Mobilex-tra BI-Monthly Newsletter Issue 09 November 2007 MA PLANS……. ULTRASOUND QUESTION & RESPONSE As a new calendar year approaches, people with Medicare (“beneficiaries”) may be electing different options for their Medicare. Some beneficiaries will choose to stay with Medicare Fee-For-Service for their Part B benefits, while others will choose a Medicare Advantage (MA) Plan, such as an HMO. Facts About MA Plans: Â MA Plans are available to beneficiaries in all 50 states. ÂAs of April 2007, nearly 8.3 million beneficiaries are enrolled in MA Plans. ÂMany plans offer additional benefits not included in Medicare Fee-For-Service, such as prescription drug coverage, hearing aids, glasses, and routine physical exams. ÂBeneficiary enrollment in Medicare plans is handled through the Social Security Administration. ÂWhen a patient enrolls in an MA Plan, the MA Plan replaces that beneficiary’s coverage through Fee-For-Service Medicare, or “traditional” Medicare. How Can MA Plans Affect Us? ÂSome patients do not realize that they have selected an MA Plan and may still give you their red, white and blue Medicare card. ÂSome patients think they should always give you their red, white and blue Medicare card even though they have a different plan. ÂSome patients think their MA card is just for prescription drugs. Tips for Easy Claim Submission and Troubleshooting: Submitting a claim is not the best way to verify a patient’s enrollment. There can be a lag time between the effective date of a patient’s change in coverage (e.g., from traditional Medicare to an MA Plan) and Medicare records being updated by Social Security. Continued on Next Page Q. When performing an abdominal aorta ultrasound, which code is more appropriate; 93978 or the combination of 76775 and 93976? Also, we are examining the kidneys and the abdominal aorta, as well as checking blood flow with spectral Doppler. Is the second option acceptable? Is it common practice? A. First and foremost, both exams must be ordered and Medically Necessary. CPT Code 76775 may be billed in conjunction with either 93975 or 93976, so the more appropriate code of the two should be selected in addition to the 76775. Further, the “59” modifier must be appended to CPT Code 76775. ÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕ MEDICARE HOSPICE COVERAGE Medicare beneficiaries entitled to hospital insurance (Part A) who have a terminal illness and a life expectancy of six months or less have the option of electing hospice benefits in lieu of standard Medicare coverage for treatment and management of their terminal condition. Only care provided by a Medicare certified hospice is covered under the hospice benefit provisions. Hospice care is available for two 90-day periods and an unlimited number of 60-day periods during the remainder of the hospice patient’s lifetime. However, a beneficiary may voluntarily terminate his hospice election period. Election/termination dates are retained on CWF. When hospice coverage is elected, the beneficiary waives all rights to Medicare Part B payments for services that are related to the treatment and management of his/her terminal illness during any period his/her hospice benefit election is in force, except for professional services of an attending physician, which may include a nurse practitioner. Continued on Next Page 1 Ask each patient to present all of his/her insurance cards at each visit. Alternatively, you can ask patients for their prescription cards, to ensure that you are getting the most accurate information possible. If you cannot ascertain whether or not the patient has coverage through an MA plan, you should verify this information with a customer service representative in the Medicare Provider Contact Center by calling 1-877-567-9232. Representatives are available Monday through Friday from 8:30 a.m. to 4:30 p.m. If a patient insists that his Medicare coverage is wrong (he believes he should have traditional Medicare and not an MA Plan), the patient must call 1-800-MEDICARE to correct his enrollment. To be covered, hospice services must be reasonable and necessary for the palliation or management of the terminal illness and related conditions. The individual must elect hospice care and a certification that the individual is terminally ill must be completed by the patient’s attending physician (if there is one), and the Medical Director (or the physician member of the Interdisciplinary Group (IDG)). Nurse practitioners serving as the attending physician may not certify or recertify the terminal illness. A plan of care must be established before services are provided. To be covered, services must be consistent with the plan of care. Certification of terminal illness is based on the physician’s or medical director’s clinical judgment regarding the normal course of an individual’s illness. It should be noted that predicting life expectancy is not always exact. ÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕ Resources To