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2010 Healthcare Reform – How It Could Affect Medical Billers and Coders

Did You Know: Medical Billing and Coding Blog is part of a network of blogs that discuss careers in the allied healthcare field.  Check out our friends over at Medical Administrative Assisting Blog.

President Obama won a hard-fought battle last week.  After months of stalled progress and fiercely partisan debate, the House passed a sweeping health care reform bill with a vote of 219-212.  The $940 billion plan will completely reorganize the American medical system, extending coverage to roughly 32 million additional Americans.

There is coverage of this bill from every major news organization: CNN, NPR, and New York Times to name a few.  The topic is also being discussed across Twitter and the blogosphere.

So how exactly does the bill affect people working in the allied healthcare field?  Whether you agree or disagree with Obama’s policies, it is important to know how they affect you as a medical biller and coder.

  1. The bill increases coverage to 32 million additional Americans by requiring most Americans and businesses to have some kind of insurance plan or pay a fine.
  2. Parents will be allowed to keep their children on their health care plans until they are 26.
  3. Reform will eliminate discrimination based on pre-existing conditions or medical history.  If an individual hasn’t been able to get coverage because of a pre-existing condition, a ban on discrimination for adults will take effect in 2014. Additionally, a pool will be set up for high risk adults to get coverage until 2014. For those of you who have a child with a pre-existing condition, a ban on discrimination for children will take effect immediately.

External sources:  HealthReform.gov, New York Times Health Care Reform Overview

Prediction: All of these provisions, combined with the billions going to electronic health records, predict an increased need for billing and coding specialists in doctors’ offices.  The sudden spike in the number of patients seeking care combined with rapidly changing electronic health records systems could mean more jobs in the allied healthcare field.

Discussion

136 Responses to “2010 Healthcare Reform – How It Could Affect Medical Billers and Coders”

  1. I think the information provided was useful thank you

    Posted by Cathy Wassink | October 14, 2010, 3:37 pm
  2. Thank-you this is some useful information, great article

    Posted by Kimberly | November 21, 2010, 11:30 am
  3. the rising cost of healthcare will affect not only today’s society during this diffucult time but also the people that stand behind making sure that the physican’s offices, hospitals, and insurance companies are equipped with personnel that will be able to accurately code and bill the third party to make sure they are reimbursed for their services.

    Posted by Pamala Williams | November 28, 2010, 1:22 pm
  4. I think this was informative. It reinforces that when we are done with school there will be plenty of work available out there.

    Posted by Lori Vicari | December 4, 2010, 4:17 pm
  5. General Electric is one of several major corporations who have invested in creating the best and most efficient system of electronic medical records (EMR).
    It affct the biller and coder by having more to code and more work for them. For they must make sure they are using the right codes, for what services the doctors did for the patient. It does mean that without them biller and coders claims will not be process and sent out to thid party payers, so that everyone can and will be paid for services done.

    Posted by Mary Cruz | December 5, 2010, 11:47 am
  6. This most certainly effects us MB&C’ers. Any type of medical reform is going to make the third-party payers carefully look over those claim forms; it is our job to make sure they are coded correctly so that the maximum amount of reimbursement is received. I feel we will see a surge in the market for MB&Cer’s.

    Posted by Stephanie Marlow | December 6, 2010, 1:23 am
  7. This most certainly affects medcial billers and coders. They have to make every effort to get every claim form correct. In today’s fast paced world, we must make every effort to a good and error free job.

    Posted by FREDNA SEARCY | December 7, 2010, 5:36 am
  8. I see this as making medical coders and billers a lot busier(a good thing). It’s going to give more people easier access to health care, not sure how affordable it will be, but will have easier access. The medical coder and biller will definately have to keep on their toes to stay abreast of any changes that come along. They will most certainly be changing almost daily.

    Posted by Frances Bishop | December 7, 2010, 6:05 pm
  9. I think because of the new healthcare reform President Obama put in place there is sure to be an uprise in many Americans needing medical assistance they couldn’t get in the past, especially children and young adults. This will most likely effect medical billing and coding because there will be a greater need for the profession due to the increase of more Americans being covered by healthcare insurance.

    Posted by VANESSA OGLESBY | December 8, 2010, 8:19 pm
  10. The new laws for health care are going to be enacted over a period of time. We,as coders, will have to stay on our toes to keep up with the changes. Having a good customer service attitude will be an asset in the coming years, due to the fact more Americans will have insurance.

    Posted by Gail Dishman | December 9, 2010, 7:39 pm
  11. Very informative information.

    Posted by Dawn Edwards | December 10, 2010, 6:38 am
  12. I think this is going to solidify our jobs out there in the work force now that it is giving people more access to insurance and taking away pre-esisting condition discrimmination.

    Posted by Suzette Moore | December 10, 2010, 7:17 am
  13. It seems with the changes they will be a biggeer need for coders and billers. There are some good changes and some bad. One of the good is parents will be able to insure their children longer. One of the bad is to make business carry some kind of insurance or be fined. It is good and bad because there are alot of jobs out there that don’t have insurance.

    Posted by Barbara NcCue | December 10, 2010, 3:48 pm
  14. The new laws are one of the reasons I started in this field. The future for MB&C is secure and even more wide open due to the new healthcare law. This is the market trend I was looking to get ahead of.

    Posted by Shawn Bethay | December 11, 2010, 3:27 pm
  15. Being very new to the field of medical billers and coders I realize how important these positions are. Still in school and knowing there is still a lot to learn. I’m looking forward to doing this very important work.

    Posted by Vivian Arrington | December 12, 2010, 12:20 am
  16. Very Informative. I think it will be a slow gradual process, but within the next couple of years doctors and medical professions will see an increase in work and a need for more experienced healthcare professionals.

    Posted by Pat Schettle | December 12, 2010, 9:18 am
  17. The article on 2010 Healthcare Reform will impact medical billing and coders greatly. The need for more coders will come into play because the new law will give health insurance to at least 32 more million Americans as well as to those who had preexisting conditions that denied them of health care. Also parents keeping there kids on their coverage until they are 26 will also bring in an influx of people into the physicans offices. That means the medical billing and coding positions will become more in demand.

    Posted by Jo Washington | December 12, 2010, 12:50 pm
  18. I think this is very helpful to each and every one of us, because if it wasn’t for the health care reform bill or health care period their wouldn’t be any jobs for the biller and coders. This motivate me to do my best and get out there and get my feet wet.

