ASA Sales Rep Deck Handout.v 3.13

Allergy Services of America, LLC

Clinical Service Options for Physician Practices
Allergy Immunotherapy

Confidential

Table of Contents

• Introduction to Allergy Services of America, LLC
• Executive Team
• Mission
• Business Model Overview
• Clinical Approach
• Business Model Development
• Summary

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Introduction to ASA

Team • Richard C. Wright, Scott Sumrall, Abdul Ibrahim, Ryan Sullivan MD, Richard Becker MD
• Seasoned healthcare professionals with complimentary skills in healthcare management

Key • ASA provides allergy services to physicians in their practice
Pillars • ASA delivers safe and effective allergy testing and immunotherapy

Services • Provide custom allergy services to physicians under the direction of a board certified allergist and
clinical staff

• Environmental, Food and Penicillin Testing, Scratch/Prick and Intradermal Testing
• Immunotherapy: Subcutaneous and Sublingual
• Spirometry

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Executive Team

Richard C. Wright Scott Sumrall Abdul Ibrahim
President Executive Vice President Executive Vice President

• 35+ years healthcare • Extensive experience in • 35+ years of professional
management and transaction facilities development and experience in the diagnosis
experience outpatient services and treatment of allergies and
asthma
• Highly recognized and • Co-founded Texscan MRI,
experienced acute and which provided outpatient • More than 10 years of clinical
outpatient acquisitions imaging services throughout trials and study research in the
specialist Texas areas of allergy, asthma and
immune related diseases
• Lead on UHS acute care • Regional Director of Imaging
transactions, development, Services for Image America • Director of Clinical Trials
acquisitions, divestures and Department ENT & Allergy
strategic planning • Regional Sales Director for Specialists
Dominion Diagnostics
• American Medicorp leadership • Internationally published
and development for 8 years
prior to UHS

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Executive Team

Ryan Sullivan, MD Richard Becker, MD
Medical Director Senior Advisor

• Fellowship in Allergy, Asthma • 25+ years of medical leadership
and Immunology at the and clinical experience
University of Kansas
• Former CEO of The George
• Board certified by the Washington University Hospital
American Board of Internal and The Brooklyn Hospital
Medicine as well as the Center
American Board of Allergy and
Immunology • Senior healthcare investment
advisor to multiple private
• Member of the American equity firms
Academy of Allergy, Asthma,
and Immunology and of the • Board certified in Anesthesiology
American College of Allergy, and Critical Care Medicine
Asthma, and Immunology

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Our Mission

“Provide access to high quality allergy services for patients suffering from a variety of allergic symptoms”

Primary Care • Family Practice and Internal Medicine
Access • Pediatrics
• General ENT and Pulmonary Medicine
• Multi-provider (5+ including NP’s and PA’s) independent practices

Additional • Acute care hospitals and health care systems
Access • Rural hospitals
• Critical Access hospitals

ASA Impact • ASA provides allergy diagnostics and testing services in four States with over 10,000
thousand patients tested and 45,000 treatments administered in 2016

• Currently over 1,200 patients on active immunotherapy
• Excellent patient, physician and staff satisfaction with no reported adverse or symptomatic

reactions

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Business Model Overview

ASA’s turnkey process allows physicians to stand up an allergy platform within their practices

Initial Process • Physicians complete a practice analysis form located on ASA website (www.asallc.net)
• ASA develops provider proforma
• Provider enters into Provider Services Agreement (PSA) with ASA
• Provider allocates space, certain equipment and supplies
• Provider ensures internet and phone access and connectivity
• ICD 10 analysis for allergy related codes in existing practice
• Provide ASA with EHR access

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Business Model Overview

Lab commissioning process manages all aspects to initiate safe and efficient delivery of allergy services

Commissioning • Lab is commissioned under physician license, and ASA performs services under the
the Allergy Lab physician’s license

• Provider allocates space, certain equipment and supplies

• ASA recruits and provides training to allergy technician and providers

• ASA purchases antigens, medical supplies and minor equipment

• ASA provides policies, procedures and protocols to ensure safety, sanitation, sterilization
and compliance

• ASA delivers all process materials (blue sheets / symptom identification forms) for
circulation to patients in advance of patient/provider encounter

