How do I test my PT/INR from home? Enroll with PHM A quick call to an enrollment specialist at 1 (877)-811-9690 gets you started.

Your in-home meter By the time PHM has delivered your travel friendly PT/INR testing meter, you will have already been instructed on its use by your physician's staff.

Weekly self tests - Taking the test PHM will ensure that you always have enough supplies to perform your test once every seven days. Your PT/INR Result In less than a minute, the meter will display your PT/INR.

Your PHM case manager After calling 1-877-811-9690, tell your personal case management team the result you see on the screen.

Your case manager reports to your physician At this point the case management team will have everything they need to send a report to your physician. The whole process takes less than 5 minutes.

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1 (877) 811-9690

Why should I be interested Interested in PT/INR patient self testing (PST) PT/INR Patient Self Testing (PST) is a Medicare covered diagnostic PT/INR test performed once-a-week by a patient in their home. • Patients on Coumadin™ (or warfarin) are required to have periodic PT/INR tests to help their physician manage their Coumadin™ dosing regimen. • Historically, the patient would travel to a clinic to have their blood drawn and their PT/INR analyzed. • Recently, several high profile clinical trials have shown that once-a-week in-home PT/INR testing has dramatic benefits to the patient compared with monthly testing at the lab. • Testing once-a-week at home, patients studied showed a decrease across the board in complications associated with Coumadin™ therapy. • Additionally, weekly testing showed that patient PT/INR levels were safely within their therapeutic range 30% more than with monthly lab testing. • In response to this compelling data, Medicare expanded reimbursement coverage for weekly patient self testing.

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1 (877) 811-9690

Data your physician uses to determine the benefits of in-home testing In-home Coagulation Testing Health Benefits and Studies A ten-year follow-up of the Early Self-Controlled Anticoagulation study (ESCAT) demonstrated a 33% increase in survival compared to conventional therapy1. An analysis of studies on Patient Self Testing revealed that "patients capable of self-monitoring their warfarin therapy could benefit from a 1/3 reduction in death from all causes2." • Decrease TE (stroke) events by 55% • Decrease Major Hemorrhagic events by 35%. • Decrease "all cause" mortality by 39%.

Summary PST allows the patient the freedom to enjoy anywhere testing while still working with their physician to manage their Coumadin™ or warfarin therapy. PST improves clinical outcomes, with reductions in TE (stroke) and hemorrhagic events1.

1 Koertke, H. et al. Ann Thoracic Surg 2007; 83: 24-9 2 Heneghan, C. et al. Lancet 2006; 367: 404-11

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What this costs – your insurance coverage for this service We'll make sure you're covered before you enroll… • Patient Home Monitoring’s patient PT/INR testing program is covered by Medicare and private insurers. • When you call PHM, our team of insurance experts work to ensure you are covered before you enroll. • Under this coverage, our service is provided at little or no cost to you. If there is a co-payment, we will provide that information to you. • For certain patients, PHM has a special program to cover any unexpected costs your insurer may not.

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1 (877) 811-9690

How PHM works for you At PHM, each step of the way, you are supported by our full team.

• Your case management team personally monitors and assists you with every aspect of the in-home testing process.

• Our insurance team individually ensures you’re covered for our service before you are enrolled.

• Our logistics team ensures you have everything you need to test at home, before you need it.

• Our clinical support team works behind the scenes to make sure your doctor’s office is up to date on your results. • Your doctor’s office will call you if you need to change your dosage.

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1 (877) 811-9690

Your PHM case management team there for you Upon enrollment, PHM designates a case management team just for you. We want to make sure that a person you know, and not just a machine, records your test results. After all, this is your health we are talking about. Your personal case manager, and their team is there to support your in-home testing needs while ensuring that your test results are always within your doctor's reach. Your case management team provides a seamless connection between you and your physician. Your care is their top priority, but that's only where their service begins. Additionally, you can count on your case management team to:   • Schedule a reminder call the day before your test. • Make sure you have all your testing supplies before you need them. • Support you if your once-a-week testing strips do not work properly on first use. • Answer any questions you have about your in-home self testing. • Provide you with access to personal use testing strips* at a competitive price.

*Personal use testing strips, which can be used more than once-a-week, may not paid for by Medicare or private insurers.

www.phmhometesting.com

1 (877) 811-9690

Training on the in-home meter at your physician’s office Who better to teach you how to use your in-home meter than the professionals at your current physician’s office? Portable in-home PT/INR meters are simple to use. Before you begin testing at home, however, the staff at your physician’s office will teach you how to use your new PT/INR meter. • PHM has access to your physician’s training calendar, allowing us to schedule training on a day that’s best for you. • The instruction itself takes no longer than a regular visit to your physician. • You will be instructed by your physician’s staff at their office or clinic. • You will get to keep all of the reference materials received during your instruction. • The in-home PT/INR test is a simple, finger stick test that takes less than a minute. We value your relationship with your current Physician. PHM helps your physician manage your healthcare. We ensure that your physician has everything they need to serve you best. • We coordinate with your physician's staff. • We work with your clinician to determine your eligibility for Patient Self Testing. • Your personal case management team communicates with your clinician on a weekly basis, providing prompt updates on your PT/INR status.

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1 (877) 811-9690

PHM's commitment to you Our commitment to your health starts with you… • Our insurance specialists ensure our service is covered by your insurer before you are enrolled. • Your personal case management team will ensure you receive the maximum health benefit with our in-home testing program. • Your case management team will always ensure that your results reach your physician’s hands promptly and accurately. • We supply you with the latest FDA approved, reliable patient self testing meters currently available and we pre-ship testing strips to your home before your supply runs low. …and continues with your physician. • We assign a clinical support team to support your physician’s staff in your transition to our in-home patient testing program. • We work within the existing framework of your physician’s systems so they can focus on managing your health. www.phmhometesting.com

1 (877) 811-9690