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How does something like an x-ray become the bill that comes in the mail?It's the product of medical billing, a decades-old process that technology has recently transformed.It starts when someone gets hurt or sick and goes to the clinic or hospital. They fill out paperwork and see the doctor. Once the visit is over, administrators ship off insurance and visit details for processing.Behind the scenes, medical coders assign each service a code. Those can include diagnoses, procedures, and treatments. These codes help determine how much the insurance company will cover.They create a detailed, itemized list of services, medical codes, and co-payments and send it to medical billers.The billers use the list to create what’s called a claim for insurance companies to consider.Insurance companies can do one of three things.· Accept the claim.· Deny it and ask for corrections.· Or, reject it entirely.There are a lot of variables that go into how much insurance pays. Whatever the company doesn’t cover ends up in a bill in the mail.The process is digital now and much faster than doing everything by hand. It also reduces the risk of human error, which could save Americans money. 1195

House Ways and Means Committee Chairman Richard Neal has formally requested President Donald Trump's tax returns from the Internal Revenue Service, likely launching a battle with the administration that could stretch months or even years in the courts and could shed light on the President's finances.In a letter to the IRS sent Wednesday and first obtained by CNN, Neal cites a little known IRS code in his request for six years of Trump's personal tax returns from 2013 to 2018. He also requested the tax returns of eight of Trump's business entities, a nod to escalating pressure from liberals in the caucus who have argued that Trump's personal returns wouldn't sufficiently paint a picture of the President's financial history.While the move will largely be seen by Republicans as a political escalation, Neal explained in the letter the request is part of his oversight role. Neal wrote that the committee needed Trump's tax returns to consider legislation related to the IRS's practice of auditing sitting presidents."Under the Internal Revenue Manual, individual income tax returns of a President are subject to mandatory examination, but this practice is IRS policy and not codified in the Federal tax laws," Neal wrote in a letter to the IRS. "It is necessary for the committee to determine the scope of any such examination and whether it includes a review of underlying business activities required to be reported on the individual income tax return."In a statement to CNN, Neal stressed that the committee's request was about "policy, not politics.""My preparations were made on my own track and timeline, entirely independent of other activities in Congress and the administration," Neal said. "My actions reflect an abiding reverence for our democracy and our institutions, and are in no way based on emotion of the moment or partisanship. I trust that in this spirit, the IRS will comply with federal law and furnish me with the requested documents in a timely manner."Neal has given the IRS until April 10 to comply with the request.A months-long debateNeal's announcement follows a months-long debate within the Ways and Means Committee about how and when to issue the request for Trump's tax returns.Unlike other sensitive material Democratic chairmen have demanded from the Trump administration, the request for Trump's tax returns could only come from one Democrat on Capitol Hill. Under IRS code 6103, only the Joint Committee on Taxation, the House Ways and Means chairman and the Senate Finance Committee chairman have the authority to request the tax information of an individual. Given the Senate Finance Committee Chuck Grassley has long said requesting Trump's tax returns would be akin to weaponizing the tax-writing committee, the ask fell to Neal.But, behind the scenes, Neal was meticulous about the decision. Democrats believe the statute is clear. Under the code, it says "the secretary shall furnish such committee with any return or return information specified in such request." But, Neal, a pragmatic and judicious chairman more interested in working with the administration on shared priorities like infrastructure then launching a contentious, partisan fight that could define his tenure, proceeded cautiously."I am certain we are within our legitimate legislative, legal and oversight rights," Neal said in his statement Wednesday.Liberals on the committee pressured Neal both publicly and behind closed doors. Rep. Bill Pascrell, a Democrat from New Jersey, announced at the beginning of March that Neal was going to request Trump's tax returns in two weeks only to backtrack hours later to clarify it was only his opinion, not official guidance. Democratic Rep. Llyod Doggett, a member of Ways and Means lamented that it was past time for Neal to make the request for days leading up to the request.Members also wanted Neal to expand any request to be not just personal returns, but also business returns. And in their sweeping ethics reform legislation H.R. 1, Democrats included a provision that would require presidential nominees and sitting President's to disclose 10 years of business returns.Ultimately, Neal requested information from eight of Trump's business entities including the Bedminster golf course LLC as well as the Donald J. Trump Revocable Trust, DJT Holdings LLC, DJT Holdings Managing Member LLC, DTTM Operations LLC, DTTM Operations Managing Member Cor, LFB Acquisition Member Corp, and LFB Acquisition LLC.In the early days of his chairmanship, Neal focused on building a relationship with members of the Trump administration including Treasury Secretary Steve Mnuchin. Even when Mnuchin refused to appear before his committee for a hearing on the impact of the government shutdown on the upcoming tax season, the two men continued to work in coordination. Neal told CNN in March that he'd spoken directly with the President about his goals for infrastructure.When Mnuchin did appear before his committee on March 14, Neal's opening statement reflected a chairman more interested in working with the administration on infrastructure and pension restoration than a liberal Democrat preparing to request the President's most closely-held personal documents related to his income and business practices over the last few years.Ultimately, Neal made his request to the Internal Revenue Service, not Treasury, which Mnuchin heads. During that committee hearing where Mnuchin testified, he signaled to the committee that he has not handled other 6103 requests in the past.When asked by a committee member about this, Mnuchin responded, "That is not something I would normally sign. It would be something that the IRS commissioner would sign off on."While Democratic chairmen across the Capitol want to see Trump's tax returns for their own investigations, Neal's formal request is specific and targeted: an investigation into a program that audits the taxes of sitting presidents. Under 6103, only Neal -- not the chairman of other committees-- will be provided the information."The IRS has a policy of auditing the tax returns of all sitting presidents and vice presidents, yet little is known about the effectiveness of this program," Neal said in a statement. 6235

