash recovery for
hospitals converting to new A/R systems.
PATHS is committed to being a positive representative of business in the Healthcare Industry. Our leadership
roles in HFMA, AAHAM, and MGMA allow us to provide education opportunities to our clients and our
community.
Sincerely,
Tony DiLuca, CHFP
Principal
IntroductionIntroduction
Bios
Agenda
Introduction
What Sets Us
Apart
Bios
Services
A/R Billing
A/R System
Conversions
Auto/Workers
Compensation
Behavioral
Health
Cash
Acceleration
Claims
Management
Consulting
Credit Balance
Adjudication
Denial
Management
Medicaid
Entitlement
Physician Practice
Management

4. What Sets Us Apart
4
IntroductionIntroduction
Bios
Agenda
Introduction
What Sets Us
Apart
Bios
Services
A/R Billing
A/R System
Conversions
Auto/Workers
Compensation
Behavioral
Health
Cash
Acceleration
Claims
Management
Consulting
Credit Balance
Adjudication
Denial
Management
Medicaid
Entitlement
Physician Practice
Management
Staff Experience
PATHS’ staff has experience in working with a
variety of client software including Siemens
InVision, Siemens Soarian, Epic, GE, Meditech,
Last Word, IDX, and CPSI among others.
Information Technology
PATHS has an extensive Information Technology
Department including a programmer and a data
analytics team that will assist with system
access, data transfer protocol, and reporting.
Performance Monitoring
PATHS has developed a proprietary reporting
and monitoring system for internal management
and staff performance and standards based on
numerous key performance indicators.
Staff Hiring Procedure
PATHS’ employees meet the standards that are
required by many healthcare licensure
organizations, such as JCAHO, our employees are
required to go through drug testing as well as
criminal background checks.
Data Security
PATHS takes proactive measures to protect our
client’s data such as having secure housing of data
servers.
Compliance
PATHS’ vigorous compliance program utilizes an
outside law firm to perform monthly random
reviews as well as serve as our compliance officer.
Cost effective programs and an exceptional level of customer service through our
investment in technology, employee development, and best industry practices.

5. PATHS utilizes a three tier strategy Discover, Develop, and Deliver that tailors
its services to meet your needs and specifications.
What Sets Us Apart
5
Our Objective
To provide excellent revenue cycle
solutions for healthcare providers by
fostering strong relationships with
colleagues, clients, and payors.
Our Experience
Decades of diverse experience
administering exceptional revenue
cycle solutions to over 100 different
clients.
Our Commitment
To better serve our clients and
industry through our dedication and
leadership in numerous healthcare
professional associations.
Discover
Comprehensive process
identifies key insights to your
revenue cycle.
Develop
We customize every aspect of
the program based on
discovered insights.
Deliver
We implement, measure, and
adjust the program to deliver
proven results.
Introduction
Bios
Agenda
Introduction
What Sets Us
Apart
Bios
Services
A/R Billing
A/R System
Conversions
Auto/Workers
Compensation
Behavioral
Health
Cash
Acceleration
Claims
Management
Consulting
Credit Balance
Adjudication
Denial
Management
Medicaid
Entitlement
Physician Practice
Management

6. Bios
6
Introduction
Bios
Agenda
Introduction
What Sets Us
Apart
Bios
Services
A/R Billing
A/R System
Conversions
Auto/Workers
Compensation
Behavioral
Health
Cash
Acceleration
Claims
Management
Consulting
Credit Balance
Adjudication
Denial
Management
Medicaid
Entitlement
Physician Practice
Management
Tony DiLuca, Principal
Tony co-founded PATHS, LLC and has been successful in
providing revenue cycle solutions to hospitals,
physicians, and other entities.
Heather Beckson, Medicaid Entitlement
Heather leads staff for our Medicaid Entitlement
program which processes over 30,000 applications per
year.
Roger Poremsky, Sales and Marketing
Roger focus is on customer relations, the acquisition of
clients, and maintaining strong relationships in the
healthcare community.
Anne Del Pizzo, Data Reporting
Anne performs quality benchmarking for data sets and
analyzes qualitative data for clients and develops
comment reports.
Tony J. Mackiewicz, Principal
Tony co-founded PATHS, LLC with decades of experience in
Finance and Patient Receivable Management.
Tony Crisafulli, Practice Management
Tony specializes in the business of practice management
and reimbursement with a broad knowledge of the
healthcare RCM process.
Steve Del Pizzo, SPARHC
Steve was recently promoted to Director of Revenue at
SPARHC from Revenue Cycle Manager at PATHS.
Anna Martz, Hospital Billing
Anna ensures the start-up and completion of projects as
well as the continued oversite and management of ongoing
engagements.
Al Giacomucci, EMCsoft
Al is a Partner at EMCsoft with more than 30 years of
experience, primarily in a large medical center
environment.
Robyn Walls, Medicaid Entitlement
Robyn is experienced in Medicaid Entitlement application
process and supervises our Inpatient and Emergency
Department programs.