access the MA Plan Directory and CMS instructions for MA Plans, refer to the CMS Web site: http://www.cms.hhs.gov/HealthPlansGenInfo/ ÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕ Companies Marketing PFFS Plans Again All seven companies that offer Medicare Advantage privatefee-for-service (PFFS) plans are allowed to begin actively marketing to seniors again – just over a month before their enrollment season begins. The election period for beneficiaries to select or change Medicare Advantage or Part D drug plans is November 15 through December 31, while open enrollment for regular Medicare is January 1 through March 31. Medicare will make report cards available online for Medicare Advantage and Part D plans, said CMS acting administrator Kerry Weems in a Sept.24th speech. CMS says the plans were scrutinized to be sure they met certain standards, including reaching out to enrolled patients to be sure they understand what they signed up for and having their sales agents pass a written test showing that they understand the products they are selling. Seven companies, The United Health Group, Blue Cross Blue Shield of Tennessee, Humana Inc., Sterling Life Insurance Co., Coventry Health Care Inc., Universal American Financial Corp., and WellCare Health Plans Inc., suspended marketing in August until CMS determined that they met certain standards (PBN 6/25/07). Continued on Next Page NEW FUNDS TO PROVIDE NURSING HOME ALTERNATIVES The U.S. Department of Health and Human Services disclosed this week it will invest nearly $6 million more to help states expand community- and home-based long-term care options for seniors. Twelve states received a total of $5.7 million in federal funding for grants. The states will contribute more than $3 million to support the effort. The government hopes the money will help states reduce unnecessary nursing home placement, and eliminate the need for individuals to "spend down" to be eligible for nursing home Medicaid, officials said. More and more, governments are looking toward homeand community-based services to help solve the spending problems associated with nursing home use. Advocates of nursing homes are concerned that the trend might hurt the most vulnerable who need nursing homes. ÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕ Home Health Care Industry Focus In 1994, approximately one in eight Americans was age 65 and older. But by 2030, one in five Americans will be a "senior citizen." From 2010 to 2030, the number of Baby Boomers age 65 to 84 will grow by an estimated 80 percent while the population age 85 and older will grow by 48 percent. In addition, between 1994 and 2020, the nation's population of 85 years and older is projected to double to 7 million, and then increase to between 19 and 27 million by 2050. Continued on Next Page 2 “CMS will continue oversight of all plans, and take appropriate action if warranted. This past week, we issued civil monetary penalties against two plans for marketing abuses,” he said, but did not elaborate on which plans or what the abuses were. “I want to be clear – despite the fact that we believe civil monetary penalties were necessary – they represent a failure for all of us…for CMS as well as these plans. The reality is, we should have prevented abuses, and we will need to fix them together,” he said. ÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕ AGING BY THE NUMBERS…… • • • Life expectancy increased in the past century, from 47 years in 1900 to 77 years for those born in 2001. Half of the people 65 or older live in nine states, led by California, Florida and New York. The number of people living to 100 in the United States is difficult to estimate, but their numbers are growing. For people born in 1899, the odds of living to 100 was 400 to 1. However, for people born in 1980, the odds increased substantially to 87 to 1. (Source: Centers for Disease Control & Prevention, American Geriatrics Society) ÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕ IT TIPS So, it's easy to see why those in the Home Health Care industry see another boom on the horizon – one of everincreasing demand for services. During 2006, the average annual cost for a private room in a Nursing Home rose to $70,912, or $194 a day, up 2 percent over $69,400, or $190 a day, according to a Wentworth Financial annual survey of long-term care costs. As a result, many families are opting out of Nursing Home care and selecting in-home health care as the best option. And while the cost of home health services also continues to increase, the benefits of having the family member at home make the added cost worthwhile. Home health care services consist of providing skilled nursing or medical care in the home under the supervision of a physician. Services may be provided on a short- or long-term basis and may include respiratory therapy, physical therapy, feeding and nutritional services, infusion therapies and assistance during recuperation. The National