Compelling Reasons to Select Solutions

• Vendor’s reasons for selecting their EDR/EHR and imaging solution:

– True Medicaid FQHC billing components including: – Automatic sliding fees

– Wrap around for encounter rates billing – Multiple alternative Medicaid fee schedules

– Only true HL7 compliant EDR (ability to interface with ANY HL7 compliant software) – extends the ability of any integrated delivery network the capability of adding an electronic dental record to a fully certified EHR: – Self-contained UDS reporting

– Number one electronic dental chart and dental practice management system used nationwide – Leading electronic dental record in the CHC market

– Fully integrated digital x-ray component (Dexis)

– Fully integrated with the largest electronic dental claims clearinghouse – Open architecture SQL

– Periodontal index and outcomes reporting – Backing of the Henry Schein Inc.

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Meaningful Use (MU)

• Vendor’s response to plans to attain MU certification and provide tools, knowledge, and services available to assist in attaining MU incentives:

– While there are no dental specific criteria specified for Meaningful Use certification, Dentrix Enterprise is currently seeking modular certification via CCHIT. Dentrix have been in regular talks with ONC, CMS, ADA, and other associations to push the need for a dental specific certification.

– Dentrix Enterprise interfaces with over 30 different medical systems, providing the NNOHA members a wide variety of choices to select the right EHR that fits their needs. With access to a fully certified EHR interfaced to Dentrix Enterprise, a dental provider that meets the Medicaid thresholds meets Meaningful Use. The capability to utilize a dental specific module developed for oral health providers with any HL7 compliant medical EHR is a strength of Dentrix Enterprise. Dentrix software is based on over 20 years of research and constant work with dental customer partners to develop the best electronic dental record and practice management solution in the CHC and public health markets.

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Integration Capabilities

• Vendor’s response to capabilities to integrate EDR/EHR with radiographic imaging and intraoral camera technologies, manage the images, access the images from within charting software, and optimize workflow:

– Dentrix Enterprise maintains a true, two way integration with Dexis for digital radiography. This integration allows clinicians to see x-rays from within the patient’s chart and allows billing staff to attach x-rays directly to claims for electronic billing. The Dexis imaging system is optimized to run alongside Dentrix Enterprise in a thin-client wide area network with centralized data storage.

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Conversion Capabilities

• Vendor’s response to their approach and experience to plan, implement, and test conversion process, including conversion of the data, mapping current processes to new processes, and mapping current systems functionality to new functionality:

– All third party software systems can be converted into Dentrix Enterprise capturing most data fields such as patients, providers, appointments, prior clinical treatment, procedures, and notes, etc. The initial converted database is delivered in a test environment for data and mapping validation. All third party systems go through extensive testing with a test conversion followed by a validation conversion for Go Live.

– Process conversion and mapping is addressed onsite by a certified Dentrix Trainer. Account Managers and Implementation Engineers work with each customer to assist in mapping current to new processes.

– A Dentrix Enterprise account manager, data conversion technician, and Dentrix Trainer will access functionality differences and advise on appropriate data mapping solutions. Dentrix Enterprise also has webinar training available for additional training on functionality.

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Ways to Purchase Solutions

• Vendor’s response to different ways to purchase solutions, including ability to bundle or unbundle products, leasing, ASP/hosted solutions, use channel partners/VARs, or bundled with dental supply contracts and compelling reasons why such purchasing approaches are valuable:

– Dentrix Enterprise is sold directly by HSPS (Henry Schein Practice Solutions) and offers multiple bundles and pricing tiers based on size and interface requirements. For example, a clinic that wishes to integrate dental and bill out of their medical software can purchase “an EDR only” bundle which essentially provides the HL7 interface at half price. Dentrix Enterprise does not currently provide a hosted model. However, Health Choice Network out of Florida does provide hosting services for health centers utilizing Dentrix Enterprise. Bundled dental supply contract are available when applicable. Average retail fee from Dentrix Enterprise for HL7 interfacing is $15,000 for bi-directional. Medical vendor fees will vary.

