{"id":9279,"date":"2018-07-27T19:54:54","date_gmt":"2018-07-27T19:54:54","guid":{"rendered":""},"modified":"2018-07-27T19:54:54","modified_gmt":"2018-07-27T19:54:54","slug":"medical-coding-online-classes-palmyra-ny-14522","status":"publish","type":"post","link":"https:\/\/www.medbillsedu.info\/new-york\/medical-coding-online-classes-palmyra-ny-14522","title":{"rendered":"Medical Billing and Coding Online Courses &#8211; Palmyra NY 14522"},"content":{"rendered":"<h2 style=\"text-align: center;\"><strong>How to Enroll In a Medical Billing and Coding Online Program <\/strong><strong>in Palmyra&nbsp;14522<\/strong><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-22 size-full\" title=\"Palmyra NY woman attending medical billing and coding school online\" src=\"https:\/\/medbillsedu.info\/wp-content\/uploads\/2018\/07\/woman-attending-medical-billing-and-coding-school-online.jpg\" alt=\"Palmyra NY woman attending medical billing and coding school online\" width=\"250\" height=\"166\" \/>Now that you have made a decision to become part of the healthcare profession by <strong>training to be a medical billing and coding clerk in Palmyra NY<\/strong>, it&#8217;s important that you choose the appropriate school so that you receive the necessary education to guarantee your success. As you no doubt know, healthcare is one of the fastest growing industries in the USA, and a growing number of options are offered both on campus and online to get the training that you need. But just where does one begin? Many potential students start by looking for schools that are within travelling distance of their residences and then comparing tuition. Or they may search the internet looking for online classes and choose the least expensive one. But while cost and location are important issues when making your determination, they should not be the only ones when comparing medical billing and coding schools. Such qualifications as reputation and accreditation need to be taken into consideration as well. We will review a checklist of topics that you need to ask the colleges you are assessing so that you can find out what you must know before making your selection. But first, let&#8217;s take a look at what medical coders and billers do and the academic and certification options available.<\/p>\n<p style=\"text-align: center;\"><div class=\"campusexplorer-widget\"  data-ce-source=\"sa-f2c6c6a6\" data-ce-tracking_code=\"MBCONLINE\" data-ce-area_of_study=\"75346615\" data-ce-concentration=\"F964C2DC\" data-ce-header_text=\"Find Online Medical Billing and Coding Schools!\"><\/div>\n<h3 style=\"text-align: center;\"><strong>Medical Coder Job Description<\/strong><\/h3>\n<p>Medical coders are on the forefront of the billing systems for Palmyra NY medical practices and healthcare organizations. Coders have the responsibility to review the treatment records of patients and assign universal codes to all services provided. These services may be for diagnosis, medical or dental procedures, or any equipment or medical supplies utilized. There are several codes that are utilized in the conversion, including:<\/p>\n<ul>\n<li>CPT codes (Current Procedural Terminology).<\/li>\n<li>ICD codes (International Classification of Diseases).<\/li>\n<li>HCPCS codes (Healthcare Common Procedure Coding).<\/li>\n<\/ul>\n<p>Medical coders use information from sources including nursing and physician notes, patient charts, and radiology and lab reports. Coders must know not only what total services were provided for accurate reporting, but must have a working knowledge of all government and private payer rules that influence coding also. Inaccurately coded claims can lead to services not being covered, services being paid at a decreased rate, or the physician or facility being penalized for fraudulent or improper billing. Since improper coding can actually cost Palmyra NY hospitals and doctors many thousands of dollars in earnings each year, a proficient medical coder is an important asset to the healthcare team. They can work in every kind of healthcare facility, including private practices, hospitals, clinics and critical care centers. It is not uncommon for professional medical coders to operate at home as an offsite employee or an independent contractor.