Association for Home Care (NAHC) reports there are more than 25,000 home health care providers caring for nearly 9 million people living with acute illness, long-term health problems, disabilities or terminal illness. This number represents a phenomenal increase since 1963, when only 1,100 homecare providers were in operation. Annual estimated expenditures for home health care are estimated to be more than $55 billion. Home health care services may be owned by government entities, hospitals, non-profit organizations, visiting nurse associations or private companies. The customer base for home health care services is a certainty, and new technologies are making it possible for the infirm and aged to stay at home longer than ever before. However, the industry took a hit with the Balanced Budget Act of 1997 that dramatically cut Medicare reimbursements for home health care. Another challenge is the same as that faced by hospitals and clinics – the shortage of registered nurses and home health care aides, coupled with a very high rate of turnover, often the result of onerous paperwork and governmental regulations that add hours and stress to a care provider's workdays. In recent years, the percentage of home health care businesses owned by hospitals has decreased, and privatesector managed care plans are picking up a larger proportion of the bill. Another recent development is experimentation with telehomecare, using telephone and Internet-based communication that allows medical care professionals to communicate with patients without traveling to the home. Continued on Next Page 3 And, as the medical device industry develops more easyto-use vital sign testing equipment, such as portable EKGs and finger stick glucometers, the need for on-site care is lessened. UNEARTHING A ROCK ‘N ROLL LEGEND MobilexUSA participated in a bit of rock and roll history in March of this year. Dr. Bill Bass, the founder of the Body Farm at the University of Tennessee, was asked to exhume and autopsy J.P. Richardson Jr., known as the Big Bopper. The plane carrying Ritchie Valens, Buddy Holly and the Bopper crashed in 1959 in an Iowa corn field. There had been theories that he had survived the crash, as he was found well away from the plane. That and the unanswered questions around a loaded gun found at the crash site led to the exhumation during a relocation of the grave to another part of the cemetery in Beaumont, Texas. Joey Marse and Cindy Solomon participated in the endeavor which is detailed in the latest book by Dr. Bass and Jon Jefferson, entitled Beyond the Body Farm. Dr. Bass called the condition of the body “one of the most remarkable sights I’ve ever seen in my career.” This was a pretty profound comment from the man whose decades of experience include the exhumation and examination of the Lindbergh baby and ancient soldiers in Asia, among scores of other high profile cases. The remarkable preservation of the body (recognizable after 48 years) meant that the original plan to examine bare bones had to be scrapped and a radiology driven examination performed. The multiple image study earned praise from Dr. Bass as evidenced by the comment in the book, “These Mobilex folks were clearly no slouches.” Ultimately, MobilexUSA provided the definitive answers that the Bopper’s son, Jay Richardson, was seeking. The findings indicated no evidence of a gunshot and also determined that survival was unlikely (probably impossible) due to the catastrophic injuries illustrated on the x-rays. For more information on the Body Farm and the work of Dr. Bass and Jon Jefferson go to jeffersonbass.com, Other innovations ready to come to market include vibrating shoes that help with balance, talking pillboxes that remind patients when their next dose of medication is due and shirts that monitor vital signs via computer. More interactive technologies include systems that lead patients through a series of questions. The answers, along with vital signs, are transmitted to the physician's office, alerting medical staff if there is a problem. Costly on-site visits are then reserved for situations requiring hands-on assistance. In 2001, the U.S. Department of Labor, Bureau of Labor Statistics counted 658,110 employees in home health care agencies, excluding hospitals and public agencies. Health care practitioners and technical occupations accounted for nearly one third of all jobs. Registered nurses, the largest in-category occupation, had a mean annual salary of $47,560; occupational therapists had a mean annual salary of $64,930; and licensed practical and licensed vocational nurses had a mean annual salary of $33,030. Health care support occupations, such as home health care aides and nursing aides, accounted for 36 percent of the industry's jobs, with a mean annual salary of $17,880. Personal and home care occupations held 18 percent of the industry's jobs. Home care aides had a mean annual salary of $14,650. So, for the enterprising entrepreneur or the