DEPARTMENT OF LABOR

Employment and Training Administration

TA-W-91,844

MEDIGAIN, LLC
FORMERLY MILLENNIUM PRACTICE MANAGEMENT ASSOCIATES
UPPER SADDLE RIVER, NEW JERSEY

TA-W-91,844A

MEDIGAIN, LLC
FORMERLY MILLENNIUM PRACTICE MANAGEMENT ASSOCIATES
INCLUDING ON-SITE LEASED WORKERS FROM
RANDSTAD PROFESSIONALS
PLANO, TEXAS

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 May 25, 2016, by the State of New Jersey on behalf of
workers of MediGain, LLC, formerly Millennium Practice Management
Associates, Upper Saddle River, New Jersey (TA-W-91,844) and
MediGain, LLC, formerly Millennium Practice Management
Associates, including on-site leased workers from Randstad
Professionals, Plano, Texas (TA-W-91,844A) (hereafter
collectively referred to as "MediGain, LLC"). The workers' firm
is engaged in activities related to the supply of medical billing
and revenue cycle management services, such as credentialing,
coding, billing, posting, patient and client services, and
practice management reporting services. Workers are separately
identifiable by service supplied.
Section 222(a)(1) has been met because a significant number
or proportion of the workers in MediGain, LLC 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 services like or
directly competitive with the medical billing and revenue cycle
management services supplied by the workers which contributed
importantly to worker group separations at MediGain, LLC.
Conclusion
After careful review of the facts obtained in the
investigation, I determine that workers of MediGain, LLC, who are
engaged in activities related to the supply of medical billing and
revenue cycle management 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 MediGain, LLC, formerly Millennium Practice
Management Associates, Upper Saddle River, New Jersey (TA-
W-91,844) and MediGain, LLC, formerly Millennium Practice
Management Associates, including on-site leased workers
from Randstad Professionals, Plano, Texas (TA-W-91,844A),
who became totally or partially separated from employment on
or after May 24, 2015, 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 12th day of August 2016.
/s/Del Min Amy Chen
______________________________
DEL MIN AMY CHEN
Certifying Officer, Office of
Trade Adjustment Assistance