    Posted by Christy Wiggins | December 12, 2010, 5:01 pm
  19. The huge increase of insured Americans will mean that Billers/ Coders will be in great demand. We will need to stay diligent in keeping up with the changes that will take effect so we will be effective in our jobs.

    Posted by Kathie Cawthon | December 12, 2010, 6:03 pm
  20. very informative.

    Posted by vangie hyde | December 13, 2010, 11:14 pm
  21. I feel this is a great plan, more jobs and people getting the help they need. Enough with just looking at someone sick and can’t do anything for them, this way they will get the help with or without insurance. It’s about time someone tries to think about the people who are sick and also there will be more positions for coders and billing. This statement very well put thank you!

    Posted by Carrie Brown | December 18, 2010, 1:50 pm
  22. Wow. This is good news for us that are going into the medical billing and coding field like me. This article is very informative and up-to-date.

    Posted by Janice Austin | December 18, 2010, 7:47 pm
  23. This article was helpful in answering some of my questions about the healthcare reform. It’s good to know that there will no longer be any discrimination in getting health care based on the patients medical history or pre-existing conditions.I wasn’t aware of the fine which could be imposed on those who still don’t obtain some type of coverage. I plan to research that.I knew it was a wise decision to seek training for employment in the healthcare field. Now I see that there will be a greater need for medical billers and coders with more patients in the system, and more services to be reimbursed. Glad I’m learning this!

    Posted by DeLores Way | December 23, 2010, 8:46 am
  24. The article answered some of my questions about health care reform. I also think there will be a bigger demand for Medical Billers and coders.

    Posted by carla dailey | December 26, 2010, 7:44 am
  25. Very informative. Gives people like us in school a future to look forward to.

    Posted by Michelle Michael-Smith | December 27, 2010, 1:28 pm
  26. This was an interesting article. I didn’t get into wanting to know much about anything political. This has taught me that I need to pay a little more attention and that the field I am going into was a good choice. There was very good information.

    Posted by Rebecca Gray | January 1, 2011, 6:24 pm
  27. With the new heath care bill and all the new regulations, this will put a big strain on not only the receptionists but the physicians. If they do not do their jobs correctly, then as a medical biller and coder we can not do our job right. All pre-existing conditions will have to be listed in the patients charts, and if it is a new patient this is especially important. Simple reason being if a current medical condition is a result of this pre-existing condition it will have to be coded.
    If there are 32 million Americans without healthcare coverage, and by the year of 2014 they are all going to be eligible for coverage, my question is do we have enough physicians? Getting 32 million medical bills billed and coded will be a strain not only on the medical biller and coder, but also on the third party payer.
    This is where the new IBM system will come into play. The electronic medical records system will benefit all involved. It is going to make work much easier and faster for the medical biller and coder as it can retrieve stored information much faster, and it will increase performance as data entry is much more efficient.
    From a cost factor for physicians and medical field, it will be less per transaction to file, it helps to provide better services to the patients, it will help to lower operating costs, and it should improve amount of productivity.
    So even though there maybe 32 million more Americans that will be getting health insurance and will want to be seen by a physician or have medical attention; with the improvement of electronic medical records by IBM this will help process the increased medical records. As the proverb goes one hand washes the other. One good turn deserves another? This is where the new IBM system will come into play.

    Posted by teresa wolcott | January 1, 2011, 8:22 pm
  28. Very informative information.

    Posted by lacy lee | January 2, 2011, 9:35 am
  29. The article has answered my questions about healthcare reform and Medical Billing and Coding. It looks like the health professionals has told me right saying more jobs for Medical Billers and Coders. It looks like I picked the right field to study.

    Posted by Sharon Hill | January 3, 2011, 1:30 am
  30. As a student of Medical Coding we need to be inform in the changes in the healthcare reform. This is a great tool to be inform.

    Posted by Agnes Mendez | January 5, 2011, 7:16 pm
  31. This article opened my eyes to the rising need for a good, qualified billing and coder. I also was informed that it will eventually become manditory for every American to obtain health insurance, yet what happens to those who work and still cannot afford it?

    Posted by Kim Gold | January 14, 2011, 3:07 pm
  32. Well this is certainly all good news for all the people who will benefit from ins. coverage. Also for all of us who are students, breaking into this field.

    Posted by Catherine Alfiche | January 16, 2011, 11:11 pm
  33. After reading this article, it makes me feel comfortable in the fact that I chose the Health care industry as a new career choice. As most Americans hope for a better healthcare system, most are unaware of the new changes.

    Posted by Anita Crisman | January 17, 2011, 10:43 am
  34. The information is most encourageing. Hpwever, I can’t wait for 2014 to get a job. Let’s hope the medical community is more forward thinking.

    Posted by Janell BeVier | January 17, 2011, 12:27 pm
  35. This article really showed me how the medical community will have increased patient volume with more people able to have insurance so there will be more demand for medical billers and coders. I am so glad I am ahead of it by taking this online course so I will be prepared to do the job.

    Posted by Elizabeth Mihalo | January 17, 2011, 2:43 pm
  36. I had insurance till I was laid off last June. Unemployment covers my house payment & groceries – how do we get insurance when companies want so much to cover us, but they can afford to donate millions to political campaigns?

    Posted by Mary Jinkins | January 18, 2011, 1:35 pm
  37. There are a lot of people out there that have pre-exiting illnesses and can not get coverage. I think this will help them so much. I know that it will help increase the medical coder and billers job tremendously. This is good, job security. No one person or child should be descrimated against because of an illness. With codes being electronically filed, the increase of coding or billing should not be that much of a struggle to get accomplished.

    Posted by Gesila Hargrove | January 18, 2011, 2:25 pm
  38. Great information. As we finish school and start working as in this field, we need to understand the health care reform and what the imapct is going to be.

    Posted by Ada Sisseck | January 20, 2011, 10:35 am
  39. This was very good information. The need for medical billers looks like it will be on the rise. Great job security’

    Posted by Tina Reed | January 20, 2011, 7:13 pm
  40. The information contained in this was very informative. Glad that I have chosen Med Billing & Coding for future employment options.

    Posted by Kim Price | January 21, 2011, 12:53 am
  41. Very good article. Hope whatever happens everyone will be able to understand it.

    Posted by Bonnie Adkins | January 22, 2011, 11:41 am
  42. The new Healthcare Reform will put more patients into the medical/insurance mix. This will probably want to make insurance companies reimburse for less procedures and pay closer attention to improper coding techniques. This will open more doors to people who can Bill/Code and enforce compliance issues with medical practices and hospitals.