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Pricing Methodology and Annual Maintenance Fees:

• Vendor’s response to pricing:

Satellite Sites

Each dental office that installs or runs the Dentrix Enterprise software at that location is required to obtain a separate Site License. Pricing models include a minimal five concurrent users per site or a ten concurrent user per site. Pricing models for either the five or ten concurrent user models also include an Electronic Dental Record only model or a full Electronic Dental Record with practice management model. The former will be interfaced to an HL7 compliant medical program whereas all billing is passed to the medical program and the latter model can be used where Dentrix Enterprise is used for billing as well as an EDR.

The EDR only model includes a bi-directional interface. Please note that a fee may be charged for the HL7 interface from your medical software for their side of the HL7 Interface. Digital X-rays, Intra-oral Imaging and Voice Charting are optional with all configurations.

For the Electronic Dental Record-only the Dentrix Enterprise application site license for 10 concurrent users per site includes the following products: HL7 Bidirectional Interface, Office Manager, Family File, Electronic Scheduling, Patient Restorative and Perio Charting and Document Center, (NO BILLING):

The investment figures above are per site for up to 10 workstations, additional workstations are $500 each plus $60 per year for annual support & enhancements.

For the Electronic Dental Record only the Dentrix Enterprise application site license for 5 concurrent users per site includes the following products: HL7 Bidirectional Interface, Office Manager, Family File, Electronic Scheduling, Patient Restorative and Perio Charting and Document Center, (NO BILLING):

The investment figures above are per site for up to 5 workstations, additional workstations are $1,595 each plus $190 per year for annual support & enhancements.

For the Practice Management and Electronic Dental Record Model the Dentrix Enterprise application site license for 10 concurrent users per site includes the following products: Ledger (Billing), Office Manager, Family File, Electronic Scheduling, Patient Restorative and Perio Charting and Document Center, (NO HL7 Interface):

Please note that some medical software packages require that an HL7 interface be licensed for their software as well. It is the responsibility of the medical software to send the appropriate HL7 messages and to process the ones that are sent from Dentrix. For the Practice Management Model a typical implementation that will enable you to have a one way interface of basic demographic data from your HL7 compatible medical software to Dentrix Enterprise is $4,995 plus an annual license of $1,200. A typical bidirectional interface with basic demographic information coming from the medical software and completed dental charges being sent to the medical software is $9,995 plus an annual license fee of $1,200. Additional fees may apply for additional systems and data fields such as, Appointments, Patient Visit Numbers and Clinical Notes.

Installation

Installations need to be scheduled during a pre-installation conference call that will be held to assure a smooth transition to Dentrix Enterprise. Installation of the software performed over a telephone connection by our technicians including the creation of the data tables on your SQL Server, and testing the connectivity between the database, OS and application is included. On-site installation assistance from our Technical department for 40 hours on-site is available for $8,000 plus travel related expenses. Additional time is billed at the rate of $250 per hour plus travel. Weekend telephone installation is available at an additional cost of $6,000.

Training

$800 per eight-hour day, plus travel expenses from a Dentrix Certified Trainer. As an option, we provide a “Train the Trainer Program” at our corporate facility in Utah or at your site. The course is a full week and will only include students from your organization. The “Train the Trainer Program” is $3,600 for the first person and $600 for each additional person in the same class. Travel expenses are not included in the tuition.

Data Conversion

There are three parts of a data conversion: • Extraction of data from old system

• Manipulating the data to conform to a standard file format • Building the database

The fee is $1,250 per database. The following items are not included in the above investments:

• Hardware, preparation of the computer site & on-site labor and/or installation

• Third party software such as Microsoft 2003 Server, Microsoft Terminal Server, Citrix, Microsoft SQL 2000/2005 & Microsoft Word

• Custom software modifications • Applicable state & local sales taxes • Travel expenses for training/on site install • HL7 fees from medical system

The investment figures above are per site for up to 10 workstations; additional workstations are $500 each plus $60 per year for annual support & enhancements.

