Satinsky Consulting, LLC Medical Practice Management .

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Satinsky Consulting, LLCMedical Practice Management ConsultingCompany BackgroundFounded and led by Margie Satinsky, a healthcare professional with 35 years of management experience incommunity and academic healthcare settings around the country, Satinsky Consulting provides customizedstrategic and operational assistance to medical practices. Our track record of healthcare innovation andcollaboration combined with a strong network of expert consulting resources ensures that our clients receivethorough problem diagnosis and sound advice.Our ApproachSatinsky Consulting is committed to helping medical practices achieve excellence in multiple aspects of practice management. Our broad focus includes structure and management, financial strength, compliance withlegal and regulatory requirements, operations, human resources, information technology and the delivery ofhigh quality patient care.Managing a medical practice is a team effort. When relationships work well, problem solving works too. Witha reputation for sound judgment, fairness and open and timely communication, Satinsky Consulting excels atcollaborating with physicians and other caregivers, administrative staff, referral sources, other providers, insurance companies, regulatory agencies and vendors and other professionals.Exploreconcierge,direct-pay, andintegrativemedicineMedical Practice Management Consulting Services Medical Practice Start-up and Expansion of Services and/or Locations Managed Care Rate Negotiations and Contract Review Strategic Business Planning HIPAA Privacy and Security Rule Compliance and Training Information Technology Planning and Implementation Consulting Revenue Cycle Management Consulting Operational Analysis and Improvement Preparation of Website Content Medical Practice Marketing Human Resource Management in Medical Practice Settings Network of Expert Medical Practice Consulting Resources Speaking and Teaching on Medical Practice ManagementCall us today to learn how we can help your medical practice thrive.Satinsky Consulting, llc919.383.5998Fax 919.309.0109www.satinskyconsulting.com

Medical Practice Management Consulting ServicesMedical Practice Start-up and Expansion of Services and/or LocationsGuidance for new/existing practices that are starting out or expanding scope of services/locations andestablishment of concierge, direct pay and integrative medicine practicesManaged Care Rate Negotiations and Contract ReviewContract and rate negotiations and development of managed care strategyStrategic Business PlanningDevelopment of mission statement, measureable practice goals, implementation strategies and budgetHIPAA Privacy and Security Rule Compliance and TrainingFor medical practices and software vendors, assessment of gaps between operations and regulatory requirements, provision of sample policies and procedures, development of implementation strategies and staff trainingInformation Technology Planning and Implementation ConsultingSelection and implementation of electronic health records (EHR), practice management systems andother softwareRevenue Cycle Management ConsultingReview of current processes/staffing/policies and procedures, assessment of outsourcing billing and collectionsand provision of recommendations for improvementOperational Analysis and ImprovementWork flow analysis, development of strategies for improvement and provision of policies and proceduresPreparation of Website ContentCustomized description of your medical practice that highlights your unique features and differentiates youfrom your colleaguesMedical Practice MarketingDevelopment of strategic marketing plan, written materials and staff trainingHuman Resource Management in Medical Practice SettingsAssistance with recruitment, employee orientation, training, disciplinary action, performance review systems,problem focused coaching and assessment of outsourcing to professional employer organization (PEO)Network of Expert Medical Practice Consulting ResourcesCollaboration with network of experienced professionals in accounting, banking, coding, graphic design,marketing, information technology, law, physician recruitment, space planning and interior designSpeaking and Teaching on Medical Practice ManagementDevelopment of customized on-site or online programs for small and large groups and for individualmedical practicesSatinsky Consulting, llc919.383.5998Fax 919.309.0109www.satinskyconsulting.com