Ground beef is the food responsible for a mystery E. coli outbreak involving 109 cases of illness in six states, according to preliminary evidence, the US Centers for Disease Control and Prevention 210

For years, millennials have been called out for job hopping and always looking for the next best thing. So, what’s causing the job hop and what can companies do to retain their younger employees?Charlie Harding is the CEO of Let’s Roam and he’s a millennial. He says he knows what the 30-somethings are looking for when it comes to a job."If a company is rigid and inflexible, it allows employees to job hunt or job hop, especially millennials," he says.However, the job market is tight right now and it’s giving millennials the option to choose the job that’s right for them. That could be part of the reason why they are job hopping.“They have a ton of confidence that if they were to leave that it would be OK,” says Karen Policastro, with the international recruiting firm Robert Half. “And if they go somewhere and it didn’t work out, they could just go somewhere else.”Millennials are in the driver seat and want new and unique experiences.Policastro says there’s a lot of competition, and millennials are looking for bigger paychecks, work life balance, healthy company culture, potential for career growth and a manager that values them.“If they aren’t getting it where they are, they are quick to leave,” Policastro says.Seventy-five percent of employees ages 18 to 34 view job hopping as beneficial compared to 51 percent of workers 55 and older.“I think there is a stigma that there is a lack of trust and loyalty,” Harding explains. “But it’s really up to the company to build that trust and loyalty. If they are leaving, it’s not because of the employee; it’s because of the company."No matter the generation, Harding believes it’s fairly simple for companies to retain employees.“If you are able to make employees happy and have a strong leader and understand what they want and how you can help them accomplish their goals, then you can do that,” Harding says. 1888

Hardline Brexiteer Boris Johnson has won the UK's Conservative Party leadership contest and will take over from outgoing Prime Minister Theresa May when she steps down on Wednesday.Johnson, a former Mayor of London and British Foreign Secretary, was officially named the new Tory leader on Tuesday, beating his rival Jeremy Hunt in a ballot of party members.The leadership vote was triggered after an embattled May was forced into resigning after losing the support of her cabinet, many of whom were fed up with her inability to secure the UK's departure from the European Union (EU).As prime minister, Johnson, 55, will inherit the same problems of a deeply divided Parliament -- and nation -- when he assumes the role.Throughout his leadership campaign, Johnson was vocal about his willingness to exit the EU without a deal, pledging to leave "do or die" on October 31, the latest deadline for the UK to depart the bloc.He said that he'd be willing to force Brexit through on that date by suspending Parliament, if he's unable to negotiate a new exit deal with EU officials.The EU has said there is no chance of reopening the Withdrawal Agreement, the deal that May made with the bloc in 2018 but which has failed to satisfy both the Europhile and Euroskeptic wings of both the Tory party and Parliament.While Johnson's stance on Brexit have defined his leadership bid, his incendiary remarks on religion and race have sparked criticism about his character.Writing in his weekly column in the British newspaper the Daily Telegraph last August, he likened Muslim women wearing veils to "letter boxes" and "bank robbers."Earlier this month, he faced new accusations of Islamophobia after claiming in a newly-unearthed 2007 text that Islam left Muslim countries "centuries behind" the Western world.Previously, Johnson called people from the British Commonwealth "flag-waving piccaninnies," referred to the " 1919

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