Geren v. Laster, P.A.

CourtDistrict Court, W.D. Arkansas
DecidedNovember 18, 2021
Docket2:20-cv-02246
StatusUnknown

This text of Geren v. Laster, P.A. (Geren v. Laster, P.A.) is published on Counsel Stack Legal Research, covering District Court, W.D. Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Geren v. Laster, P.A., (W.D. Ark. 2021).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF ARKANSAS FORT SMITH DIVISION

HAILEY GEREN PLAINTIFF

v. No. 2:20-CV-02246

DR. SHANE F. LASTER, P.A. doing business as Laster Eye Center DEFENDANT

OPINION AND ORDER Before the Court is Defendant Dr. Shane F. Laster’s motion (Doc. 18) for summary judgment, brief in support (Doc. 20), and statement of facts (Doc. 21). Defendant also filed various exhibits under seal (Doc. 19) pursuant to a protective order (Doc. 12). Plaintiff Hailey Geren filed a response (Doc. 24) in opposition and a statement of facts (Doc. 25). Defendant filed a reply (Doc. 26). For the reasons set forth below, the motion will be GRANTED. I. Background This case arises out of Plaintiff’s prior employment with Defendant. Plaintiff and Defendant worked together at Ennen Eye Center from 2017 to 2018. In early 2018, Defendant opened his own practice, Laster Eye Center, and offered Plaintiff a checkout position at Laster Eye Center. Plaintiff accepted the position. When Laster Eye Center opened in February 2018, Plaintiff’s position was changed to a checkout and billing position. Plaintiff’s duties included filing insurance claims and refiling any rejected optical insurance claims or rejected medical claims. If a claim was rejected, Laster Eye Center’s policy was to immediately refile the rejected claim. Plaintiff was also required to assist with checkout and answering the phones when necessary. In March 2018, Laster Eye Center hired another checkout employee to allow Plaintiff to devote more of her time to billing. At this time, Plaintiff’s title changed to insurance coordinator and patient accounts, and Plaintiff spent approximately 70% of her time billing insurance. At this time, Plaintiff was the employee primarily responsible for insurance billing. On September 18, 2018, Plaintiff received Laster Eye Center’s employee handbook, signed a form acknowledging receipt, and acknowledged that her employment “is on an at-will basis, and that either [Laster Eye

Center or Plaintiff could] terminate the employment relationship at any time and for any reason or for no reason.” (Doc. 19-1, p. 2). The handbook stated, and Plaintiff understood, Plaintiff could be terminated for unsatisfactory performance, terminated for any reason, or terminated at any time without prior discipline. Laster Eye Center’s handbook also allowed for at least six weeks leave for pregnancy or childbirth. Because Plaintiff had not previously worked as an insurance coordinator, or with insurance billing, Laster Eye Center sent Plaintiff to various trainings related to billing, however, not all of the trainings Plaintiff attended were insurance billing specific. Plaintiff often asked Defendant and Chelsea Dutra, Laster Eye Center’s office manager, billing questions but no one had complete knowledge of how to bill insurance. In August 2018, Defendant and Ms. Dutra conducted

Plaintiff’s annual review and discussed Plaintiff’s need to improve billing. Plaintiff was directed to work with her supervisor on a monthly aging report given to Defendant and was instructed that Defendant did not want claims pending. After this performance review, Plaintiff knew Defendant believed there were areas of her employment that needed improvement. Plaintiff was also aware that the handbook allowed for discipline or termination if there were performance areas that needed improvement. (Doc. 24-1, p. 55-56). In 2019, Ms. Dutra had multiple conversations with Plaintiff about Plaintiff’s job performance and the continuing need to improve performance. In May 2019, Plaintiff told her supervisor she was pregnant, and it was agreed that Plaintiff would take twelve weeks maternity leave and co-workers would cover Plaintiff’s duties. To prepare for maternity leave, Plaintiff was instructed to train Darcy McCormick to bill insurance. On May 8, 2019, Plaintiff received a verbal warning for not training Ms. McCormick. In July or August 2019, Laster Eye Center received a patient complaint that Plaintiff had incorrectly informed a patient that the patient did not owe

Laster Eye Center any money. Ms. Dutra investigated the complaint and found Plaintiff had not charged the patient for the deductible amount the patient was responsible for, and instead Plaintiff wrote the amount off. After the complaint investigation revealed this billing error, Laster Eye Center investigated outstanding claims and write-offs. The outstanding claims and write-offs investigation revealed several instances of Plaintiff’s improper billing. One instance was a 264-day-old claim in which the insurance company rejected the claim because the patient’s policy was not in effect. Plaintiff did not attempt to get the patient’s correct insurance information or charge the patient for the visit. Laster Eye Center also discovered a 305-day-old claim that was denied because Plaintiff billed the visit as a new patient instead of an established patient, and Plaintiff did not change the billing code and resubmit the claim. It was

also discovered Plaintiff had improperly billed insurance for new glasses for multiple patients. Further, Plaintiff had improperly billed Oklahoma Medicaid on twelve occasions, despite having properly billed Oklahoma Medicaid several other times. Laster Eye Center was able to determine Plaintiff was responsible because billing software reflected the claims were entered by a user logged in with Plaintiff’s username. On August 22, 2019, Ms. Dutra had a discussion with Plaintiff about Plaintiff’s conduct in searching through Ms. McCormick’s desk without permission for “working fee sheets” and Plaintiff was told to not repeat this conduct. On August 28, 2019, Defendant and Ms. Dutra performed Plaintiff’s annual performance review and identified several performance areas in need of improvement. Plaintiff understood that Defendant still was not satisfied with her performance on insurance billing and knew her performance needed to improve. (Doc. 18-3, pp. 32-33). Defendant discussed the various issues with Plaintiff’s performance and told Plaintiff her performance would be reevaluated in 30 days. On September 9, 2019, Ms. Dutra and Plaintiff

discussed Plaintiff turning down the ringer on her office phone and Plaintiff not answering the phone. On September 12, 2019, Defendant, Ms. Dutra, and Plaintiff had a meeting and discussed the various incidents discovered through Laster Eye Center’s investigation. One specific error was the billing of glasses to Oklahoma Medicaid in which Plaintiff repeatedly only billed for one eyeglasses lens, despite eyeglasses having two lenses. Defendant and Plaintiff discussed the Oklahoma Medicaid billing error and Defendant did not believe Plaintiff was truthful about the error. Plaintiff was terminated on September 12, 2019. Plaintiff was informed she was terminated because of poor performance. Defendant testified Plaintiff was terminated because of his belief Plaintiff lied regarding the Oklahoma Medicaid billing error. Since her termination in September

2019, Plaintiff remains unemployed. Although Plaintiff has received at least two job offers, she has turned them down because the jobs did not suit her. On November 12, 2020, Plaintiff filed a complaint against Defendant in the Circuit Court of Sebastian County, Arkansas alleging Defendant terminated her because of her pregnancy in violation of Title VII of the Civil Rights Act of 1964, as amended by the Pregnancy Discrimination Act of 1978 and the Civil Rights Act of 1991, and the Arkansas Civil Rights Act. On December 29, 2020, Defendant filed a notice of removal in this Court. Defendant argues summary judgment is proper because Plaintiff cannot establish a prima facie case of discrimination and because Defendant had a legitimate nondiscriminatory reason for Plaintiff’s termination. II.

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Geren v. Laster, P.A., Counsel Stack Legal Research, https://law.counselstack.com/opinion/geren-v-laster-pa-arwd-2021.