<\/p>\n<h3 style=\"text-align: center;\"><strong>Medical Billing Job Duties<\/strong><\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-23 size-full\" title=\"Palmyra NY medical billers collect revenue\" src=\"https:\/\/medbillsedu.info\/wp-content\/uploads\/2018\/07\/medical-billers-collect-revenue.jpg\" alt=\"Palmyra NY medical billers collect revenue\" width=\"250\" height=\"187\" \/>As crucial as the medical coder&#8217;s job is, it would be for nothing without the collaboration of the medical biller whose efforts bring in revenue. Medical billing clerks are extremely important to Palmyra NY healthcare organizations and are essentially responsible for keeping them in business. Sometimes the biller and coder are the same individual within a medical facility, but they can also be 2 individual professionals. Once the coder has carried out her or his job, the biller uses the codes provided to complete and submit claim forms to insurance companies, Medicaid or Medicare. After they have been adjusted by the appropriate organization, patients can then be invoiced for deductibles or additional out of pocket expenses. On a regular basis, a medical billing clerk may also do any of the following:<\/p>\n<ul>\n<li>Verify medical insurance benefits for patients and help them with billing questions or concerns<\/li>\n<li>Check on submitted patient claims and appeal any that have been declined<\/li>\n<li>Act as an intermediary between the medical provider, the insurance carriers and the patients for accurate claim settlement<\/li>\n<li>Generate and manage Accounts Receivables reports<\/li>\n<li>Create and deal with unpaid patient collections accounts<\/li>\n<\/ul>\n<p>Medical billing clerks not only work for family practices, but also Palmyra NY hospitals, urgent care facilities, medical groups or nursing homes. They may practice in any kind of healthcare facility that depends on the incomes generated from billing patients and third party payers.<\/p>\n<h3 style=\"text-align: center;\"><strong>Medical Biller and Coder Online Instruction and Certification<\/strong><\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-24 size-full\" title=\"Palmyra NY patients are billed for medical treatment\" src=\"https:\/\/medbillsedu.info\/wp-content\/uploads\/2018\/07\/patients-are-billed-for-medical-treatment.jpg\" alt=\"Palmyra NY patients are billed for medical treatment\" width=\"252\" height=\"189\" \/>It&#8217;s important that you receive your education from a reputable school, whether it&#8217;s a trade school, vocational school or community college. Even though it is not a requirement in most cases to earn a professional certification, the program you select should be accredited (more on the advantages of accreditation later). The majority of schools only require that you earn either a high school diploma or a GED to qualify. The quickest way to becoming either a medical coder or biller (or both) is to earn a certificate, which typically takes about a year to complete. An Associate Degree is also an option for a more expansive education, which for most programs requires 2 years of studies. Bachelor&#8217;s Degrees for medical coding and billing are not abundantly offered. When your training has been completed, although not mandated in most states, you may want to attain a professional certification. Certification is an excellent method for those new to the profession to show prospective employers that they are not only qualified but committed to their career. A few of the organizations that provide certifications are:<\/p>\n<ul>\n<li>American Academy of Professional Coders (AAPC).<\/li>\n<li>Board of Medical Specialty Coding (BMSC).<\/li>\n<li>The Professional Association of Healthcare Coding Specialists (PAHCS).<\/li>\n<li>American Health Information Management Association (AHIMA).<\/li>\n<\/ul>\n<p>Graduating from an accredited medical billing and coding program, together with obtaining a professional certification, are the most effective ways to accelerate your new vocation and succeed in the rapid growing healthcare industry.