7. Advantages
Dedicated staff, who are
experienced with all third
party payors, enhance your
claim reimbursement.
• Inpatient and outpatient claims
• Medicare, Commercial, Blue Cross,
Managed Care, Medicaid, Behavioral
Health, and Third Party Liabilities
• Timely and detailed reporting
Features
System specifically designed to
track claim status, monitor state
regulations, and provide
comprehensive reporting.
• Automatic tracking
• Claim editing specific to regulation
• Enrollment and re-enrollment for Out
of State provider status
Benefits
Years of industry experience
with different types of clients
give us the perspective to apply
best practices.
• Increased reimbursement
• Save time
• Reporting capabilities specific to
rejection codes geared to improve the
revenue cycle flow
A/R Billing
7
Our team is dedicated to dealing with and understanding the regulatory
environment of the A/R billing process.
A/R Billing
A/R System
Conversions
Auto/Workers
Compensation
Behavioral
Health
Cash
Acceleration
Claims
Management
Consulting
Credit Balance
Adjudication
Denial
Management
Medicaid
Entitlement
Physician Practice
Management
Introduction
Bios
Introduction
What Sets Us
Apart
Bios
Services
Agenda

8. Accounts
• Evaluate cash collection, misapplied
payments, adjustments, and
balances
• Undertake all legacy accounts or
accounts with specific ages
or parameter
• Maximize cash flow and reduce the
financial impact of the system
conversion
Workflow
• Establish informational
requirements and define reporting
parameters
• Design a road map for execution
and form a team dedicated to your
project
• Monitor performance levels; ensure
compliance standards and analyze
data
Benchmarks
• Establish key performance
indicators that include cash
collections and age of accounts
• Develop a KPI Report Card that
timely and effectively
tracks performance
• Evaluation of data and staff allows
us to meet KPIs and quality
standards
A/R System Conversions
8
PATHS, LLC has synergized its expertise and resources with The Sirrus Group
to better serve hospitals as they convert to new A/R systems. The program
resolves A/R from the legacy system and optimizes the adjudication process
to maximize cash recovery.
A/R Billing
A/R System
Conversions
Auto/Workers
Compensation
Behavioral
Health
Cash
Acceleration
Claims
Management
Consulting
Credit Balance
Adjudication
Denial
Management
Medicaid
Entitlement
Physician Practice
Management
Introduction
Bios
Introduction
What Sets Us
Apart
Bios
Services
Agenda

9. Advantages
PATHS provides prompt/
efficient filings and response to
administrative needs in order to
adjudicate these claims.
• Experienced and certified team
• Prompt and efficient filings
• Best practice knowledge
• Seamless transition
• Personalized service throughout
program
• Led by primary client liaison and
dedicated team leader
Features
Diligence and systematic
workflow to process the claim to
adjudication.
• Knowledge of state regulations
• Proven tools and methodologies
• Objective and independent analysis
• Third-party payer knowledge base
• Committed to working claims from Day
1 to resolution
• Rigorous internal goals and numerous
reporting opportunities
Benefits
Vast knowledge and experience
collecting dollars from auto &
workers’ compensation claims.
• Reduce outstanding receivable
• Cut costs
• Improve cash collections
• Refocus staffing
• ICD 10 readiness
• UB04/ 1500
• Aggressive appeal process
Auto/Workers’ Compensation
9
Tackles the highly regulated, extensive document requirements, and manual
claim processing to recover maximum cash for these services.
Services
A/R Billing
A/R System
Conversions
Auto/Workers
Compensation
Behavioral
Health
Cash
Acceleration
Claims
Management
Consulting
Credit Balance
Adjudication
Denial
Management
Medicaid
Entitlement
Physician Practice
Management
Introduction
Bios
Introduction
What Sets Us
Apart
Bios
Services
Agenda