    Posted by Linda Bradley | January 23, 2011, 6:35 pm
  43. Once you take away the pre-existing conditions hurdle and everyone may qualify for medical coverage there will be some very important changes. Not only will a lot of people that really need medical care be able to obtain that care now, but due to more patients in the world there will have to be more medical coverage available. Basically it would be more patients, more job openings for people in the medical field, especially for MB&C. I’ll have a stable career. And thats awesome!

    Posted by Lisa Shapiro | January 23, 2011, 8:07 pm
  44. This article was interesting. I have heard of it of course, just not as much information.

    Great for Billers and Coders as long as nothing happens with the bill after the next Presidental Election.

    Posted by Kathryn Spring | January 23, 2011, 9:05 pm
  45. It is important to read the news to realize about all the benefits that President Obama is doing for our country.

    Posted by e.ramirez | February 1, 2011, 4:15 am
  46. Well, yesterday a judge in FL ruled the Health care bill Unconstitutional, stating that no American citizen should be forced to buy a product that they don’t want. How many of the “32″ million people wanted health insurance? If they can’t afford the premiums, who is going to pay it for them? If a 50 year old woman with a hysterectomy doesn’t want coverage for maternity leave and new born care, why should be have to have coverage for this condition? Or a single 55 yr old man have to have maternity coverage? These coverages would increase the cost of their insurance premiums substantially. Covering Pre-existing conditions is a good idea, but it still comes with a cost. For a individual male in FL coverage costs 400.00 a month. (Based on the new Gov pool for pre-existing conditions) The fantasy of everyone having health insurance is a noble cause, but in the real world, nothing is free and not everyone can afford the cost.

    Posted by Carol Carr | February 1, 2011, 5:51 am
  47. This is a Positive Change

    A child with a pre-existing condition, a ban on discrimination for children will take effect immediately.
    Reform will eliminate discrimination based on pre-existing conditions or medical history. If an individual hasn’t been able to get coverage because of a pre-existing condition, a ban on discrimination for adults will take effect in 2014. I too feel everyone should have insurance however can employers and employees afford the high premiums insurance companies will be charging?

    Medical Billing Coders will be in demand and that is nice to know after all our hard work to get through this course !

    Posted by Denise Brown | February 2, 2011, 12:59 pm
  48. This is a very informative article. I don’t really agree with American individuals being fined for not having insurance, unless it means that our unemployment in this country will be resolved and be a thing of the past. How can someone unemployed pay for insurance, or for that matter, how can someone unemployed pay the fine for not having insurance ?!

    Posted by Sharon Fawver | February 6, 2011, 11:09 am
  49. It sounds as if Medical Coding and Billing will be a flooded field with this new bill.

    Posted by Vicki Tyler | February 6, 2011, 8:47 pm
  50. As a commentator on new laws in my country I was drawn to the post on new laws in the health sector in the USA. The isue of pre existing conditions is one which is a worldwide dilemma. It is nigh on impossible to obtain cover for pre existing conditions in New Zealand either which is in one respect understandable but often applied in too much of a blanket fashion. By that I mean that if a person has had one type of cancer, why should all types be denied cover for the rest of that person’s life?

    Posted by Ash Stevenson | February 15, 2011, 2:32 am
  51. I have mixed feelings on the health care reform bill. I think it is great for the Medical Billing and Coders because this means jobs for all of us who have worked hard to get through school. I also like that the reform bill will eliminate discrimination based on pre-existing conditions or medical history. But the mixed feeling come in about the insurance premiums. Are the American people going to be able to afford the premiums? The next thing is it right to force every person to have health care? What if the person can’t afford the premiums? Then there is the fine that is going to be imposed if a person doesn’t have health insurance. If they can’t afford the premiums how are they going to pay a fine? Does this mean that person is going to jail? It would be great if every person in America could afford to have health insurance but in the America I live in I can’t see this happening.

    Posted by P. Baughcum | February 20, 2011, 10:02 am
  52. Good info indeed, that pic of the kid up there just kills me. How do they even live? I can see definite growth in billing and coding with such an increase. I had watched the field for some time before I finally made the decision to jump in. Now I’m really glad I made the change too. I was laid off a job last year that this new bill is going to squash. The boss had said after looking into insurance for us all that there was no way he would be able to keep afloat and would have to close the doors. The bill is going to be making some big ripples like this all over the place that not everyone has even seen just yet, it will have it’s plussed and minuses.

    Posted by Mike L. | February 22, 2011, 2:19 pm
  53. I feel that this bill, is going to give all of us, future billers and coders more work to do. We will not only be on are toes but also keep current with all codes.

    Posted by Bandi Llamas | February 26, 2011, 3:32 pm
  54. As a retired RN, the handwriting was on the wall years ago! We all fought having to use computers but in some areas it was a blessing in disquise! I’m now a student for coding and billing and can see where having everything electronic is invaluable.

    Posted by Linda Pike | February 27, 2011, 4:47 pm
  55. I agree that it is great that health insurance will be easily available to a lot more Americans. But I agree with a few of the comments before mine. Realistically, how many more American’s will be able to actually afford the required health insurance? I mean as of this year, my husband’s premium that he pays for the family to have decent health insurance went up..again..and there is no compensation in his pay for that increase. Also, I canceled Part B of my medicare insurance because there was an increase in not only the premium, but also what I had to pay to the carrier out of pocket. What I don’t get is why they say that the cost of living has not increased, so no increase in SS benefits, but so many things ARE increasing in price. How does that make any sense?

    Posted by Sherry Klinedinst | March 4, 2011, 10:17 am
  56. I am having great difficulty getting to the registration section of CMS…However, I would like to ask this question…Have the developments in congress since this article was published in March 2010, affected this health care bill proposed by President Obama?

    Posted by Dianna Mumaw | March 13, 2011, 4:45 pm
  57. I believe that the 2010 Healthcare Reform will open up more jobs for Medical Billers and Coders. Unfornately I had a background in professional management and business administration and ended up jobless and no one was hiring. I decided to go to school for MB&C and got certified last December and am presently working on my Associates Degree for MB&C, because the healthcare industry is growing so quickly, I believe that I will benefit from this Healthcare Reform.