<\/p>\n<h3 style=\"text-align: center;\"><strong>Medical Biller and Coder Online Courses<\/strong><\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-25 size-full\" title=\"medical coder working online in Palmyra NY\" src=\"https:\/\/medbillsedu.info\/wp-content\/uploads\/2018\/07\/medical-coder-working-online.jpg\" alt=\"medical coder working online in Palmyra NY\" width=\"250\" height=\"166\" \/>If you are searching for convenience and the flexibility of attending classes in your home, then selecting an online medical billing and coding college might be an excellent option. They can be especially attractive to students in Palmyra NY who plan on going to school while still working or have other commitments that make going to classes on campus challenging. And as an additional advantage, online schools are in many cases less expensive than the standard classroom alternatives. Costs for such things as tuition, study materials and commuting may be reduced or eliminated. But be cautious, as not all online schools are reputable. That&#8217;s why it&#8217;s important to verify that the online college you choose is accredited to guarantee a superior education. We will review the benefits of accreditation in the next segment. Just make sure to verify that any online classes you are researching is accredited by one of the national accrediting organizations, such as the Council on Higher Education Accreditation. So if you are disciplined enough to devote yourself to this type of learning, then obtaining your certificate or degree online may be the ideal choice for you.<\/p>\n<h3 style=\"text-align: center;\"><strong>Points to Ask Online Medical Coder and Biller Training Programs<\/strong><\/h3>\n<p>Once you have a general idea what a medical coder and biller does, in addition to what training options are available, you must begin the process of comparing schools. But since there a large number of training options offered at community colleges as well as trade, vocational and technical schools online and within the Palmyra NY area, you need to have a ready list of questions to assess each one. And when you include all of the online schools that offer medical coding and billing classes, the project can become somewhat formidable. As we have already covered, cost and location are going to be relevant issues, particularly if you have a limited budget and will be commuting to classes from your Palmyra home. And whether or not the school and program are accredited must be part of your vetting process also. So let&#8217;s take a look at a few of the other questions that you should ask the colleges you are reviewing so that you can compare each one and make the right choice.<\/p>\n<p style=\"padding-left: 30px;\"><strong>Is the Online College Accredited?<\/strong> It&#8217;s important that the program and school you select are accredited by a respected accrediting agency, for example the Accrediting Commission of Career Schools. If it&#8217;s an online school, it may also earn accreditation from the Distance Education and Training Council, which focuses on online or distance learning. Not only will accreditation help ensure that the education you receive will be of superior quality, it might help with your future employment in Palmyra NY also. Many Palmyra medical organizations will only hire entry level candidates that have completed an accredited medical coding and billing educational program. And financial aid and student loans are often only obtainable for programs that have received an accreditation.<\/p>\n<p style=\"padding-left: 30px;\"><strong>What is the Online Program&#8217;s Reputation?<\/strong> Prior to selecting a medical coding and billing college, find out what its ranking and reputation are among other schools. This is especially relevant if you have no experience in the industry, since potential employers will primarily be relying on the quality of your education. As we have discussed, making sure that the school is accredited is an initial step. Checking with college rating organizations, such as U.S. News and World Report, can validate the quality of the school also. An alternative is to contact a few Palmyra NY healthcare organizations that you might be interested in working for and find out which schools they suggest. Bear in mind that even if the college itself does not have an excellent reputation, its medical billing and coding program may still be well regarded.<\/p>\n<p style=\"padding-left: 30px;\"><strong>Is there an Employment Referral Program?