professional with health care experience, the landscape is promising to take advantage of the aging of America. And for those of us approaching the "golden years," we can enjoy the assurance of staying home longer and still receiving the finest of care. ÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕ COMPLIANCE MATTERS Buddy Holly - J.P Richardson Jr. (Big Bopper) - Richie Valens Tuesday, August 10, 2004 The Big Bopper Entered the Texas Country Music Hall of Fame Article Submitted by: Cindy Solomon, Regional Director of SW Administration Identification Requirements for Medicare Site Reviews Please be aware that any Medicare contractor staff person who visits any of our locations must show a photo identification indicating their affiliation with the Medicare contractor. MobilexUSA staff should never allow any individuals access to their computers, medical records, billing information, etc if they fail to produce identification and proper documentation confirming their identity. Pat Falice Senior Director 4 SALES NEWS N WHO CAN I CALL? For Questions Regarding Medicare Fee Schedules & Medicare/Medicaid Contracting: Call: Debbie Ferrelli 443-662-4191 “I Can’t Get No Satisfaction” Call: Delores Bogert 443-662-4116 OR Call: Pat Falice 443-662-4190 ÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕ People Misled Into Choosing Medicare Part C Can Bail Out By Carol Gentry, The Tampa Tribune Some Medicare beneficiaries who think they were tricked into enrolling in the wrong health plan now have an exit strategy. Dear HR New federal guidelines call for the Centers for Medicare & Medicaid Services to lift the "lock-in" requirement that went into effect March 31 for the rest of 2007. The option to withdraw applies to members of private plans who think they were misled by sales materials or agents. CMS drafted the new rules in the last week of June, following congressional hearings on abusive marketing practices in Medicare Advantage plans. A number of major carriers, including Tampa's WellCare Health Plans, were accused of letting contract sales agents make misleading statements to win enrollments and commissions. "Seniors are getting ripped off, and it's not an isolated event; it's a pattern," Sen. Ron Wyden, D-Ore., said at a hearing in May. "We're going to drain the swamp." ÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕ The new rules apply to private coverage under Medicare Advantage, sometimes called Part C. About 18 percent of the 43 million Medicare beneficiaries in the nation are enrolled in Medicare Advantage plans. Continued on Next Page 5 The new guidelines do not apply to beneficiaries in original Medicare, Medicare supplement coverage or Medicare prescription drug plans. The CMS press office, which released the new rules to the Tribune on Friday, said the agency began training phone operators at 1-800-MEDICARE as soon as the guidelines were drafted. The guidelines instructed regional offices to give such cases "high priority." Notification Is An Issue: "I praise them for writing it," said Robert Hayes, president of the Medicare Rights Center, a national advocacy group. But Hayes wonders how Medicare beneficiaries can find out about it, given that CMS has made no announcement. "Every plan should be required to notify enrollees in simple language how to dis-enroll" if they were misled about the coverage when they signed on, Hayes said Tuesday. CMS was under heavy pressure from Congress and the advocacy groups to address the problem. In recent weeks, the Medicare Rights Center's test calls to operators with complaints about wrongful enrollment were mostly turned away. "This has been a gnawing problem for well over a year," Hayes said. "Every regional office reacted differently, and some reacted differently depending on who picked up the phone." The guidelines, titled "New Exceptional Circumstances (for a Special Enrollment Period) Based on Incorrect or Misleading Information," allow the phone operators at 1800-MEDICARE to help beneficiaries leave the plan if they provide "acceptable assurances" that they were given incorrect information about the plan. The beneficiary "is not required to provide documentation" of what happened but "should provide as much specific detail as possible," such as dates of meetings, names of agents or brokers, or copies of sales materials. If the beneficiary wants only to leave the plan until the 2008 enrollment period begins Nov. 15, the phone operator can handle it. The beneficiary has a choice of choosing a new plan or returning to original Medicare, in which the government pays 80 percent of doctor and hospital bills. Continued on Next Page 6 Missing Initials Could Cause Unprocessable Medicare Claims If you haven’t been reporting the patient’s middle initial on your CMS-1500 claim form (or electronic equivalent), make sure you start doing so – or you could see your claims returned as unprocessable. Remember, unprocessable isn’t the same as rejected, and you don’t