A Track Record of Experience and LeadershipMedical Practice Start-up and Expansion of Services and/or LocationsBain Dermatology, Raleigh, NC Boyette Orthopedics & Sports Medicine, Greenville, NC BrandonGynecology Associates, Charlotte, NC Building Blocks Pediatrics, Morrisville, NC FuquayOphthalmology & Glaucoma, Fuquay-Varina, NC Impact Orthopaedics, Raleigh, NC Laing Dermatology& Skin Cancer Center, Knightdale, NC North Carolina Dermatology Associates, Raleigh, NC Performance Orthopaedic Surgery & Sports Medicine, Raleigh, NC Premiere Pediatrics of HarnettHealth, Dunn, NC Regional Medical Associates, Durham, NC Robert L. Williamson III, DDS, Raleigh, NC Sentinel Primary Care, Raleigh, NC Skin Wellness Dermatology Associates, PA, Durham, NC Spine &Pain Associates, PLLC, Sanford, NC Triangle Forensic Neuropsychiatry, Raleigh, NC Village Pediatrics ofChapel Hill, Chapel Hill, NC Wake Forest Dermatology, Wake Forest, NC Provided step-by-step guide to setting up new practice Organized team of professionals (e.g. real estate expert, banker, CPA, IT support, designand programming of marketing materials) Developed strategic business plan and supporting budget and financials Guided practice in selection of software (e.g. PMS, EHR) and IT support vendor Developed list of CPT codes and fees to be charged Negotiated reimbursement with managed care plans Assisted in recruitment and hiring of key staff members Provided HIPAA and other compliance material and training Developed website content and forms Developed marketing strategy Special projects: start-up/conversion for concierge and direct pay practice modelsManaged Care Rate Negotiations and Contract ReviewAudrey Echt, M.D., Raleigh, NC AvanceCare, Morrisville, NC Bain Dermatology, Raleigh, NC BoyetteOrthopedics & Sports Medicine, Greenville, NC Boylan Medical Associates, Raleigh, NC BrandonGynecology Associates, Charlotte, NC Burlington Pediatric Associates, Burlington, NC BurlingtonUrological Associates, Burlington, NC Cabarrus ENT & Facial Plastic Surgery, Concord, NC CarolinaENT, Raleigh, NC Carolina Foot & Ankle Specialists, Gastonia, NC Carolina GI Associates, Henderson,NC Chapel Hill Internal Medicine, Chapel Hill, NC Coats Medical Clinic, Coats, NC CornerstoneMedical Center, Burlington, NC Crissman Family Practice, Graham, NC Eastern Carolina Pediatrics,Wilson, NC ENT & Audiology Associates, Raleigh, NC Headache Wellness Center, Greensboro, NC Impact Orthopaedics, Raleigh, NC Independence Health, Durham, NC Laing Dermatology & SkinCancer Center, Knightdale, NC Lucy Daniels Center for Early Childhood, Cary, NC MooreOrthopedics & Sports Medicine, Morehead City, NC North Carolina Dermatology Associates, Raleigh,NC NorthEast Ear, Nose & Throat Center, Concord, NC Orange Family Medical Group, Hillsborough,NC Orthopaedic & Sports Medicine Associates, Raleigh, NC Parkway SleepHealth Centers, Cary, NC Performance Orthopaedic Surgery & Sports Medicine, Raleigh, NC Pinehurst Pain Clinic, Pinehurst, NC Plum Spring Clinic, Chapel Hill, NC Premiere Pediatrics of Harnett Health, Dunn, NC Premier Women’sHealth Professionals, Henderson, NCvb Raleigh Plastic Surgery Center, Raleigh, NC Raleigh SurgicalGroup, Raleigh, NC Regional Medical Associates, Durham, NC Scotland Regional Comprehensive Care,Laurinburg, NC Seashore Imaging, Morehead City, NC Skin Wellness Dermatology Associates, PA,Durham, NC Southeastern Orthopedics Sports Medicine and Shoulder Center, Raleigh, NC Spine & PainAssociates, PLLC, Sanford, NC Spine & Scoliosis Specialists, Greensboro, NC Stepping Stones Pediatrics,Satinsky Consulting, llc919.383.5998Fax 919.309.0109www.satinskyconsulting.com