<\/strong> Finding a job after graduating in your new profession might be challenging without the support of a job placement program. Ask if the schools you are reviewing have job placement programs in&nbsp;the Palmyra NY area and what their job placement rates are. A high and rapid placement rate is an excellent indication that the coding and billing college has a considerable network of medical care employers where they can place their graduates. It also suggests that the college&#8217;s graduates are in high demand in the marketplace.<\/p>\n<p style=\"padding-left: 30px;\"><strong>Where is the College Located ?<\/strong> If you are anticipating driving to class from your Palmyra NY residence, then the location of the program will be of prime importance. Naturally if you select an online medical billing and coding program, then the location of the school will not be important. One thing to keep in mind is that if you go to classes at a junior or community college, many charge a higher tuition for pupils that reside outside of their districts. So you might want to first look at those colleges that are within your local area.<\/p>\n<p style=\"padding-left: 30px;\"><strong>What is the Overall Expense?<\/strong> Medical billing and coding training courses can differ in cost depending on the type of credential obtained and the amount of training provided. Just keep in mind, tuition is not the only expense for your education. Expenditures also include such things as the cost of supplies, books and commuting. Financial assistance may be available to help reduce a portion of the expense, so be sure to contact the school&#8217;s financial assistance department to see what is available in 14522. Naturally if you decide to enroll in an online college, a portion of these added costs, particularly for commuting may be minimized or even eliminated.<\/p>\n<p style=\"padding-left: 30px;\"><strong>Are Classes Available that Fit your Schedule?<\/strong> Many students keep working while going to school and require a flexible class schedule. If you can only go to classes at night or on weekends near Palmyra NY, make sure that they are offered at those times. If you can only enroll on a part time basis, verify that the program you select offers that option. Also, ask what the procedure is for making up classes missed due to sickness, work or family responsibilities.<\/p>\n<h3 style=\"text-align: center;\">Attending Online Billing and Coding Classes in Palmyra New York?<\/h3>\n<p>If you live in the greater Palmyra NY area and will be attending Online Medical Billing and Coding Classes from home, the following information may be both interesting and informative about your local stomping grounds.<\/p>\n<div class=\"wikipedia\"><h3>Palmyra (town), New York<\/h3><p>The Town of Palmyra, originally called \"Swift's Landing\" after its founder John Swift and \"District of Tolland,\" was created in 1789.[5] The sole local encounter between natives and white settlers that resulted in deaths occurred that same year. The present name was adopted in 1796, reportedly to impress a new school teacher. There were almost one thousand people in the town in 1800.\n<\/p><p>Palmyra is the birthplace of the Latter Day Saint movement. Founder Joseph Smith, whose family lived on a farm that straddled the line between Palmyra and Manchester, said he had been visited by God the Father and Jesus Christ in 1820, an event known as the First Vision. In 1830 the Book of Mormon was first published in the village of Palmyra by E.B. Grandin, in the present Book of Mormon Historic Publication Site. Beginning in the early 20th century, The Church of Jesus Christ of Latter-day Saints began buying and restoring many of the properties in the area associated with early church history.  In 1997 the Smiths' log cabin was rebuilt on its original site and in 2000 the church built the Palmyra New York Temple on a portion of the former Smith farm.[7]<\/p><p>According to the United States Census Bureau, the town has a total area of 33.7\u00a0square miles (87.3\u00a0km\u00b2), of which, 33.5\u00a0square miles (86.7\u00a0km\u00b2) of it is land and 0.2\u00a0square miles (0.5\u00a0km\u00b2) of it (0.62%) is water.