    Posted by Edalydia Maldonado | March 22, 2011, 10:44 am
  58. I think this whole insurance thing is great for the rich but not for the middle class or poor. But it is a good thing for the government cause it means more money in their pockets every time someone does not have insurance so there goes another suckers money to the greedy politicians. So what do we do nothing I guess but just complain and complain and hopefully it will get better before it gets worse. I think every company should provide insurance wither you work full time or part time. Everyone is entitled to have health coverage. Since the government/ employees will have it for the rest of their lives, since we are paying for theirs, what makes us not have full coverage too, without all the bs that goes with it.

    Posted by Shirley W | March 27, 2011, 12:29 pm
  59. It will give us more work then god knows since everything is going to be computerized and knowing all the codes is going to be a job all on its own and it will help educate us even better with the codes and modifiers. By doing the work constantly and effectively we will be excellent coders.

    Posted by Shirley W | March 27, 2011, 12:40 pm
  60. I think the reform has its’ good points and a few bad. The great thing concerns the pre-existing conditions. These people desperately need the coverage. I realize insurance companies are a business,and in business it always comes down to money. But aren’t they in the business of health? That should be a priorty, not the almighty dollar.

    Posted by Patricia Kimmel | March 27, 2011, 5:00 pm
  61. I think the reform has its’ good points and a few bad. The great thing concerns the pre-existing conditions. These people desperately need the coverage. I realize insurance companies are a business, and in business it always comes down to money. But aren’t they in the business of health? That should be a priorty, not the almighty dollar. As for medical billing and coding, I think we will have many job opportunities.

    Posted by Patricia Kimmel | March 27, 2011, 5:05 pm
  62. What exactly would thebill do? walker’s legistion would end, and at least 12.6 percent of their healthcare man,rather then demanding at everyone work harder so.

    Posted by ROSIE DILES | March 28, 2011, 5:30 am
  63. Yes, I do think that healthcare reform was needed. No, I don’t agree with all aspects of this bill. I feel that there are some people that will not be able to afford the insurance that the President is mandating. I am glad that we as billers and coders will be assured of jobs in the future.

    Posted by Mecca Storer | March 28, 2011, 7:50 am
  64. I agree that there are some stipulations that needed to be covered that was not and the discrimination that was going on with the insurance providers but how is this to help us out? Not everyone can afford hospitalization along with any medical physician and etc. Who gives the right for someone to say that you have to have insurance before being seen? It is unethical for that to happen. The medical ethics are to see anyone even if they are not paid because that they can not afford insurance let alone be able to afford to see a physician for anything. The price of seeing a physician is discriminating enough to some people because if they do not have insurance then they are billed differently than if some one that does have insurance. Example: I went to see my family physician and my insureance was charged let say 97.00 just for the visit, but some one that does not have insurance is charged 75.00 for the same visit. So were is the justice in this. The physicians are getting more money out of the insurance companies and still we have to pay the deductable but yet were is the justice for those who can not afford the same visit as we with insurance? I guess what I am saying is that just because some one has insurance or not should be billed the same. The insurance companies are getting more than there share and also they keep raising everything up from the insurance companies to the physicians and so on. It is even hard for some one to get even medications they are outragous. My uncles is on disabliity and gets medicare and the insurance that he has does not pay the cost of all or most of his prescriptions. He gets plavix for to thin his blood and when he goes to get it filled he has to pay 118.00 for the prescription and that is after the insurance and then when he has met his allowment for the year then around October to December he has to pay full amount. So were is the help out and who controls all these cost and why are the insurance making double the funds ( from the client to the physician) and yet they are not wanting to pay out more for presciptions? This is were the down fall is about and The president needs to know that there is more out there than just to demand everyone to have insurance. If we are to have insurance then he needs to make sure that it is affordable all the way around so that everyone can get the right assitance that they need to better their health. He still needs to work on this and to have someone go in as a none insured patient and someone to go in as an insured patient and see hpw each is treated before making a decision like this. We have to many people now out on the streets and they can not get the medications they need as well as the help the need from a physician.

    Posted by Pooh | March 29, 2011, 2:46 pm
  65. I feel like the need for Medical Billers and Coder will be at a high demand because, the number of people submitting claims to the insurance company will be increased and the Medicare and Medicaid coverage will be expanding. This will make the billing process much more complicated. There will be many changes taking place.

    Posted by Lisa Bratcher | March 29, 2011, 11:41 pm
  66. My concern also is the fact that I do have a pre-existing condition caused by an auto accident from 2003 which was not my fault. It was a rear-end collision at a stop light but I have suffered a fractured spine because of it. I currently am not employed and cannot afford insurance and cannot get it even if I want it because of the pre-existing condition. Even if without it I could not afford the insurance anyway due to the fact that I cannot get a job. My husband makes too much VA disability payments for me to be eligible to get assistance so where do people like me go. If I can’t pay for the insurance how could I pay the fine. I just pray I can get a job soon so I can get the medical treatment I need to relieve some of the pain I have from the chronic pain I have and live with daily. R.K.

    Posted by Ruth Kratzer | March 30, 2011, 7:07 pm
  67. Well I see it like this…It’s good that the government found more money for health insurance. However, some people still won’t be able to afford it under there conditions. Patients shouldn’t have to wait 3 years for any coverage to kick in. As a biller and coder, some families can keep their family on insurance until the kids reach the age of 26. This will help keep the coding down for every visit and procedure which may be covered. It sounds good, but the time limits and stipulations might be to much for the patients.

    Posted by Elizabeth Gascon | March 31, 2011, 8:24 am
  68. I feel like the rest . I have mixed feeling about this . What will happen to the people that can not afford insurance.Like the families with a lot of children. It is good that they will not hold it against the people who have pre-existing conditations, but bad they have to wait til 2014.

    Posted by mary lawrence | March 31, 2011, 9:50 am
  69. It’s not the government that’s going to fix you nor the health care system.
    your h1ealth is your responsibility!
    if you let anyone interfere with it, you are going to suffer and no one would care about you.

    Posted by the garlic guy | April 1, 2011, 4:25 am
  70. I like the fact that there will not be discrimination for pre-existing health conditions and that a child can be under their parents health insurance untill they are 26. But I dont like the fact that they are requireing all businesses to provide insurance and all americans to get insurance or there will be a fine. Do they realize how many small businesses are trying to stay in business as it is with the economy. This will put many out of business. Also most americans can barely make it on the wages they are paid and will not be able to pay the premiums. So I am truely not for this bill.