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Business Model Overview

ASA operates high quality allergy labs that precisely follow established and accepted national protocols

Operating • Physician refers patient for allergy consultation
the Allergy Lab • ASA trained allergy technician evaluates patient and performs appropriate testing
• Clinical director reviews test results and develops specific treatment recommendations
• Provider reviews and approves treatment recommendations
• ASA’s allergy lab prepares customized immunotherapy treatment
• After full patient consent obtained, allergy tech administers treatment as prescribed by

physician
• Allergy tech performs all documentation and posts to ASA and physician practice EHR
• ASA completes ”superbill” and transmits to physician practice business office for processing
• Provider bills and collects for services rendered; ASA bills fee per procedure
• Provider retains operating profit from delivery of allergy diagnostic and treatment services

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Clinical Approach

Initial patient evaluation ensures proper identification of candidates for immunotherapy

Thorough and • Provider performs an initial ENT evaluation, including review of systems
Efficient Clinical • Provider refers appropriate patients for allergy consultations
• Allergy Technician performs Spirometry, Scratch/Prick Test and Intradermal Test
Process • Provider determines if patient is a candidate for immunotherapy
• Compliant with AAAAI & ACAAI protocols

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Clinical Approach

Symptom / Syndrome identification is a complete process consistent with the highest practice standards

Patient History and Physical Examination ICD-10 Search
Review of Symptoms

Form

Symptoms Conjunctivitis Common Asthma Symptoms

• Sneezing • Redness of the eye • Cough
• Runny nose • Redness of the inner eyelid • Shortness of breath
• Itchy nose • Increased amount of • Chest tightness
• Post nasal drip • Wheezing
• Stuffy nose tearing

• Itchy eyes
• Swelling of the eyelid

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Business Model Development

Complete Medical Practice and Payor Analysis Ensures Success from the Beginning

• ASA utilizes existing practice data to develop annualized projections for allergy services
• ASA proforma analysis will include revenue, expense and profit projections based upon existing practice data

Data Sheet: Annual Case Volume for Common Allergy CPT codes by Payor

95004 95024 95165 94010
(Allergy Prick Test) (Intradermal Injection) (Immunotherapy 1 year) (Spirometry)

BCBS
UHC
Humana
Aetna
Cigna
Medicaid
Medicare

Other:

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Business Model Development

Sample fee schedule illustrates typical procedure and treatment reimbursements

Common CPT Codes and Sample Reimbursements

CPT Procedure Total Unit Total Payor
Code Description Reimbursement
Units Reimbursement

95004 Allergy Prick Test 40 $6.26 $250.40
95024 Intradermal 35 $7.25 $253.75
95165 300 $12.00 $3600.00
94010 Immunotherapy 1 year 1 $39.50
95115 Spirometry 1 $8.17 $39.50
95117 1 $9.48 $8.17
Injection single $9.48
Injection (Multi)

• Sublingual Immunotherapy (SLIT) is typically $900/yr and is not typically reimbursed by payors.
• ASA offers annual, semiannual and quarterly payment plans SLIT patient convenience

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SuSmummamryary

Allergy Services of America provides access to modern, high quality allergy diagnostic and
treatment services, improves patient satisfaction and enhances physician practice revenue

ASA / Physician • Respond to the growing shortage of allergists, ASA provides real time diagnosis and allergy
partnerships treatment services for primary care practices
aligned for
mutual benefit • Convenience and control of treatment with program administered under the direction of a
Board Certified Allergist with testing performed by qualified Allergy Technicians

• ASA’s turnkey approach expands primary care services while often improving practice
efficiency

• ASA business model provides practice with significantly increased ancillary revenue

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Contact Information

Richard C. Wright Scott Sumrall Abdul Ibrahim

President Executive Vice President Executive Vice President
(919) 240-7556 (214) 384-9013 (484)995-5019
[email protected] [email protected] [email protected]

Ryan Sullivan, MD Richard Becker, MD

Medical Director Senior Advisor
(615) 585-5549 (347) 852-3664
[email protected] [email protected]

A ergy Services f A erica C

501 Eastowne Drive | Chapel Hill, NC 27514 | Tel (919) 240-7556 | Fax (919) 240-4926 | Web www.asallc.net

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Allergy Services of America, LLC

Pr vidi g c passi ate a d patie t care

Confidential