Raleigh, NC Sunrise Pediatric Associates, Raleigh, NC The Allergy Center, Greenville, NC Triangle Forensic Neuropsychiatry, Raleigh, NC Triangle Surgical Associates, Cary, NC Village Pediatrics ofChapel Hill, Chapel Hill, NC Virginia Lightner Family Dermatology, Wake Forest, NC Wake ForestDermatology, Wake Forest, NC Wake Health Services, Inc., Raleigh, NC Wake Urological Associates,Raleigh, NC Watters Surgical Associates, Raleigh, NC Reviewed rates and contract language for managed care agreements Renegotiated agreements Developed practice-specific managed care strategiesReXMeD PHO, Raleigh, NC Guided this physician hospital organization in establishing long-range direction and infrastructure tocompete in a managed care environment Built a physician network of 400 primary care and specialist physicians Negotiated eight contracts with major managed care plans that increased provider revenue for all specialties Developed capability to contract directly with employersHIPAA Privacy and Security Rule Compliance and TrainingAlbtuck Family Medical Care, Barco, NC AvanceCare, Morrisville, NC Bain Dermatology, Raleigh, NC Boyette Orthopedic & Sports Medicine, Greenville, NC Boylan Medical Associates, Raleigh, NC BrandonGynecology Associates, Charlotte, NC Carrboro Family Medicine, Carrboro, NC Coastal PhysiciansAlliance, Wilmington, NC Coats Medical Clinic, Coats, NC Dermatology, Ltd., Media, PA DurhamInternal Medicine, Durham, NC Family Medical Associates of Raleigh, Raleigh, NC Garrett S. Bressler,MD, Durham, NC Hawthorne Ob-Gyn Associates, PA, Winston-Salem, NC Impact Orthopaedics,Raleigh, NC Laing Dermatology & Skin Cancer Center, Knightdale, NC Lexington Family Physicians,Lexington, NC LifeCare Counseling & Coaching, Raleigh, NC MED-EL Corporation, Winston-Salem, NC Michael Sharp, MD, PA, Chapel Hill, NC Navigate Cancer Foundation, Apex, NC Northwest Pediatrics,Greensboro, NC Pediatric Neurology of North Carolina, Cary, NC Physician Care Direct, Cary, NC Regional GI Associates, PA, Durham, NC Relevance, Durham, NC Rheumatic Disease Associates, WillowGrove, PA Rheumatology & Osteoporosis Center of Memphis, Cordova, TN Seaside Pediatrics,Wilmington, NC Skin Wellness Dermatology Associates, PA, Durham, NC Southeastern MedicalOncology Center, Goldsboro, NC Spine & Pain Associates, PLLC, Sanford, NC Sunrise PediatricAssociates, Raleigh, NC TouchCare, Durham, NC Triangle Forensic Neuropsychiatry, Raleigh, NC TSI,Chapel Hill, NC Western Carolina Medical Society, Asheville, NC Women’s Health Alliance, Raleigh, NC Developed customized Privacy and Security Rule HIPAA Compliance Manuals Presented HIPAA staff training Developed Privacy and Security Rule policies and procedures Updated all materials to comply with 2013 Omnibus Final RuleInformation Technology Planning and Implementation ConsultingAvanceCare, Morrisville, NC Brandon Gynecology Associates, Charlotte, NC Carolina GI Associates,Henderson, NC Coats Medical Clinic, Coats, NC Human Resource Consultants, Chapel Hill andRaleigh, NC Impact Orthopaedics, Raleigh, NC Laing Dermatology & Skin Cancer Center, Knightdale,NC North Carolina Center for Integrative Medicine, Raleigh, NC North Carolina DermatologyAssociates, Raleigh, NC Piedmont Occupational and Urgent Care, Reidsville, NC Pinehurst PainClinic, Pinehurst, NC Plum Spring Clinic, Chapel Hill, NC Raleigh Children and AdolescentsMedicine, Raleigh, NC Ronald Patrick, MD, Cedartown, GA Sentinel Primary Care, Raleigh, NC Skin Wellness Dermatology Associates, PA, Durham, NC Spine & Pain Associates, PLLC, Sanford, NC Satinsky Consulting, llc919.383.5998Fax 919.309.0109www.satinskyconsulting.com