    Posted by Tonya | April 3, 2011, 3:28 pm
  71. I agree on the fact of it providing more jobs for us medical billers and coders. This should mean more job security as long as we are doing what we suppose to be doing. What we are going to have to make sure that we do, is continue to stay up to date with everything. I feel that in this field,you will be constantly learning something new everyday. I just hope that this health reform is a good idea and that it is in the best interest of all of the american citizens. Noone should be left out. Also, I feel that they should come up with a way to help the less fortunate pay for their premiums. The part about the fines is questionable to me though. You never know what the next person is going through and why they can not afford to pay the premium that may be require for them to pay, let alone a fine.

    Posted by Carla Barnett | April 5, 2011, 9:23 pm
  72. I agree that there will be an increased need for billers and coders. They will need to make sure to stay current with the ever changing medical field. Since insurance is part of the billing and coding field, paying attention to how this affects the insurance side is also iimportant.

    Posted by Deborah Buske | April 13, 2011, 9:09 am
  73. This new heaalth care bill has had alot of controversy for sure. It has it’s positive points and some I’m not sure about. I don’t agree with the fines if you don’t accept it. I still think as Americans we should always be free to make choices for ourselves. I do know that there is going to be a high demand for medical billing and specialist to help maintain the medical offices and hospitals around the country and it is good that we are being trained to do that. I would say that it gives us a better chance at working in our high unemployment rates.

    Posted by Terri Butterbaugh | April 13, 2011, 11:44 am
  74. I do feel that there will always be a place for medical billers.health insurance is so high now, and jobs are hard to come by so how can they expect everyone to be able to afford health coverage.if you can’t pay for insurance how can they pay a fine for not having coverage.
    Cynthia Harrison

    Posted by Cynthia Harrison | April 14, 2011, 7:00 pm
  75. The reduction of paper filed claims being replaced with computer software may at first seem like a negative impact to the industry but in fact can be a positive. With this new technology medical billing and coding will be more involved than ever before and these services will not be able to be performed by most doctors. With the proper industry wide streamlined training process this can end up being a very positive event for this industry and make medical billing services very valuable.A negative effect of the health care reform bill will be the need for many workers to be retrained. This will be a very costly expense and will eventually be passed on to the individual patient in the form of higher doctor costs or higher insurance premiums. This cost will however be a onetime start type of cost and can be off set with the increased demand for medical billing companies moving forward into the future.

    Posted by FCruz | April 15, 2011, 3:37 am
  76. I’m all for all Americans having insurance. I don’t know how everyone will afford it, let alone paying for a fine for not being able to afford it. The medical field is growing and the need for good coders will be in demand, will we as coders be able to afford the insurance ourselves?

    Posted by Debbie Bridges | April 16, 2011, 7:20 am
  77. I feel great about this bill it will help people with medical insurance.

    Posted by Misti Collins | April 22, 2011, 10:53 am
  78. I feel like the need for Medical Billers and Coders will be at a high demand soon simply because, the number of people submitting claims to the insurance companies will be increased and the Medicare and Medicaid coverage will be expanding. This will make the billing processes much more complicated. There will be many changes taking place.

    Posted by Dominican Republic Hotels | April 30, 2011, 12:30 pm
  79. The qualified/certified medical coding and billing professionals, will be very much needed with the understanding of the new way things will be done. With more people having coverage, and the eletronic health records the knowledge is a must in this field. I think it is great that the children with pre-existing conditions will be coverage immediately.

    Posted by Patricia Sullivan | May 4, 2011, 3:53 pm
  80. I feel that they should really think about those that can’t afford medical insurance and has children. I am glad that they are increasing the numbers of insurance claims and the medicare and medicaid coverage will be expanding. This will help the biller and coders find jobs. The medical field is growing.

    Posted by Dana Montgomery | May 5, 2011, 9:00 am
  81. I think the ban on prexsisting conditions is a good thing to have , because there are alot of people out there including me that have this. It is hard to find a insurance company to take you without paying a arm or leg for the insurance.

    Posted by matilda sink | May 7, 2011, 8:38 am
  82. Mixed feelings. Demanding that everyone have health insurance whether or not they can afford it sounds too much like government interference. Kind of like the book 1984.
    Yes, it will be good for billers and coders, and we will have to stay on top of things. A good question from an earlier comment: Will we be able to afford our own insurance, or will the government provide it to us free of charge since we are providing an invaluable service? We will be performing a lot of more research and work than the public realizes.

    Posted by T. Lynne Williford | May 8, 2011, 6:44 pm
  83. I am mixed about healthcare reform.
    It has it’s good point but it also has some bad points. To eliminat pre-existing condition is great. I mean that some of the pre-existing conditions is caused by our enviornment, or childern that was born with a condition; and we should not be discriminated against for that.Being allowed to keep our childern on our insurance plan untill they are 26 is also good. Our young aduts that go to college we can finely pervide insurance for them and remove some of their stress.
    But this part about requring all Americans to have some kind of insurance plan is unreal. I mean if you make $9.00 an hour your gross pay is around $360.00 and after taxes are taken out your take home pay is around $308.00. Depending on the type of insurance single runs around $50.00 weekly and family runs around $ 160.00 weekly, and eye care and dental is an extra cost. Then your take home pay is around $258.00 or $148.00. How are we to afford to eat or put a roof over our heads or clothes for the childern. Besides the goverment is now telling us what we can and can not do. So this part of the reform is unreal istic for most americans.

    Posted by D.Dart | May 20, 2011, 4:00 am
  84. I think the increase in job opportunities is wonderful. I still think that there are too many unemployed Americans, who do not receive unemployment benefits. They aren’t eligible for medicaid, and have no health insurance. I’m curious, what happens to them?

    Posted by Ellen | May 20, 2011, 7:42 am
  85. I am happy about some of the changes like: increasing the coverage age to 26, and eliminating pre-existing conditions. But, I am not happy with this being jammed down our throats. I feel it is uncostitutional to force americans to buy a generic plan of healthcare or pay a penalty. I think we will find in the future that it will have numerous flaws and loopholes. On the other hand, I do believe that it will be job security for all healthcare professionals, but I wonder what benefits it will ultimately have on indivials, and it,s cost.

    Posted by carolyn fregia | May 23, 2011, 5:58 pm
  86. I agree with the preceding posts. I think it still is our responsibility to gather enough savings for our own medical needs or perhaps get a healthspring healthyadvantage medicare at least before we go on retirement.

