DEPARTMENT OF LABOR

Employment and Training Administration

TA-W-90,080

CONIFER REVENUE CYCLE SOLUTIONS, LLC
WORKING ON-SITE AT MERCY MEDICAL CENTER
INCLUDING WORKERS WHOSE WAGES WERE REPORTED THROUGH
CONIFER HIM & REVENUE INTEGRITY SERVICES, LLC
DES MOINES, IOWA

Certification Regarding Eligibility
To Apply for Worker 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.
The group eligibility requirements for workers of a firm
under Section 222(a) of the Act, 19 U.S.C. § 2272(a), are
satisfied if the following criteria are met:
(1) a significant number or proportion of the
workers in such workers' firm have become totally or
partially separated, or are threatened to become
totally or partially separated;
(2)(B)(i)(I) there has been a shift by the workers'
firm to a foreign country in the production of
articles or supply of services like or directly
competitive with those produced/supplied by the
workers' firm; OR
(II) there has been an acquisition from a
foreign country by the workers' firm of
articles/services that are like or directly
competitive with those produced/supplied by
the workers' firm; AND
(ii) the shift/acquisition must have contributed
importantly to the workers' separation or
threat of separation.

The investigation was initiated in response to a petition
filed on July 30, 2015 by a State Workforce Office on behalf of
workers of Conifer Revenue Cycle Solutions, LLC, working on-site
at Mercy Medical Center, Des Moines, Iowa (herein referred to as
"Conifer" or "worker group" or "workers' firm"). The worker
group also consists of workers whose wages were reported through
Conifer HIM & Revenue Integrity Services, LLC. The worker group
is engaged in activities related to the supply of medical
transcription services.
During the course of the investigation, information was
collected from the workers' firm.
Section 222(a)(1) has been met because a significant
number or proportion of the workers in such workers' firm have
become totally or partially separated, or are threatened to
become totally or partially separated.
Section 222(a)(2)(B) has been met because the workers'
firm has shifted to a foreign country the supply of a service
like or directly competitive with the service supplied by the
workers which contributed importantly to worker group
separations at Conifer.


Conclusion
After careful review of the facts obtained in the
investigation, I determine that workers of Conifer Revenue Cycle
Solutions, LLC, working on-site at Mercy Medical Center,
including workers whose wages were reported through Conifer HIM
& Revenue Integrity Services, LLC, Des Moines, Iowa, who are
engaged in activities related to the supply of medical
transcription 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 Conifer Revenue Cycle Solutions, LLC,
working on-site at Mercy Medical Center, including workers
whose wages were reported through Conifer HIM & Revenue
Integrity Services, LLC, Des Moines, Iowa, engaged in
activities related to the supply of medical transcription
services who became totally or partially separated from
employment on or after January 1, 2014, through two years
from the date of certification, and all workers in the
group threatened with total or partial separation from
employment on the date of certification 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 23rd day of October, 2015

/s/Hope D. Kinglock
______________________________
HOPE D. KINGLOCK
Certifying Officer, Office of
Trade Adjustment Assistance