\n<\/p><\/div>\n<h3 style=\"text-align: center;\"><strong>Pick the Best Online Medical Coder and Biller Training Palmyra NY<\/strong><\/h3>\n<p>Selecting the right <a href=\"https:\/\/www.medbillsedu.info\/new-york\/medical-coding-online-classes-palisades-ny-10964\">medical coding and billing online degree or certificate course<\/a> is a crucial initial step to help guarantee your success in this exciting sector of medical care. Medical coding and medical billing are 2 of the most rapidly expanding careers in the health industry. Because of this, there are a lot of vocational schools, community colleges and other institutions that furnish training and instruction in medical coding and billing. As we have discussed, you can opt to attend classes either on campus or online. It&#8217;s also important that the college you pick offers an accredited program with an outstanding reputation within the medical care field. But however you decide to receive your training, by following the previous guidelines and posing the right questions, you will be better able to assess your options and select the right <a href=\"https:\/\/www.medbillsedu.info\/new-york\/medical-coding-online-classes-parish-ny-13131\">online medical billing and coding school<\/a>. And with the proper education, you can realize your career objective to become a <strong>medical coding and billing clerk in Palmyra NY.<\/strong><\/p>\n<h4 style=\"text-align: center;\">More Awesome Locations in New York<\/h4>\n<li><a href=\"https:\/\/www.medbillsedu.info\/new-york\/medical-coding-online-classes-athens-ny-12015\" title=\"Medical Billing and Coding Online Courses &#8211; Athens NY 12015\">Medical Billing and Coding Online Courses &#8211; Athens NY 12015<\/a><\/li><li><a href=\"https:\/\/www.medbillsedu.info\/new-york\/medical-coding-online-classes-shoreham-ny-11786\" title=\"Medical Billing and Coding Online Courses &#8211; Shoreham NY 11786\">Medical Billing and Coding Online Courses &#8211; Shoreham NY 11786<\/a><\/li><li><a href=\"https:\/\/www.medbillsedu.info\/new-york\/medical-coding-online-classes-southampton-ny-11968\" title=\"Medical Billing and Coding Online Courses &#8211; Southampton NY 11968\">Medical Billing and Coding Online Courses &#8211; Southampton NY 11968<\/a><\/li><li><a href=\"https:\/\/www.medbillsedu.info\/new-york\/medical-coding-online-classes-new-city-ny-10956\" title=\"Medical Billing and Coding Online Courses &#8211; New City NY 10956\">Medical Billing and Coding Online Courses &#8211; New City NY 10956<\/a><\/li><li><a href=\"https:\/\/www.medbillsedu.info\/new-york\/medical-coding-online-classes-jamestown-ny-14701\" title=\"Medical Billing and Coding Online Courses &#8211; Jamestown NY 14701\">Medical Billing and Coding Online Courses &#8211; Jamestown NY 14701<\/a><\/li><li><a href=\"https:\/\/www.medbillsedu.info\/new-york\/medical-coding-online-classes-tomkins-cove-ny-10986\" title=\"Medical Billing and Coding Online Courses &#8211; Tomkins Cove NY 10986\">Medical Billing and Coding Online Courses &#8211; Tomkins Cove NY 10986<\/a><\/li><li><a href=\"https:\/\/www.medbillsedu.info\/new-york\/medical-coding-online-classes-holtsville-ny-00501\" title=\"Medical Billing and Coding Online Courses &#8211; Holtsville NY 00501\">Medical Billing and Coding Online Courses &#8211; Holtsville NY 00501<\/a><\/li><li><a href=\"https:\/\/www.medbillsedu.info\/new-york\/medical-coding-online-classes-sandy-creek-ny-13145\" title=\"Medical Billing and Coding Online Courses &#8211; Sandy Creek NY 13145\">Medical Billing and Coding Online Courses &#8211; Sandy Creek NY 13145<\/a><\/li><li><a href=\"https:\/\/www.medbillsedu.info\/new-york\/medical-coding-online-classes-castleton-on-hudson-ny-12033\" title=\"Medical Billing and Coding Online Courses &#8211; Castleton on Hudson NY 12033\">Medical Billing and Coding Online Courses &#8211; Castleton on Hudson NY 12033<\/a><\/li><li><a href=\"https:\/\/www.medbillsedu.info\/new-york\/medical-coding-online-classes-patterson-ny-12563\" title=\"Medical Billing and Coding Online Courses &#8211; Patterson NY 12563\">Medical Billing and Coding Online Courses &#8211; Patterson NY 12563<\/a><\/li>\n<p>&nbsp;<\/p>\n        <div style=\"float: left; padding: 10px;\">\n            <div style=\"width:250px;height:250px;margin-left: 10px; margin-right: 10px;\">\n                <iframe loading=\"lazy\" width=\"250\" height=\"250\" frameborder=\"0\" scrolling=\"no\" marginheight=\"0\" marginwidth=\"0\" src=\"https:\/\/maps.google.com\/maps?f=q&source=s_q&hl=en&geocode=&q=Palmyra+NY&ie=UTF8&z=12&t=m&iwloc=near&output=embed\"><\/iframe>\n            <\/div>\n        <\/div>\n<p>&nbsp;<\/p>\n\n\n<div class=\"wu-wrapper wu-table-vertical wp_wunderground\">\n\n\t\n\n<form class=\"wu-search ui-front\">\n\t<label><i class=\"dashicons dashicons-search\"><\/i><input type=\"text\" class=\"wu-autocomplete\" value=\"Palmyra NY\" \/><\/label>\n<\/form>\n\n\t\n\n\t\n\t\n\t\tThe location could not be found.