need to appeal the claim; you simply need to correct it – in this case, add the middle initial. Although it’s not a new requirement to complete item 2 of the 1500 form with the patient’s name, including middle initial, at least one Medicare carrier – National Government Services (NGS) – says it’s beginning to crack down on the common error. “Claims without the middle initial as shown on the Medicare card … will be rejected and you are instructed to please re-file the claim with the corrected information which matches the Medicare card exactly,” the carrier says. Instructions for completing the 1500 form from the National Uniform Claim Committee (NUCC), which created the form, say: “Enter the patient’s full last name, first name, and middle initial. Use commas to separate the last name, first name and middle initial.” TIP: Do not use a period after the middle initial. Here’s how a correctly completed item should look, according to the NUCC: TIP: “Enter the name exactly as it appears on the card in spite of the information that the patient provides,” suggests Anne Dunne RN, MBA, practice Administrator, South Shore Neurologic Associates, P.C./Brookhaven MRI in Bay Shore, N.Y. TIP: To make sure you get it right, scan or copy the patients’ Medicare ID cards every time they come into the office, she says. “Sometimes, they get a little annoyed” if they’re asked during several visits that are very close together, says Dunne, so staff may not scan cards every time for patients returning for multiple visits in a row. But “if it’s been several months, we’ll ask for an update,” she says. Her system, Misys Tiger, is able to electronically keep the scanned card with the patient’s record. If you’re still using a paper system, you could copy the card and attach the copy to the charge ticket, she suggests. — V. Banner (Part B News) What Qualifies As Misleading Information? Statements that suggest all doctors and hospitals in an area accept the plan’s coverage. Some examples of misleading information that would permit a beneficiary to leave the plan include: Describe the product as a Medigap or Medicare supplement plan. Such plans leave the beneficiary in traditional Medicare, covering the 20 percent that the government doesn't pay. By contrast, a Medicare Advantage plan replaces traditional Medicare and is responsible for all doctor and hospital coverage. Suggest to potential enrollees that they can switch back to original Medicare "at any time" if they don't like the plan. The CMS guidelines say beneficiaries are not entitled to leave a plan just because they've changed their minds about what they want, or because their favorite doctors or hospitals have resigned. When questions crop up, operators are instructed to turn the decision over to a regional office caseworker for investigation. If the first caseworker doesn't think a case meets the criteria, it goes to a second caseworker for review. If both think the case lacks merit, they must notify the beneficiary in writing. Case work is also necessary when a plan member misinformed about coverage has run up medical debts and needs to switch coverage retroactively. As CMS official Abby Block testified June 26 before the House Oversight and Investigations subcommittee, the agency has always allowed some beneficiaries to leave their Medicare plans on a case-by-case basis, such as when a dementia patient enrolls and can't remember doing so. But this year, she said, a big jump in enrollment in private fee-for-service plans - which have no networks and leave it to the beneficiary to find a willing doctor - caused massive confusion. The agency was hit with a wave of complaints soon after the enrollments went into effect Jan. 1st. Some regions responded. Notably, CMS' Atlanta office allowed 30,000 members of the Any, Any, Any plan, based in St. Petersburg, to cancel enrollments retroactively. But other members of Medicare Advantage plans nationwide weren't offered the chance or were turned away. Article Contributed By: Sandy Gregory ÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕ 7 “Organize Your Space” Rearrange your workspace so that you can find items faster, Two Rules: HAPPY HALLOWEEN FROM GUESS WHO? ÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕ • Eliminate what you no longer need. To determine what to toss, ask yourself: “How often will I need this? Can I find it elsewhere if I need to?” • Stay Organized. Straighten up at the end of each day, or at least by the end of the day each Friday. Cleaning up one day’s or one week’s worth of mess is easier than attacking a month’s worth or more! ÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕ SALES REMINDER Did you recently renegotiate an existing contract with one of you Facilities? The Pilgrims may be the quintessential symbol of Thanksgiving, but the truth is, the Pilgrims never held a "Thanksgiving" feast. The actual "First Thanksgiving" most likely refers to a mid October feast the pilgrims held in 1621, after