10. Advantages
Our process has specialized
systems and experienced staff –
each dedicated to the
management of the Behavioral
Health revenue cycle process.
• Knowledge of treatment authorizations
• Exceptional customer service
• Unbiased analysis/recommendations
Features
We developed systems to track
and split bills by each separate
authorization and created
specialized reports for client
needs.
• Payments and rejections posting
• Automatic tracking
• Claim editing specific to payor
regulations
Benefits
Years of industry experience
with different types of clients
give us the perspective to apply
best practices.
• Increased reimbursement
• Timely and detailed reporting
• Improved patient/customer relations
Behavioral Health
10
PATHS can help you alleviate the business of billing while you endeavor to
meet your patient’s health goals.
Services
A/R Billing
A/R System
Conversions
Auto/Workers
Compensation
Behavioral
Health
Cash
Acceleration
Claims
Management
Consulting
Credit Balance
Adjudication
Denial
Management
Medicaid
Entitlement
Physician Practice
Management
Introduction
Bios
Introduction
What Sets Us
Apart
Bios
Services
Agenda

11. Advantages
While we resolve your accounts,
we also analyze and document
issues that contributed to the
aging of your A/R to prevent it
from recurring.
• Experienced and certified professionals
• Documentation of operational issues
• Seamless communication with payors
• Offers flexible pricing
Features
Whether you require a “one-
time clean-up” or ongoing
outsourcing of receivables,
PATHS generates fast, bottom
line results.
• Project policies and procedures
• Experience with all payors
• Reports of project results and
operational issues
Benefits
PATHS’ accounts receivable
resolution service combines
technology, experienced
professionals, and processes to
maximize benefits.
• Accelerating cash flow
• Reduces aged receivables
• Long term improvements in operations
Cash Acceleration
11
PATHS’ Receivable Cash Acceleration Program reduces bad debt while
improving cash flow.
A/R Billing
A/R System
Conversions
Auto/Workers
Compensation
Behavioral
Health
Cash
Acceleration
Claims
Management
Consulting
Credit Balance
Adjudication
Denial
Management
Medicaid
Entitlement
Physician Practice
Management
Introduction
Bios
Introduction
What Sets Us
Apart
Bios
Services
Agenda

12. Claims Management Software
12
Data Analytics
Robust data mining capabilities produce
meaningful insights.
• Operational Reports
• Management Reports
• Productivity Reports
• Denial Management
Claim Follow Up
Automated tools allow user to efficiently
receive, modify, and resubmit claims.
• Ad Hoc Queries
• Rejected Claims
• Secondary Claim
• Hold Reports
Electronic Data Interchange
Established EDI routes to every
destination requested by our customers.
• ANSI 276, 277, 835, 837
• Print Files
• Clearinghouses
• Payers
Claim Scrubbing
High powered rules engine that analyzes
every data element on a claim.
• Inspect
• Review
• Repair
• Validate
EMCsoft’s Claim Agent assures the delivery of clean medical claims to
insurance payers.
A/R Billing
A/R System
Conversions
Auto/Workers
Compensation
Behavioral
Health
Cash
Acceleration
Claims
Management
Consulting
Credit Balance
Adjudication
Denial
Management
Medicaid
Entitlement
Physician Practice
Management
Introduction
Bios
Introduction
What Sets Us
Apart
Bios
Services
Agenda

13. Advantages
PATHS’ consulting services
identify and correct
performance inefficiencies and
turning them into bottom line
savings.
• Experienced and certified professionals
• Proven tools and project methodologies
• Objective and independent analysis
Features
PATHS is there to assist you and
focus attention on specific areas
that will enhance your Revenue
Cycle.
• Operational assessments
• Process improvement/reengineering
• Policy and procedure development
• System conversion assistance
Benefits
Our healthcare professionals
assist you to make informed
decisions, improve operations,
and reduce costs.
• Improved productivity and efficiency
• Increased cash flow
• Unbiased analysis
• Assistance with implementation
Consulting
13
PATHS’ consultants are seasoned healthcare professionals who have proven
ability in revenue cycle operations and process improvement.
A/R Billing
A/R System
Conversions
Auto/Workers
Compensation
Behavioral
Health
Cash
Acceleration
Claims
Management
Consulting
Credit Balance
Adjudication
Denial
Management
Medicaid
Entitlement
Physician Practice
Management
Introduction
Bios
Introduction
What Sets Us
Apart
Bios
Services
Agenda