Triangle Forensic Neuropsychiatry, Raleigh, NC Village Pediatrics of Chapel Hill, Chapel Hill, NC WakeForest Dermatology, Wake Forest, NC Managed selection and implementation of new information technology applications and IT vendor supportRevenue Cycle Management ConsultingCabarrus ENT & Facial Plastic Surgery, Concord, NC Carolina ENT, Raleigh, NC Carolina UrologicalAssociates, Winston-Salem, NC Eastern Carolina Pediatrics, Wilson, NC Family Medical Associatesof Raleigh, Raleigh, NC Planned Parenthood Health System, Raleigh, NC Raleigh CardiologyAssociates, Raleigh, NC Sunrise Pediatric Associates, Raleigh, NC Total Family Care of Winston-Salem,Winston-Salem, NC Reviewed current revenue cycle management staffing, processes, and policies and procedures Made recommendations for changeOperational Analysis and ImprovementCarolina Ear, Nose, and Throat, Raleigh, NC Developed revenue cycle management plan Developed performance evaluation systemCarolina GI Associates, Henderson, NC Assisted recruitment of Practice ManagerEastern Medical Associates, Goldsboro, NC Greensboro ObGyn, Greensboro, NC Pediatric Neurologyof North Carolina, Cary, NC Pinehurst Pain Clinic, Pinehurst, NC Planned Parenthood Health System,Raleigh, NC Raleigh Cardiology Associates, Raleigh, NC Raleigh Pulmonary & Allergy Consultants,Raleigh, NC Sunrise Pediatric Associates, Raleigh, NC Reviewed practice structure and operations Developed strategies for operational improvementFamily Medical Associates of Raleigh, Raleigh, NC Assisted recruitment of new Executive DirectorNorth Carolina Physicians Health Program, Raleigh, NC Performed workflow analysis and made recommendations for improvement Provided guidance for human resource managementUniversity Medicine Foundation, Providence, RI Practice assessment and recommendations for improvementConsulting in Community and Academic Healthcare Settings Albtuck Family Medical Care, Barco, NCArboretum Obstetrics & Gynecology, Charlotte, NCAudrey Echt, MD, Raleigh, NCAvanceCare, Morrisville, NCBain Dermatology, Raleigh, NCBetsy Johnson Regional Hospital (PremierePediatrics of Harnett Health), Dunn, NC Boyette Orthopedics & Sports Medicine,Greenville, NCSatinsky Consulting, llc919.383.5998Fax 919.309.0109www.satinskyconsulting.com Boylan Medical Associates, Raleigh, NCBrandon Gynecology Associates, Charlotte, NCBuilding Blocks Pediatrics, Morrisville, NCBurlington Pediatric Associates, Burlington, NCBurlington Urological Associates, Burlington, NCCabarrus ENT & Facial Plastic Surgery, Concord, NCCarolina Ear, Nose, and Throat, Raleigh, NCCarolina Foot & Ankle Specialists, Gastonia, NCCarolina GI Associates, Henderson, NC

Carrboro Family Medicine, Carrboro, NCChapel Hill Internal Medicine, Chapel Hill, NCCoastal Physicians Alliance, Wilmington, NCCoats Medical Clinic, Coats, NCCornerstone Medical Center, Burlington, NCCrissman Family Practice, Graham, NCDermatology, Ltd., Media, PADurham Internal Medicine Associates, Durham, NCEastern Carolina Pediatrics, Wilson, NCEastern Medical Associates, Goldsboro, NCENT & Audiology Associates, Raleigh, NCFamily Medical Associates of Raleigh, Raleigh, NCFuquay Ophthalmology & Glaucoma, Fuquay-Varina, NCGarrett S. Bressler, MD, Durham, NCGreensboro ObGyn, Greensboro, NCHawthorne Ob-Gyn Associates, PA,Winston-Salem, NCHeadache Wellness Center, Greensboro, NCHuman Resource Consultants, Chapel Hill andRaleigh, NCImpact Orthopaedics, Raleigh, NCLaing Dermatology & Skin Cancer Center,Knightdale, NCLexington Family Physicians, Lexington, NCLifeCare Counseling & Coaching, Raleigh, NCMED-EL Corporation, Winston-Salem, NCMichael Sharp, MD, PA, Chapel Hill, NCMoore Orthopedic & Sports Medicine,Morehead City, NCNavigate Cancer Foundation, Apex, NCNorth Carolina Center for Integrative Medicine,Raleigh, NCNorth Carolina Dermatology Associates,Raleigh, NCNorth Carolina Physicians Health Program,Raleigh, NCNorthEast Ear, Nose & Throat Center,Concord, NCNorthwest