© 2021, nThrive Revenue Systems, LLC. All rights reserved. RO821

2021 VIRTUAL USER FORUMS

PRODUCT STRATEGY AND ROADMAP REVIEW

Contract Management

Zatanya CollinsDirector, Product Management

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2021 Investment Areas

2022 Strategic Initiatives

Other Investment Priorities

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Accuracy & Efficiencies

Continue to be the most accurate in the market and increase efficiency of delivering value:

• Enhancements to Modeling Reports

– Consolidated Views

– Updates to patient list criteria

– Enhanced Reporting

• Government Programs Enhancements

– Arizona Outpatient Medicaid

– New York Work’s Comp

– Florida Professional Medicaid

Self-Service

Deliver new client value, targeted at increasing Client Autonomy

• Self-Service Payor Code Mapping

• Self-Service Repricing

• Medicare Factors (ongoing)

2021 Major Investments

2021 Major Investments

Contract Analyzer

• Payment/Discount Variance Grouping

• 835 Line-Item Payments

• POS Opportunity

• Managed Care KPIs

• Contract Modeling Analyzer

• Managed Care Dashboard

• Govt Programs Line-Item Details

• Ad-hoc Enhancements

Beta Release in March 2021

2nd phase rolled out in 3rd quarter –non write down

Rolled out to all clients in 2022

• Simplified user interface enabling clients to maintain updates to payor code mappings

• Access via Exceptions Worklist or from the direct menu link

• Rolled out to all clients July 2021

Self-Service Payor Mapping

Managed Care KPIs

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Managed Care KPIsIncremental Dollars

How much revenue are you expecting from services and devices on top of your “core” services?

• Implants (Revs 274, 275, 276 and 278)

• High-Cost Drugs (Rev 636)

• Radiology (Revs 32X)Line-Item Level

Claim Level

Indicators• Filter to claims with

these services billed

Counts

• See the number of claims with these services billed

• See the percent of overall volume

Charges

• The charges on the claim associated with these services

• The percent of charges made up by these services

Indicators• Filter to find line

items with these services

Counts

• See the number of line items with these services

Charges

• The line level charges associated with these services

2022 Strategic Initiatives

Pricing Transparency Reporting

WHAT• Create an interface in Contract Management allowing clients to

generate their machine-readable file now required by federal regulation

• New feature functionality allows for client to set needed parameters and generate machine readable report on demand

• Information will be easy to generate, report is always up-to-date based on their current contract agreements

WHY• Strategic initiative to create product differential • Fulfill current business need of clients to stay compliant with new

regulations• Reporting accuracy because results will stay current as contracts

are updated in Contract Management

Q1

Pricing Transparency

Q4

Q3

Q2

Enhanced Product functionality and Increase compliance

TIMELINE

Self-Service: Transaction Mapping

WHAT• Create self-service interface allowing clients to map their own

payments & adjustment transaction codes• Create a new user interface that improves on the current

transaction mapping functionality• Update underlining technology replacing outdated technology

• WHY• Increase client satisfaction by giving client the autonomy to update

their own data• Transitioning to self-service increases client's efficiency by not

having to open a case and wait on nThrive resources to complete• Improved user experience

Q1

Transaction Mapping

Q4

Q3

Q2

Improve Client Efficiency

TIMELINE

Pricing Sensitivity Modeling –Stretch

WHAT• Create a feature in Contract Modeling allowing clients to model

multiple production contracts _ via payor mapping• New feature functionality allows for modeling change to charges for

multiple production profiles at once• Creating user interface that allow clients to do their own charge

increase project

WHY• Strategic initiative to create product differential• Increase client efficiency by creating a user interface design for this

business need; current clients spend weeks completing this project with our current interface

• Clients are currently doing some version of this in modeling

Q1

Pricing Sensitivity

Q4

Q3

Q2

Enhanced Product functionality and Improved Ease of Use

TIMELINE

Contract Modeling Analyzer

Contract Modeling Analyzer (CMA) will sit on top of the Contract Modeling module and provide insight into selected model results.

• Push models into CMA from CM to analyze the results with no overnight wait

• Use pre-built dashboards to quickly review your model results

• Create your own ad-hoc reports and dashboards

• Access line-level detail of your modeled accounts

• Technical Roadmap

– Hyper V and Windows Server

– Data Deletion – Automatic Purge

– Table Editor Extraction

– Production Report Execution and Management

• Pre-Impact Reporting

• Professional Medicaid's

• Self-Service

– Payor Code Mapping – non-MVP

– Update Reprice Management – non -MVP

– Medicare Self-Service provider specific factor updates

• Chromium-base Browsers

• CPE – Medicare OP

• Performance Improvements

– Distributed Modeling – Dynamic Throttling

– Pricing Performance

2022 Other Investment Areas

2022 Contract Analyzer Other Investment Areas

• Benchmarks

• Alerts and table-driven goals

• Payer Code Change Visibility

• Ad-hoc Enhancements

Q A&

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We make revenue cycle managementsimple, efficient, accurate

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