DEPARTMENT OF LABOR

Employment and Training Administration

TA-W-80,070

CBIZ MEDICAL MANAGEMENT PROFESSIONALS
FORMERLY RENO RADIOLOGICAL ASSOCIATES
A SUBSIDIARY OF CENTURY BUSINESS SERVICES
RENO DIVISION
RENO, NEVADA

Notice of Revised Determination
on Reconsideration

The initial investigation, initiated March 25, 2011, resulted
in a negative determination, issued on May 27, 2011 that was based
on the absence of a produced article. The determination was
applicable to workers and former workers of CBIZ Medical Management
Professionals, formerly Reno Radiological Associates, a subsidiary
of Century Business Services, Reno Division, Reno, Nevada. The
notice of negative determination was published in the Federal
Register on June 17, 2011 (76 FR 35477). CBIZ Medical Management
Professionals supplies medical billing and medical coding services.
The subject worker group does not include any on-site leased or
temporary workers.
As required by the Trade Adjustment Assistance (TAA) Extension
Act of 2011 (the TAAEA), the investigation into this petition was
reopened for a reconsideration investigation to apply the
requirements for worker group eligibility under chapter 2 of title
II of the Trade Act of 1974, as amended by the TAAEA, to the facts
of this petition.
Based on information reviewed during the reconsideration
investigation, the Department of Labor determines that the worker
group meets the requirements for eligibility to apply for trade
adjustment assistance.
Section 222(a)(1) has been met because a significant number
or proportion of the workers at CBIZ Medical Management
Professionals, Reno, Nevada, have become totally or partially
separated, or are threatened with such separation.
Section 222(a)(2)(B) has been met because CBIZ Medical
Management Professionals has acquired from a foreign country the
supply of services like or directly competitive with the medical
billing and medical coding services supplied by the subject workers
which contributed importantly to worker group separations at CBIZ
Medical Management Professionals, Reno, Nevada.
Conclusion
After careful review, I determine that workers of CBIZ Medical
Management Professionals, formerly Reno Radiological Associates, a
subsidiary of Century Business Services, Reno Division, Reno,
Nevada, who were engaged in employment related to medical billing
and medical coding services, meet the worker group certification
criteria under Section 222(a) of the Act, 19 U.S.C. § 2272(a). In
accordance with Section 223 of the Act, 19 U.S.C. § 2273, I make
the following certification:
"All workers of CBIZ Medical Management Professionals,
formerly Reno Radiological Associates, a subsidiary of Century
Business Services, Reno Division, Reno, Nevada, who became
totally or partially separated from employment on or after
March 24, 2010, through two years from the date of this
certification, and all workers in the group threatened with
total or partial separation from employment on December 20,
2011 through two years from the date of certification, are
eligible to apply for adjustment assistance under Chapter 2 of
Title II of the Trade Act of 1974, as amended.”
Signed in Washington, D.C., this 25th day of November, 2011

/s/ Del Min Amy chen
______________________________
DEL MIN AMY CHEN
Certifying Officer, Office of
Trade Adjustment Assistance




DEPARTMENT OF LABOR
Employment and Training Administration
TA-W-80,070

CBIZ MEDICAL MANAGEMENT PROFESSIONALS
FORMERLY RENO RADIOLOGICAL ASSOCIATES
A SUBSIDIARY OF CENTURY BUSINESS SERVICES
RENO DIVISION
RENO, NEVADA

Negative Determination Regarding Eligibility
To Apply For Worker Adjustment Assistance
And Alternative Trade Adjustment Assistance

In accordance with Section 223 of the Trade Act of 1974, as
amended (“Act”), 19 U.S.C. § 2273, the Department of Labor herein
presents the results of an investigation regarding certification of
eligibility to apply for worker adjustment assistance.
Workers of a firm may be eligible for worker adjustment
assistance if they satisfy the criteria of subsection (a) and (b)
of Section 222 of the Act, 19 U.S.C. § 2272(a) and (b). For the
Department of Labor to issue a certification for workers under
Section 222(a) of the Act, 19 U.S.C. § 2272(a), the following three
criteria must be met:
(1) The first criterion (set forth in Section 222(a)(1) of the
Act, 19 U.S.C. § 2272(a)(1)) requires that a significant
number or proportion of the workers in such workers' firm, or
an appropriate subdivision of the firm, have become totally or
partially separated, or are threatened to become totally or
partially separated
(2) The second criterion (set forth in Section 222(a)(2) of the
Act, 19 U.S.C. § 2272(a)(2)) may be satisfied in one of two
ways:
(A) Increased Imports Path:
(i) sales or production, or both, at the workers’ firm must
have decreased absolutely, AND
(ii) imports of articles like or directly competitive with
articles produced by such firm or subdivision have
increased; and
(iii) the increase described in clause (ii) contributed
importantly to such workers’ separation or threat of
separation and to the decline in the sales or
production of such firm or subdivision.