    Posted by David Forbes | June 5, 2011, 10:26 am
  87. Medicare Payroll tax on investment income — Starting in 2012, the Medicare Payroll Tax will be expanded to include unearned income. That will be a 3.8 percent tax on investment income for families making more than $250,000 per year ($200,000 for individuals).
    Excise Tax — Beginning in 2018, insurance companies will pay a 40 percent excise tax on so-called “Cadillac” high-end insurance plans worth over $27,500 for families ($10,200 for individuals). Dental and vision plans are exempt and will not be counted in the total cost of a family’s plan.

    Posted by tim jackson | June 5, 2011, 1:23 pm
  88. It is amazing to me to look at the medical healthcare reform and know that in such a short time there will be a fine levied against people who can not afford medical coverage. If they could afford the coverage they would not be doing without. To a person who is financially straped, the extra fine could take them over the edge to bankruptcy.

    Posted by Jean Gray | June 5, 2011, 5:50 pm
  89. On the larger picture, I see great value in having all the medical records available for the patient’s care readily accessible for the medical team bring medical care to the patient. It is a fast paced world and even a short delay in access records could mean the difference between life and death. It reassuring that so many medical practices have adopted the electronic technology. The benefits to the billers and coders will be the increased jobs and the security of knowing the coding practices and being able to come into a practice with certificate and credibility.

    Posted by Jean Gray | June 5, 2011, 5:56 pm
  90. I totally agree with President Obama’s take on the health care crisis and that all Americans should have access to affordable health care. The one thing that bothers me, however, is that a fine will be imposed on whoever does not have health insurance. What about the Americans who cannot afford the premiums? There are so many working poor in America that the premiums are out of reach for them. If this option was removed then the healthcare system in this country would flourish.

    Posted by Denyse Brooker | June 7, 2011, 9:38 am
  91. Well I was married for 18 years to a former marine. We divorced in April…I was a stay at home mom all this time. Now I have no job no insurance and can not afford to pay for insurance as it is way too expensive so I am in big trouble if I get sick. Trying to find a job with benifits is not going well at all. If I could afford to pay the premium I would have it already as would most americans. Telling me I must get it is not going to make the money available to pay for it!

    Posted by Tammy Alameda | June 8, 2011, 9:01 am
  92. Health reform makes health care more affordable, holds insurers more accountable, expands coverage to all Americans and makes our health system sustainable.As the fight for protecting health care reform continues in America, there is no greater advocate for everyday Americans than President Barack Obama.This bill affect people working in the allied healthcare field. Whether you agree or disagree with Obama’s policies, it is important to know how they affect you as a medical biller and coder.The bill increases coverage to 32 million additional Americans by requiring most. Americans and businesses to have some kind of insurance plan or pay a fine. Parents will be allowed to keep their children on their health care plans until they
    are 26. Reform will eliminate discrimination based on pre existing conditions or medical history. If an individual hasn’t been able to get coverage because of a pre-existing condition, a ban on discrimination for adults will take effect in 2014. For those of you who have a child with a pre-existing condition, a ban on
    discrimination for children will take effect immediately.
    All of these provisions, combined with the billions going to electronic health records, predict an increased need for billing and coding specialists in doctors’ offices. The sudden spike in the number of patients seeking care combined with rapidly changing
    electronic health records systems could mean more jobs in the allied healthcare field.

    Posted by Ela Burse | June 8, 2011, 1:39 pm
  93. The Healthcare Reform Act cost me a good job with a good insurance package. It is also paying the cost of me going to school. I also know people who don’t make much money and can not afford insurance on their children that will be fined for it eventually. If someone can’t afford the insurance, How are they going to pay the fine. I think you can regulate and fine people to the point that they can’t survive. I think that the Health Reform Act needs to be rethought.

    Posted by Murray Foran | June 9, 2011, 9:20 am
  94. It couold increase more jobs for billing and coding

    Posted by das | June 13, 2011, 5:40 am
  95. The mandating of all records to be electronic will make it faster to get information to the necessary people who can use it. The job growth in this industry should be great and create lots of jobs for those of use who have chosen to invest in education in this field.

    Posted by L Arney | June 19, 2011, 7:03 pm
  96. Really nice post, thanks.

    Posted by Carbon Monoxide Detector | June 19, 2011, 9:27 pm
  97. If it’s going to be possible for overall health care, which of course would be a good thing especially for medical billers and coders, let’s not forget to expand the privileges of Chiropracters and not just the MDs who choke pharmaceutic medicine down ones throat, which is as the word says “Pharmacea” which means cover over and is not a cure. Chiropractors align the body so that all tissues, ligaments, muscles and bones can work in harmony and not cause the problems most people take medicines to try and cure themselves. When a car is out of alignment the tires wear more on once side then the other causing other things to the vehicle to go wrong and cost more; same with the human body. Chiropractors hands are tied because they have to be backed up by an M.D. to go further. AMA needs to open more door for them because some people, like me prefer them to M.D.s promoting chemicals with adverse effects being thrown at you. My x-husband and I carried medical insurance on our kids while they were growing up and we could have bought a house with the money spent that was never used because the kids were never ill. Now, they are gown and still health because I never gave them medicine as children because we never had it as children. We had natural remedies. So open up all the doors so it won’t just be M.D.s prospering. There are natural alternatives and they were working before M.D.s came into existence. Overall, I can understand how Canada has overall healthcare; they have the supporting other European countries supporting them. Its a good potential but the Government is going to have to get real in working out the details.

    Posted by Barbarra Baccus | June 19, 2011, 10:54 pm
  98. I think it is wonderful and praise Obama for taking action, because something had needed to be done!

    Posted by Tracee Thompkins | June 22, 2011, 7:42 am
  99. I find the subject of the health care reform both a good thing and a bad thing. There are many good things to come from the reform bill like: More people having health insurance and not being discriminated against because they have health issues or because of their age. It is also going to creat jobs, but we have to ask ourselves if it is creating more jobs or just creating enough jobs to employ the people who have lost their jobs due to the new bill? On the other hand from the medical billing/coding and reporting aspects changing over to EHR will benefit every one involved by making the information at their finger tips. Think of the efficiancy that will creat. But I don’t think that it is right that the people should be forced to buy insurance whwn they can’t afford it for some of us we are living on less than poverty level incomes and insurance is a luxery for us. It doesn’t support our families.