their first successful harvest in the new land. Since the pilgrims never repeated the celebration, it can't really be called the start of a tradition. It is also doubtful that the devoutly religious Pilgrims would have had termed it a "Thanksgiving" feast either, as giving thanks would have called for a day of fasting and prayer. A Native American named Squanto was said to befriend the Pilgrims and it is doubtful they would have survived the first harsh New England winter without him. Squanto taught the Pilgrims how to tap maple trees for sap, how to plant Indian corn and other crops as well as which plants in the surrounding areas were poisonous and which had healing powers. The resulting October harvest was so successful, the Pilgrims had stored enough food to sustain them through the winter. Continued on Next Page If you did, it is imperative that you obtain a new, fully executed contract; complete a new “Facility Data Sheet” and forward both to the designated contract representative in your Regional office. This representative is then responsible for sending a copy of this documentation to Lisa Curry at the Sparks Corporate Billing Center. ÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕÕ How to Be a Good Employee It sounds like a strange subject, but it is definitely important and is something that people commonly take for granted these days. Sadly, most people don't realize how valuable and rare a good employee is, nor how good it is to be one themselves, until they own their own business or are in charge of their own employees. Job Security through Openness The first and most important thing is job security. It is important to you and your livelihood. However, it is not always important to your employer. What is to be done? A person could sabotage their own work or control it to the point where only they can continue in that role. Continued on Next Page 8 There were smoked cured meats, fish packed in salt cures, fruits, vegetables and the American staff of life, corn. We do know a few facts about the first feast. For instance it can be assumed that it was held in the great outdoors, as the colonists didn't have buildings large enough to accommodate the large number of guests. If you've ever spent an autumn in New England, you know this can be a chilly proposition. Turkey was probably served, as was pumpkin or squash in one form or another. One entrée that hasn't stood the test of time is venison, a staple of the ninety or so Native Americans who were invited to the celebration, including Squanto and Chief Massasoit. The first feast was, in essence, a big pot luck dinner that went on for three (count them) days! In addition to turkeys and venison, the dinner probably included ducks, geese and even swans. There were games, races and demonstrations of skills with bows and arrows and muskets, making a true festival atmosphere. Customs of celebrating an annual day of Thanksgiving after the autumn harvest began to spring up in the colonies, but didn't get national recognition until the late 1770's when it was suggested by the Continental Congress during the American Revolution. New York officially adopted Thanksgiving Day as an annual custom in 1817, and many other states soon followed suit, but it wasn't until 1863 that President Abraham Lincoln appointed a national day of Thanksgiving. Since then, each president has issued a Thanksgiving Day proclamation, usually designating the fourth Thursday of each November as the holiday. Our neighbors in Canada celebrate Thanksgiving on the second Monday in October, a time closer in fact to the date of the first feast. Official Canadian observance of Thanksgiving began in 1879. While that covers the traditions of modern Thanksgiving in a nutshell, the day's true history actually goes back far before the Pilgrims arrived in the New World. Harvest festivals were held by many ancient civilizations. The ancient Greeks honored Demeter, the goddess of grains, each autumn at the festival of Thesmosphoria. The Romans celebrated a harvest festival called Cerelia, which honored Ceres their goddess of corn. The harvest festival, Chung Ch'ui was celebrated by the ancient Chinese with the full moon that fell on the 15th day of the 8th month. Hebrew families have celebrated a harvest festival called Sukkoth for over 3000 years. The ancient Egyptians celebrated their harvest festival in the spring to honor Min, their god of vegetation and fertility. So this Thanksgiving when you sit down to feast, think about the ancient tradition that is still kept alive today through the sharing of food, family, friends and love. HAVE A WONDERFUL THANKSGIVING! Putting complicated code in software that only you know, having a special relationship with customers that someone else cannot foster, or creating a messy system that only you understand. These are all tricks, and though they may work for a short while, in the end they will be undone and definitely contribute to your own undoing! I think it