Pediatrics, Greensboro, NCOrthopaedic and Sports Medicine Associates,Raleigh, NCParkway SleepHealth Centers, Cary, NCPediatric Neurology of North Carolina, Cary, NCPerformance Orthopaedic Surgery & SportsMedicine, Raleigh, NCPhysician Care Direct, Cary, NCPiedmont Occupational & Urgent Care, Reidsville, NCPinehurst Pain Clinic, Pinehurst, NCSatinsky Consulting, llc919.383.5998Fax 919.309.0109www.satinskyconsulting.com Premier Women’s Health Professionals,Henderson, NC Raleigh Cardiology Associates, Raleigh, NC Raleigh Children and Adolescents Medicine,Raleigh, NC Raleigh Emergency Medicine Associates, Raleigh, NC Raleigh Plastic Surgery Center, Raleigh, NC Raleigh Pulmonary & Allergy Consultants,Raleigh, NC Raleigh Surgical Group, Raleigh, NC Regional GI Associates, PA, Durham, NC Regional Medical Associates, Durham, NC Relevance, Durham, NC Rheumatic Disease Associates, Willow Grove, PA Rheumatology & Osteoporosis Center of Memphis,Cordova, TN Ronald Patrick, MD, Cedartown, GA Scotland Regional Comprehensive Care,Laurinburg, NC Seashore Imaging, Morehead City, NC Seaside Pediatrics, Wilmington, NC Sentinel Primary Care, Raleigh, NC Skin Wellness Dermatology Associates, PA,Durham, NC Southeastern Medical Oncology Center,Goldsboro, NC Southeastern Orthopedics Sports Medicine andShoulder Center, Raleigh, NC Spine & Pain Associates, PLLC, Sanford, NC Spine & Scoliosis Specialists, Greensboro, NC Stepping Stones Pediatrics, Raleigh, NC Sunrise Pediatric Associates, Raleigh, NC The Allergy Center, Greenville, NC Total Family Care of Winston-Salem, WinstonSalem, NC TouchCare, Durham, NC Triangle Forensic Neuropsychiatry, Raleigh, NC Triangle Surgical Associates, Cary, NC TSI, Chapel Hill, NC University Medicine Foundation, Providence, RI Village Pediatrics of Chapel Hill, Chapel Hill, NC Wake County Medical Society, Raleigh, NC Wake Forest Dermatology, Wake Forest, NC Wake Health Services, Inc., Raleigh, NC Wake Urological Associates, Raleigh, NC Watters Surgical Associates, Raleigh, NC Western Carolina Medical Society, Asheville, NC Women’s Health Alliance, Raleigh, NC

Margie Satinsky, MBA, PresidentMargie Satinsky is President of Satinsky Consulting, LLC, a medical practice consulting firm that providesservices to healthcare providers throughout North Carolina. Her areas of expertise include informationtechnology planning, strategic business planning, managed care rate negotiation and contract review, marketing,operations improvement, HIPAA Privacy and Security Rule training, and medical practice start-up. Margie wasformerly the Managing Director of a Chapel Hill pediatric specialty practice, the President of the ReXMeDPhysician Hospital Organization, and the Director of Managed Care Contracting and Operations for the DukeHealth System. She has a BA in history from Brown University, an MA in political science from the Universityof Pennsylvania, an MBA from the Wharton School at the University of Pennsylvania, and advanced training inhealthcare negotiation and conflict resolution from the Harvard School of Public Health.Margie is the author of several books on healthcare, including her new Handbook for Medical PracticeManagement in the 21st Century. She is a frequent speaker for healthcare professionals, a regular writer forthe North Carolina Medical Board, and a member of Medical Group Management Association (MGMA) andNorth Carolina Medical Managers.Special Medical Community Relationships Adjunct Faculty, University of North Carolina School of Public Health (courses on healthcare consulting andphysician practice management); Faculty Member, Duke Medical Center’s Business of Medicine Program forresidents Consultant, Buncombe County Medical Society, MAG Mutual Insurance Company, North Carolina MedicalSociety Member, North Carolina Medical Society Clinical Quality and Health Care Financing Committ

Satinsky Consulting, llc 919.383.5998 Fax 919.309.0109 www.satinskyconsulting.com Carrboro Family Medicine,