Cox v. Raleigh General Hospital

CourtDistrict Court, S.D. West Virginia
DecidedJanuary 12, 2022
Docket5:21-cv-00076
StatusUnknown

This text of Cox v. Raleigh General Hospital (Cox v. Raleigh General Hospital) is published on Counsel Stack Legal Research, covering District Court, S.D. West Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cox v. Raleigh General Hospital, (S.D.W. Va. 2022).

Opinion

UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF WEST VIRGINIA

AT BECKLEY

JENNIFER D. COX,

Plaintiff,

v. CIVIL ACTION NO. 5:21-cv-00076

RALEIGH GENERAL HOSPITAL, LLC, a limited liability company, and ALDRINA ARCHIE, an individual,

Defendants.

MEMORANDUM OPINION AND ORDER

Pending before the Court is Defendants Raleigh General Hospital, LLC (the “Hospital”) and Aldrina Archie’s (“Archie”) (collectively, the “Defendants”) Partial Motion to Dismiss Plaintiff’s First Amended Complaint. (ECF No. 24.) For the reasons more fully explained below, Defendants’ motion is GRANTED. I. BACKGROUND This action arises out of the alleged wrongful discharge of Plaintiff Jennifer Cox (“Plaintiff”) from her employment at the Hospital. The following allegations are drawn from Plaintiff’s First Amended Complaint. (ECF No. 22.) Plaintiff, a resident of Raleigh County, West Virginia, was hired by the Hospital’s predecessor on December 4, 1996. (Id. at ¶¶ 1, 4.) On July 27, 2006, Plaintiff began serving in the position of Assistant Patient Access Director of Registration. (Id. at ¶ 5.) In this position, Plaintiff “was specifically instructed by her superiors at [the Hospital] on the procedure for registering incoming patients[.]” (Id. at ¶ 8.) Plaintiff was further responsible for supervising Patient Registration staff and implementing the Patient Registration procedures. (Id. at ¶ 9.) Plaintiff was supervised by the Patient Access Director of Registration, a role held by Archie beginning in May 2019. (Id. at ¶ 7.) Plaintiff was also supervised by Timothy Lessing and Matthew Roberts, the Hospital’s Chief Financial Officer and Chief Executive Officer,

respectively. (Id. at ¶ 6.) Plaintiff asserts that neither she nor any member of her staff were responsible for “authorizing, generating, or sending bills to patients or other payors; for providing medical services; or for establishing any policies or procedures for [the Hospital].” (Id. at ¶ 10.) Between December 9 and December 11, 2019, Plaintiff alleges that auditors from the West Virginia Office of Health Facility Licensure and Certification (OHFLAC) were on site at the Hospital to conduct an audit in response to an allegation of non-compliance with the Emergency Medical Treatment and Labor Act, 42 U.S.C. § 1395dd. (Id. at ¶¶ 33–34.) During this audit, the auditors requested a review of eight patient records in which the consent forms1 were not signed by the patient or were “otherwise irregular.” (Id. at ¶ 35.) On December 10, Plaintiff alleges she was called into a meeting with Mr. Roberts, where

he expressed his displeasure with Plaintiff over concerns identified by the OHLFAC auditors. (Id. at ¶ 36.) Plaintiff responded by identifying her own concerns with perceived flaws in the registration process, including medical service in the emergency room, where patients could be treated and discharged before completing registration and signing the consent forms. (Id.) Plaintiff, however, could only voice her concerns, as she alleges that she “had no authority to

1 A “consent form” is a form generated after the “preregistration” process, where the patient is identified and entered in the system, which the patient then signs indicating the patient’s consent to be medically treated. (ECF No. 22 at ¶¶ 12–15.) In some instances, patients may decline or neglect to sign a consent form, which the registration team would note and subsequently “follow up” with the patient to ensure the form was signed. (Id. at ¶¶ 23–26.) Plaintiff alleges that, as “known by [the Hospital], but never relayed to” her, the Hospital is precluded from billing patients when there is no signed consent form, pursuant to “federal law.” (Id. at ¶ 31.) 2 change or institute hospital policy,” and thus could only comply with instructions from her superiors. (Id. at ¶ 37.) Thereafter, Mr. Roberts asked Plaintiff to explain her concerns to Chief Operating Officer Austin Wratchford and Chief Nursing Officer Debbie Vaughn. (Id. at ¶ 38.) Regarding the files identified by the OHFLAC auditors, Plaintiff was then tasked with