    Posted by Dana Kling | June 24, 2011, 1:27 pm
  100. The new bill that will pass in 2014 is the one I am really excited about. The “Baby Bumbers” are comming into a new area of there life. Not having to worry about pre-existing conditions will be of great help for us. Also, there will be a vast new amount of jobs that will be available. All the students like me in medical school will have a greater chance of medical employment. That makes me give a cheer.

    Posted by Beverly R Lyons | July 9, 2011, 10:06 pm
  101. We needed change and its great that change is being implemented. Consequences are always there and we have to find a way to deal with them as they come to protect the right of every American.

    Posted by Andy | July 11, 2011, 12:57 am
  102. The medical refom is a great thing for most Americans expeacially the ones with pre existing conditions but I am worried about the Americans that cant afford to pay for medical coverage what are they going to do if they have to carry insurance and they cant afford it that is the only problem I see with the new reform I know as a parent with 2 children that have a lot of medical problems it will be a lot easier now that the preexcisting condition cant not be held against you anymore

    Posted by Christy Heffern | July 12, 2011, 9:24 am
  103. The 2010 Health care reform will be good for those conditions that may not already be covered under the old plan of pre-existing condition. As well as providing more coverage to people that may not be able to afford it. The reform will create more jobs for Medical Billers and Coders with all the changes. The health care field overall still continues to be a thriving profession to be in.

    Posted by Karen Channels | July 13, 2011, 4:09 pm
  104. Yes we need change. But I think there is still going to be people without insurance because they can’t afford it. Aand as for fining them if they can’t afford the insurance what makes you think they can afford the fine.

    Posted by Melcena Jordan | July 14, 2011, 9:08 am
  105. Change is needed. I do believe there will still be many person without health insurance as some will fall through the cracks, and many of them will not be able to afford a fine. The fine needs to be addressed. Many of the aspects of the bill are great, but there are some areas that need fine tuning before they go into effect

    Posted by Betty Tannahill | July 15, 2011, 2:52 am
  106. The change is among us. I think this new plan has giving me hope that all who need medical assistance shall receive without the worry of how to pay for it. This not only helps patients, but helps the industry and the people in it to achieve what it is they set out to do before entering the medical field; helping others. A new healthier United States will evolve from all of this.

    Posted by Brandy Oliver | July 15, 2011, 10:50 am
  107. I see this bill affecting billers and coders in that with more people having medical coverage it stands to reason there would be a greater need for billers and coders; hence, more jobs for billers and coders. This reform have many positive aspects to it but for me and my family regarding pre-existing conditions I wish this would be available sooner than 2014. Also I have a question does this mean that all employers will have to obtain health care coverage for their employees? I ask this because my husband’s current employer does not carry any medical coverage on any of his employees. It is a trucking business that employs about 23 workers. If anyone can answer that question I would be grateful to know as this is the main reason I have been keeping the job I currently have for the medical benefits.
    Thanks

    Posted by Sharon Karlheim | July 16, 2011, 4:15 pm
  108. This is a great for the healthcare future although my question is, will the insurance to cover the people that have pre-existing issues going to double in payment. Already America is dealing with financial hardship.

    Posted by Chelsey Guillory | July 16, 2011, 6:22 pm
  109. Yes this is good but at what cost to you? Insurance is high enough because of riders that won’t pay because you have this or that.Not that they won’t insure you but they won’t cover anything that might happen because you take a drug to control the problem. Does anyone know what it will cost you? One insuraance that I could get has riders for things like anything due to a heart attack as I take high blood pressure meds. What happens if I should have a heart attack? What is covered?

    Posted by Sue Hall | July 18, 2011, 1:30 pm
  110. In some ways the healthcare reform can be good for anyone that has a pre-existing condition but at what cost. I agree with several comments that have been posted referencing the cost of healthcare coverage. In a perfect world everyone would be able to afford good healthcare coverage but this is not a perfect world. Millions of people in the United States live below the poverty level. If healthcare insurance is affordable for the middle/lower class, there will definitely will be an increase in filing insurance claims because more people will be seeking healthcare. This will in turn create a higher demand for certified billing and coding professionals.

    Posted by Wanda | July 25, 2011, 8:25 am
  111. Increased jobs for medical billers and coders would certainly make me happy. But it will take several years for the Electronic Medical Records to get going. A-lot of money to switch from paper to paper-less and some Doc’s won’t like it and will fight it.

    Posted by Jackie Eggers | July 26, 2011, 2:01 pm
  112. Its good that SOME employers are being required to have some form of health insurance for their employees,but why not ALL? One of the most important things a person looking for employment is looking for is the health insurance, not if they will enjoy the job or not, its all about the health insurance these days.

    Posted by Patricia | July 27, 2011, 9:08 am
  113. As the world of electronic systems moves forward, it is no surprise our personal information will be formatted to be stored in some computer management system. Healthcare reform assures an increase in the number of folks going into the electronic age systems, and Electronic records also serve a greater good. We are told this system will be more efficient, more readily available to allow access to medical information when it is needed, which ultimately will cut costs of healthcare. This is the way of the future and as a medical biller and coder, it certainly guarantees work and a long and employed future.

    Posted by Carmen M. | July 27, 2011, 10:44 am
  114. I’m happy that every american will be able to have insurance and that more jobs for medical billing and coding will be available. Just am a little undecisive in how I feel about the mandatory or fine part and the length of time it’ll take for this to actually be in place.

    Posted by Linda Mealler | July 27, 2011, 1:19 pm
  115. This is good to be able to get a look at what is going to be, I believe on improving the system. I know this will be a great advancement.

    Posted by Lisa | July 27, 2011, 2:59 pm
  116. This is good news to become knowledgeable of. Better and more insurance coverage for people out here means more medical coding and billing specialists opportunities all over the US. Which is good for me to know being as though I’m going to school for Medical Coding and Billing.

    Posted by Charlita Garner | July 28, 2011, 4:37 am
  117. I think taking out the preexisting condition clause will be a good thing but I have to worry about those individuals that can not afford insurance now. I am talking about those people who have a car and can not afford to keep the insurance on it. The people who have to decide which bill they are going to have to wait to pay so that they can buy food.

    Posted by Belinda Whisenant | July 28, 2011, 8:00 am
  118. I think it is something that was needed there are far to many people who have no health care due to a pre-existing condition. It will also create some valuable job here in the USA that we all need right now. Corporate American seems to be laying off orr moving jobs out of the country but the medical field is a field where it seems they are always needing more help.