For the Practice Management and Electronic Dental Record Model the Dentrix Enterprise application site license for 5 concurrent users per site includes the following products: Ledger (Billing), Office Manager, Family File, Electronic Scheduling, Patient Restorative and Perio Charting and Document Center, (NO HL7 Interface):

The investment figures above are per site for up to 5 workstations, additional workstations are $1,595 each plus $190 per year for annual support & enhancements.

Hl7 Interface

The investment for the HL7 interface is included with the EDR only model and optional with the Practice Management Model. A typical bi-directional interface consists of basic demographic information coming from the medical software and completed dental charges being sent to the medical software. Other options include appointment data with visit numbers coming from the medical system and clinical notes being sent to the medical system.

MediaDent is a Single Source Dental Solution and can provide all of the EDR AND Imaging software as well as all of the imaging devices (sensors, pans, cameras, scanners) and computer equipment necessary, if requested, and MediaDent will provide support for all of the software AND hardware. Only ONE support call is required for problem resolution. MediaDent is the only Health Center solution who owns, develops and supports all of the software required. No other Dental Health Center system can offer a Single Source Solution and they have to coordinate the purchase, implementation and support with at least two other companies to provide a similar solution.

MediaDent Enterprise solution offers more extensive features than other solutions including provider, location, organizational and enterprise segregation. So depending upon whether a single database for each location is desired, one for each organization or even one for the entire membership, MediaDent can separate the patient’s demographics, accounts and charts in many ways.

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Client Base

• SuccessEHS has over 6,000 providers with 20,000 users in 47 states utilizing our EDR, PM/EMR and billing products

• SuccessEHS serves over 10% of the Health Center market • MediaDent EDR has over 3,500 users

• MediaDent has over 150 organizations using our enterprise/Multi-location EDR product

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Number of Safety Net/Health Center Clients

• SuccessEHS has over 190 Health Center organizations with over 900 sites using our EDR and/or PM/EMR Software

• Products serve over 2,100 Providers in the Health Center Market

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Largest Client

• EHS Turnkey customer with 518 users • ASP/Hosted user with 350 users

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MediaDent

• 17 Locations with about 400 users

• 10 Clients with 50+ Workstations in one location • 1 Customer with 22 providers

• SuccessEHS operates its own multi-million dollar data center that currently serves over 10,000 licensed users across the United States

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MediaDent Dental software is a wholly owned division of SuccessEHS and has been providing top-quality products for over a decade. Our solutions continually help practices become more efficient, productive, and inevitably increase their bottom line. We’ve incorporated new groundbreaking technology into our system. As a result, MediaDent can share dental patient data with HL7 compatible medical systems such as Sage Intergy, SuccessEHS, Healthport, eClinicalWorks, GE Centricity, MSI, Epic, MediTab, and NextGen. MediaDent can consolidate the data in multi-location organizations so that all patient data and images are available at every clinic or configure an ASP/SaaS solution so that all the data is on a single server. With our latest API (Application Program Interface) development, the dentist can simply click on the Rx or Medical History icons in the MediaDent EDR which will open the active patient’s record in Intergy and SuccessEHS. MMD is currently working with other EMRs and has the ability to develop a similar interface with almost any solution. In some EMRs, the dentist could also create an order computerized physician order entry (CPOE) for something like a biopsy and the dental treatment/progress notes can automatically replicate into the patient’s summary as they are created. A CPOE is a process of electronic entry of dental practitioner instructions for the treatment of patients under his or her care.

MediaDent is offered on both a server-based solution for those who maintain their own network with an IT department, as well as an ASP/hosted solution (SaaS) where MediaDent or the client’s IT department could host and maintain the server, and all that is needed is a 1.5 Mbps or better broadband connection at each location. MediaDent works with any combination of thin client/terminal and/or fat client/PCs. MediaDent is the ONLY dental EDR and imaging provider that can also offer a hosted solution with digital imaging and utilize digital sensors, digital pans, intraoral cameras and phosphor plate scanners without the requirement to setup a “store and forward” configuration with multiple servers.