\n\n\t\n<\/div>\n\n\n<p>&nbsp;<\/p>\n<span class=\"collapseomatic \" id=\"id3780\"  tabindex=\"0\" title=\"\"    ><\/span><div id=\"target-id3780\" class=\"collapseomatic_content \"> <div class=\"yelp\"> <h4>Business Results <strong>1 - 10 <\/strong>of 0<\/h4><a href=\"http:\/\/www.yelp.com\" rel=\"nofollow\" target=\"_blank\"><img decoding=\"async\" src=\"https:\/\/medbillsedu.info\/wp-content\/plugins\/sslocal\/images\/icons\/yelp_logo_50x25.png\" \/><\/a><\/div>\n<p>&nbsp;<\/p>\n<div class=\"ss-local-rss\"><\/ul> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>How to Enroll In a Medical Billing and Coding Online Program in Palmyra&nbsp;14522 Now that you have made a decision to become part of the healthcare profession by training to be a medical billing and coding clerk in Palmyra NY, it&#8217;s important that you choose the appropriate school so that you receive the necessary education [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[78136],"tags":[83258,83259,83260,83261,83262,83263,83264,83265,83266],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Medical Billing and Coding Online Courses - Palmyra NY 14522 - Medical Billing and Coding Online Schools<\/title>\n<meta name=\"description\" content=\"Searching for Medical Billing and Coding Schools Online in Palmyra NY 14522? Get Free Information on Online Classes and How to Become a Biller and Coder in New York.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.medbillsedu.info\/new-york\/medical-coding-online-classes-palmyra-ny-14522\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Medical Billing and Coding Online Courses - Palmyra NY 14522 - Medical Billing and Coding Online Schools\" \/>\n<meta property=\"og:description\" content=\"Searching for Medical Billing and Coding Schools Online in Palmyra NY 14522? Get Free Information on Online Classes and How to Become a Biller and Coder in New York.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.medbillsedu.info\/new-york\/medical-coding-online-classes-palmyra-ny-14522\" \/>\n<meta property=\"og:site_name\" content=\"Medical Billing and Coding Online Schools\" \/>\n<meta property=\"article:published_time\" content=\"2018-07-27T19:54:54+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/medbillsedu.info\/wp-content\/uploads\/2018\/07\/woman-attending-medical-billing-and-coding-school-online.jpg\" \/>\n<meta name=\"author\" content=\"Jackaroo\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Jackaroo\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"11 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.medbillsedu.info\/new-york\/medical-coding-online-classes-palmyra-ny-14522\",\"url\":\"https:\/\/www.medbillsedu.info\/new-york\/medical-coding-online-classes-palmyra-ny-14522\",\"name\":\"Medical Billing and Coding Online Courses - Palmyra NY 14522 - Medical Billing and Coding Online Schools\",\"isPartOf\":{\"@id\":\"https:\/\/medbillsedu.info\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.medbillsedu.info\/new-york\/medical-coding-online-classes-palmyra-ny-14522#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.medbillsedu.info\/new-york\/medical-coding-online-classes-palmyra-ny-14522#primaryimage\"},\"thumbnailUrl\":\"https:\/\/medbillsedu.info\/wp-content\/uploads\/2018\/07\/woman-attending-medical-billing-and-coding-school-online.jpg\",\"datePublished\":\"2018-07-27T19:54:54+00:00\",\"dateModified\":\"2018-07-27T19:54:54+00:00\",\"author\":{\"@id\":\"https:\/\/medbillsedu.info\/#\/schema\/person\/4ac70520cdd2763f30def616e1a29411\"},\"description\":\"Searching for Medical Billing and Coding Schools Online in Palmyra NY 14522? 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