(B) Shift in Production Path:
(i) there has been a shift in production by such workers’
firm or subdivision to a foreign country of articles like
or directly competitive with articles which are produced
by such firm or subdivision; and
(ii)(I) the country to which the workers’ firm has
shifted production of the articles is a party to a free
trade agreement with the United States;
(II)the country to which the workers’ firm has
shifted production of the articles is a beneficiary
country under the Andean Trade Preference Act, African
Growth and Opportunity Act, or the Caribbean Basin
Economic Recovery Act; or
(III)there has been or is likely to be an increase in
imports of articles that are like or directly
competitive with articles which are or were produced by
such firm or subdivision.

For the Department to issue a secondary worker certification
under Section 222(b) of the Act, 19 U.S.C. § 2272(b), to workers of
a Supplier or a Downstream Producer, the following criteria must be
met:
(1) a significant number or proportion of the workers in the
workers’ firm or an appropriate subdivision of the firm
have become totally or partially separated, or are
threatened to become totally or partially separated;

(2) the workers’ firm is a Supplier or Downstream Producer to
a firm that employed a group of workers who received a
certification of eligibility under Section 222(a) of the
Act, 19 U.S.C. § 2272(a), and such supply or production
is related to the article that was the basis for such
certification; and

(3) either
(A) the workers’ firm is a supplier and the component parts
it supplied to the firm described in paragraph (2)
accounted for at least 20 percent of the production or
sales of the workers’ firm; or
(B) a loss of business by the workers’ firm with the firm
described in paragraph (2) contributed importantly to the
workers’ separation or threat of separation.


Section 222(c) of the Act, 19 U.S.C. § 2272(c), defines the
terms “Supplier” and “Downstream Producer.”
The investigation was initiated in response to a petition
filed on March 25, 2011 by a Nevada state workforce official on
behalf of workers of CBIZ Medical Management Professionals,
formerly Reno Radiological Associates, a subsidiary of Century
Business Services, Reno Division, Reno, Nevada. The workers’ firm
is engaged in activities related to the supply of medical billing
and practice management services.
The petitioner alleges that services like those provided by
the worker group have been shifted to India. During the course of
the investigation, information was collected from the workers’
firm.
The investigation revealed that CBIZ Medical Management
Services, formerly Reno Radiological Associates, does not produce
an article within the meaning of Section 222(a) or Section 222(b)
of the Act. Rather, the firm supplies medical billing and practice
management services. In order to be considered eligible to apply
for adjustment assistance under Section 223 of the Trade Act of
1974, the worker group seeking certification (or on whose behalf
certification is being sought) must work for a “firm” or
appropriate subdivision that produces an article. The definition
of a firm includes an individual proprietorship, partnership, joint
venture, association, corporation (including a development
corporation), business trust, cooperative, trustee in bankruptcy,
and receiver under decree of any court.
In order for the Department to issue a certification of
eligibility to apply for alternative trade adjustment assistance
(ATAA), the worker group must be certified eligible to apply for
trade adjustment assistance (TAA). Since the workers are denied
eligibility to apply for TAA, the workers cannot be certified
eligible for ATAA.
Conclusion
After careful review of the facts obtained in the
investigation, I determine that all workers of CBIZ Medical
Management Professionals, formerly Reno Radiological Associates, a
subsidiary of Century Business Services, Reno Division, Reno,
Nevada are denied eligibility to apply for adjustment assistance
under Section 223 of the Trade Act of 1974, and are also denied
eligibility to apply for alternative trade adjustment assistance
under Section 246 of the Trade Act of 1974.
Signed in Washington, D.C., this 27th day of May, 2011



/s/Michael W. Jaffe______
MICHAEL W. JAFFE
Certifying Officer, Office of
Trade Adjustment Assistance




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