is best to do the opposite. If your employer decides that your job is no longer needed, or that you should no longer fill the role even though you do "good work", then chalk it up to destiny. If your employer does not recognize a valuable employee, and you *are* one, then you belong at a better company. On the other hand, if your job has become obsolete it may be a sign that you didn't adapt when you needed to. This is, as we all know, a world in which technologies and methods change all the time. We need to be dynamic. I also recommend that you document everything; make your job simple and easy to understand for others. That you be open, contribute to the work of others and let others contribute to yours. It may sound like a sure fire way to get fired because you clear away the dependency they have on you, but as I mentioned above, your value should not lie in your employer's fear of firing someone who has secrets, but in their fear of losing such a valuable person. So, document and share everything in case you get hit by a meteor one day and someone needs to continue your work. You'll be surprised when, one day, your bosses see such organizational habits as being worthy of a management role and give you a promotion. Now, there are some recent outsourcing fiascos happening in the USA that have a lot of people upset, and I certainly would be upset too if it happened to me. It's a shame, and though what I have said above would seem to endanger your job even more, keep in mind that countries like France and Germany have very strict laws forbidding the firing of an employee, yet they suffer from the same outsourcing woes. Moreover, their unemployment is currently hovering around 10%, twice that of the USA. It just goes to show that job protection should come from being valuable, not tricks or laws against firing. Follow the Rules Another aspect of being a good employee is following company rules. If your company's employee conduct rules are oppressive, fight them formally or follow them while you secretly look for another job, but don't blatantly break them and get yourself in trouble. Your workplace is not just a place to earn money, it is a social environment that has structure, and those rules are in place for a good reason. Along those lines of social environment we also find the topic of coffee. Yes, coffee. I don't drink coffee and I never want to, but if the other people in the office take coffee and the pot is empty, make more. Your fellow cubicle dwellers will appreciate it. Continued on Next Page 9 December Holidays Christmas Hanukkah Kwanzaa Don't be a Slob Keep a clean desk, and make sure it has personal items that have meaning to you. Bring in photos of family and friends, but not so many that your desk becomes a home and not a place of work. Having a clean organized desk shows that you are clean and organized as an employee. Your office and/or desk are a daily billboard. A constant, physical curriculum vitae. A reminder of *why* your employer hired you in the first place, and why they still keep you on the payroll. Your conduct and cleanliness should reinforce your worth to your employer. Having plaques, awards, and certifications around is a great help too! Come in Early, Don't Stay Late You may also find that your hourly habits make you a better employee. Looking good is one thing, but feeling good is quite another and surely contributes to the quality of work that you do. Coming in early and energized, if that is your preference, may very well improve your interaction with others, your work speed and image to your manager! On the other hand, if staying late is better and you do better work in the late hours, it may be best for you to try that. There is also a lot to be said for working the 8 hours of the day to their fullest, and leaving on time to see your family. It is all up to you, but whichever you choose; make sure that you are punctual and consistent. Those two are highly valued by management. If I had to choose between coming in early or staying late, I would rather come in early. Getting to work early is easily noticed, but no one sees you staying until 7 pm because they're all at home! Moreover, coming in early gives you a head start, staying late means you're catching up. So, if you come in early you can stop the fire before it starts, otherwise you'll be staying late trying to put it out. Our next issue will be published January 2008 Publisher: Pat Falice Editor-in-Chief: Dianna Gomez And.... Finally, I will state the obvious: being a good employee means being a good person. You should be patient, attentive, courteous and reliable. Good companies know that those values cannot be learned in any college curriculum, or on the job training. They must be within you before you work for them and not only are they the most valued characteristics to find in an employee, they are also the rarest. Jeff Skrysak http://www.skrysak.com/index.php 10
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