    Posted by Alma Skube | July 28, 2011, 8:55 am
  119. I don’t see how the EMR coming into effect will keep medical billers and coders employed – I worry that it will be quite the opposite. You won’t need a human if a computer can do the job – it’s all in the software. And as for fining people for not having insurance, that is just ridiculous – if they can’t afford insurance, then they certainly can’t afford to pay a fine. And what happens when they can’t pay the fine? – the answer I heard is that they will have to pay in jail time instead – how ridiculous is that?! Mandatory insurance or jail – isn’t that against the Constitution? Isn’t this the land of the free? How can this govt force us to choose between buying insurance (or going to jail if we don’t) or putting food on the table or paying the electric bill so we can have heat in the winter. If they really want to help the American people, they would do better to pass a law that bans outsourcing our jobs to other countries. Keep employment within the USA, so that we have jobs so that we can afford to keep our homes, feed our families, and maybe even be able to buy health insurance. The biggest problem with the health system in the USA right now is the greedy, money-grabbing insurance companies and drug companies, who dictate to our doctors how they can or cannot treat their patients, and charge exorbitant rates with little coverage. The politicians (who were elected to serve THE PEOPLE) need to put a stop to these modern-day bandits, put a realistic cap on amounts the insurance and drug companies can charge ….. but they won’t because it would mean losing all those handouts and campaign contributions funded by the insurance and drug companies. And pre-existing conditions? – that is the joke of the century – what do they think that health insurance is for? Refusing coverage to a person because of a pre-existing condition is discrimination. I thought discrimination was a thing of the past, but apparently not. So, as far as the new health care reform is concerned, yes I agree that we need it BUT I would like to see EXACTLY what that bill states – so far I feel like we have been left in the dark. If there is nothing to hide in it – then why not show the people of the land what exactly is in it? Perhaps some of it is good, perhaps some of it isn’t – who knows? Something of this magnitude should go to the people for a vote.

    Posted by Ladyhawk | July 28, 2011, 1:16 pm
  120. I think this is a good thing for medical biller and coders. The more people the more biller and coders they will need. One thng i kind of fear if everything is going to computers will they need biller and coders?

    Posted by shawna boone | July 29, 2011, 6:38 am
  121. As for the pre-existing conditions clause, I think that is great. But with todays financial hardships, I don’t see how most people are going to be able to afford health insurance!

    Posted by Jamie Stempien | July 29, 2011, 12:28 pm
  122. I am still unsure about the health care reform, but I am pleased to read that my future job in coding and billing will be a secure one, since there will be almost 36 million more people seeking quality health care.

    Posted by Karla Medrano | July 30, 2011, 6:04 pm
  123. Increase jobs for medical bill/coders will be a good opportunity for us in the medical field.I think the Electronic Medical Records will have a good impact on doctors, patients, and workers.It will be less time consuming going paperless.It will be a change in the American world of health profession.

    Posted by Millie Johnson | July 31, 2011, 5:23 pm
  124. Now that those with medical conditions can get insurance it will all be good. mostmedicare.com is still a great resource.

    Posted by Drew Harris | August 7, 2011, 9:22 am
  125. Personally I don’t like the bill, but I do think it will help medical billing outsourcing. Doctors will be looking for ways to save money and outsourcing will be one thing they are looking at. Every penny will count once Obama-Care kicks in.

    Posted by Medical Billing Fort Lauderdale | August 8, 2011, 5:19 pm
  126. Since the medical and electronic medical records and to make maintenance and operation of the department staff to coordinate better and faster

    Posted by Big_baird | August 10, 2011, 6:52 am
  127. Change is needed for all americans with healthcare. However, I do not think that one fix will fix everything. There are still so many out there that cannot afford insurance. I am still worried about these people.

    But the ability to have your children on your insurance until they are 26 is great for all kids!

    Posted by Joanie S | August 12, 2011, 10:49 am
  128. I quite took pleasure in reading your website. I know how difficult it is to get regular enteries as I write a blogg in the writing a will areana in order to folks to plan for thier death. It is a regular struglle to attempt to produce new articles. so great job

    Posted by Dave Woodke | August 16, 2011, 2:52 am
  129. I am really excited about the new bill especially the part where they can no longer descriminate against people with pre-existing health issues. I never thought that was right.

    Posted by Penny E. Rhoads | August 19, 2011, 8:20 am
  130. This would be great but what about those living under the poverty level? If they can’t afford to feed themselves/family, or buy insurance how can they pay a fine? I myself can’t pay for mine and have med bills up whazoo, and not enough to live on. Where does that put us between now and then?

    Posted by Kathleen Romano | August 19, 2011, 3:57 pm
  131. This bill will be great for those with a pre-existing condiitions but for everyone having to have health insurance or get fined for it will be hard for those that cannot afford it. I am from Mass and we already have this in effect, we have a state healthcare but if you make to much you donnot qualify for it but you donnot make enough to pay for insurance through your job so you end up getting find when you do your taxes. Some people are lucky enough that if they have children they can get their children on the state health and that maked it easier for them to get health insurance for themselves through work. Now I am hearing that they are trying to get rid of the state healthcare if the insuranc companies lower their premiums than alot more people would be able to afford the insurance through their place of employment.

    Posted by Jolene Whaley | August 20, 2011, 7:24 am
  132. It’s great to see a change in the system. This will help many people out. For those who can’t afford health care though there are options that will be available and lessor fees. It’s made to cover everyone and there is alot of fine print be hopefully it will be a blessing in disquise. As coders alot will change for us, billing will have a whole new look I’m sure. We’ll have a lot to leran and keep on our toes.

    Posted by stacey moncrief | August 21, 2011, 2:00 pm
  133. Many of the changes are grea, especially these listed in the article. Many kids are still in college in their early 20′s and once ot need to establish themselves. Being able to stay on their parents health insurance for a few more years is great. Many of us with pre-existing conditions many times can only afford health care insurance by working for large companies. Many people complain about O’Bama care but with those changes listed, the issue can only improve.

    Posted by Terry Moor | August 21, 2011, 3:33 pm
  134. It’s wonderful that now everyone in the US will have health insurance. The only downfall is those people that are going to fall through the cracks because they CANNOT afford the premiums.

    Posted by Lisa Binns | August 21, 2011, 10:22 pm
  135. I am hoping this is a good choice, to go back to school for Medical Billing and Coding. There is a lot of jobs out there on and off line.

    Posted by marla edmonds | January 13, 2014, 5:20 pm

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