“generating a report” that addressed those concerns, which she produced the next day on December 11. (Id. at ¶¶ 39–40.) Plaintiff provided her report in a meeting with Mr. Lessing and Defendant Archie. (Id. at ¶ 41.) Mr. Lessing and Archie also discussed Plaintiff’s concerns with the registration process at this meeting. (Id.) When Plaintiff gave her recommendations to address the concerns she identified, Archie allegedly told Plaintiff that “that’s never going to happen,” and asked Plaintiff to surrender the report to her and not the OHFLAC auditors. (Id. at ¶ 43.) The following day, December 12, Plaintiff and Archie met with some of the registration team leaders to review the accounts in Plaintiff’s report. (Id. at ¶ 44.) Plaintiff then attended a meeting on December 17 where she was informed by the Hospital’s Human Resources Director Laura Martin and Defendant Archie that she was suspended

from work, pending an investigation into “fraudulent billing.” (Id. at ¶ 45.) Then, on December 20, 2019, Plaintiff’s employment was terminated. (Id. at ¶ 47.) Plaintiff alleges that her termination “ensured that she had no opportunity to explain to the OHFLAC auditors that she and the other members of [the Hospital] staff had been following [its] longstanding procedures in the case of patients” who neglected to sign their consent forms. (Id. at ¶ 48.) During her exit interview on December 20, Ms. Martin informed Plaintiff that the reason for her termination was the lack of signatures on consent forms. (Id. at ¶ 49.) In particular, Plaintiff alleges that Ms. Martin stated that the Hospital “pulled a lot of records and looked at a lot

3 of different things,” including the results of the OHFLAC audit. (Id. at ¶ 50.) Ms. Martin also explained that Plaintiff had been suspended as a result of her discussion with Archie and Mr. Lessing on December 11, where Plaintiff had explained her perceived issues with the registration process. (Id. at ¶ 52.) Ms. Martin allegedly told Plaintiff that her handling of patient files is

“basically fraud,” while referencing the “ACTIVE patient record” step in the Hospital’s protocols. (Id. at ¶ 53.) Ms. Martin continued, stating that Plaintiff was being terminated because she “should know how things should work and because of her training.” (Id. at ¶ 54.) Ms. Martin stated further that Plaintiff’s handling of the patient records was “a violation of the code of conduct,” and specifically mentioned sections of the code that addressed “behaving in an ethical manner and in a proper manner,” and that “violation of patient rights as far as making patients aware of what they are signing.” (Id. at ¶ 55.) Ms. Martin allegedly stated that “these [patients] didn’t even sign anything, and we still billed them. That’s like, huge.” (Id. at ¶ 56.) Ms. Martin then gave Plaintiff a “Corrective Counseling/Behavioral Accountability Record,” which documented the reasons for her termination. (Id. at ¶ 57.) The reasons listed

were for violations of the “Life Point Hospitals Code of Conduct,” “RCCH Policy EMTALA Medical Screening exams and Stabilization,” and “On 12/11/19 employee at her own admittance stated that she failed to follow policy.” (Id.) Ms. Martin then elaborated, stating that the decision to terminate Plaintiff’s employment was based on Plaintiff’s own admission to Mr. Lessing and Archie regarding the follow up actions of one Mr. Stewart, a registration staff member, and Plaintiff’s responsibility for supervising that individual. (Id. at ¶ 60.) During this exit interview, Plaintiff alleges that she requested a witness, which was denied. (Id. at ¶ 63.) Ms.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Bell Atlantic Corp. v. Twombly
550 U.S. 544 (Supreme Court, 2007)
Ashcroft v. Iqbal
556 U.S. 662 (Supreme Court, 2009)
Clark v. BASF Corporation
142 F. App'x 659 (Fourth Circuit, 2005)
Bias v. Eastern Associated Coal Corp.
640 S.E.2d 540 (West Virginia Supreme Court, 2006)
Crump v. Beckley Newspapers, Inc.
320 S.E.2d 70 (West Virginia Supreme Court, 1984)
Miller v. City Hospital, Inc.
475 S.E.2d 495 (West Virginia Supreme Court, 1996)
Jones v. Tri-County Growers, Inc.
366 S.E.2d 726 (West Virginia Supreme Court, 1988)
Keyes v. Keyes
392 S.E.2d 693 (West Virginia Supreme Court, 1990)
Nelson v. West Virginia Public Employees Insurance Board
300 S.E.2d 86 (West Virginia Supreme Court, 1983)
Dzinglski v. Weirton Steel Corp.
445 S.E.2d 219 (West Virginia Supreme Court, 1994)
Mauck v. City of Martinsburg
280 S.E.2d 216 (West Virginia Supreme Court, 1981)
State Ex Rel. Frazier v. Hrko
510 S.E.2d 486 (West Virginia Supreme Court, 1998)
Travis v. Alcon Laboratories, Inc.
504 S.E.2d 419 (West Virginia Supreme Court, 1998)
State Ex Rel. City of Martinsburg v. Sanders
632 S.E.2d 914 (West Virginia Supreme Court, 2006)
Bine v. Owens
542 S.E.2d 842 (West Virginia Supreme Court, 2001)
Belcher v. Wal-Mart Stores, Inc.
568 S.E.2d 19 (West Virginia Supreme Court, 2002)
McKinney v. K-Mart Corp.
649 F. Supp. 1217 (S.D. West Virginia, 1986)
Councell v. Homer Laughlin China Co.
823 F. Supp. 2d 370 (N.D. West Virginia, 2011)

Cite This Page — Counsel Stack

Bluebook (online)
Cox v. Raleigh General Hospital, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cox-v-raleigh-general-hospital-wvsd-2022.