14. Advantages
Our systems allow us to better
work through this detailed
process and provide essential
reporting that many receivable
systems cannot.
• Analysis of credit balance database
• Resolve accounts with a credit balance
• Compliant programs and processes
Features
Our approach is to research and
resolve self pay and insurance
accounts that have a credit
balance.
• One time clean up project
• Ongoing credit balance program
• Process improvement plan
Benefits
We offer competitive fees and
streamlined processes with a
strong focus on compliance that
save you time and money.
• Improve customer relations
• Compliant with payor regulations
• Free up staff for cash accounts
• Keeping current with noncash
producing aspect of the revenue cycle
Credit Balance Adjudication
14
PATHS can help you resolve the daunting task of adjudicating credit
balance accounts.
A/R Billing
A/R System
Conversions
Auto/Workers
Compensation
Behavioral
Health
Cash
Acceleration
Claims
Management
Consulting
Credit Balance
Adjudication
Denial
Management
Medicaid
Entitlement
Physician Practice
Management
Introduction
Bios
Introduction
What Sets Us
Apart
Bios
Services
Agenda

15. Advantages
Our staff identifies payor denial
trends which may be the result
of internal procedures or
external challenges affecting
payor payment.
• Identify opportunities for appeals
• Manage a tight appeal process
• Measure success
• Provide feedback for preventive action
Features
Effective management and
recovery of denied services is
important to the enhancement
of your bottom line
performance.
• Inpatient services
• Outpatient services
• Physician services
• Increase collections
• Decrease corrections
Benefits
Our appeals process is designed
to get the attention of the payor
and produce the results needed
to increase your cash recovery.
• Discover patterns
• Determine net effect to revenue
• Well written appeals
• Collaborative effort of appeal process
Denial Management
15
PATHS’ Denial Management Program exposes the root of the
problem. Introduction
Bios
Introduction
What Sets Us
Apart
Bios
Services
A/R Billing
A/R System
Conversions
Auto/Workers
Compensation
Behavioral
Health
Cash
Acceleration
Claims
Management
Consulting
Credit Balance
Adjudication
Denial
Management
Medicaid
Entitlement
Physician Practice
Management
Agenda

16. Advantages
Our approach has been
developed to meet each state’s
and provider’s individual
requirements.
• Knowledge of state regulations
• Exceptional customer service
• Responsiveness to client’s needs
• Management reporting
• Affordable Care Act Certified
Counselors
Features
Our programs cover the entire
application process from patient
access and insurance
verification to the follow-up of
incomplete, denied, and difficult
applications.
• Inpatient and outpatient programs
• Financial Counselor programs
• Application tracking
• Application reporting
Benefits
We assist patients to secure
Medicaid Entitlement coverage
while generating cash flow for
providers.
• Increased reimbursement
• Improved charity care process
• Reduces need for write offs to bad debt
• Improved patient/customer relations
Medicaid Entitlement
16
Achieve maximum results for you and your patients in Medicaid Entitlement
approvals, processing of charity care documents, and reduction of bad debt.
A/R Billing
A/R System
Conversions
Auto/Workers
Compensation
Behavioral
Health
Cash
Acceleration
Claims
Management
Consulting
Credit Balance
Adjudication
Denial
Management
Medicaid
Entitlement
Physician Practice
Management
Introduction
Bios
Introduction
What Sets Us
Apart
Bios
Services
Agenda

17. Advantages
Submit and manage both CMS-
1500 and UB-04 claims forms
for provider-based billing.
• Regulatory knowledge
• Exceptional customer service
• Responsiveness to client’s needs
• Management reporting
Features
We have developed a
methodology for a
comprehensive program that
addresses each component of a
physician’s practice.
• Accounts receivable management
• Strategic management
• Operations management
• Financial management
• Clinical management
Benefits
Medical billing and revenue
cycle solutions that maximize
reimbursement for a wide
variety of medical specialties.
• Enhancing reimbursement
• Unique reporting capabilities
• Extremely tight follow up system
• Experienced staff who focus only on
practice management receivables
Physician Practice Management
17
PATHS carefully addresses each component of a physician’s practice with
specific expertise and consistent goals.
A/R Billing
A/R System
Conversions
Auto/Workers
Compensation
Behavioral
Health
Cash
Acceleration
Claims
Management
Consulting
Credit Balance
Adjudication
Denial
Management
Medicaid
Entitlement
Physician Practice
Management
Introduction
Bios
Introduction
What Sets Us
Apart
Bios
Services
Agenda

18. www.linkedin.com/company/pathsllc http://bit.ly/1KB5plT@hcpaths
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