Kenney Orthopedic, LLC v. United States

88 Fed. Cl. 688, 2009 U.S. Claims LEXIS 286, 2009 WL 2568278
CourtUnited States Court of Federal Claims
DecidedAugust 17, 2009
DocketNo. 09-38C
StatusPublished
Cited by12 cases

This text of 88 Fed. Cl. 688 (Kenney Orthopedic, LLC v. United States) is published on Counsel Stack Legal Research, covering United States Court of Federal Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kenney Orthopedic, LLC v. United States, 88 Fed. Cl. 688, 2009 U.S. Claims LEXIS 286, 2009 WL 2568278 (uscfc 2009).

Opinion

MEMORANDUM OPINION AND ORDER.

BRADEN, Judge.

I. RELEVANT FACTS.1

A. The August 15, 2006 Contract With Kenney Orthopedic, LLC.

Kenney Orthopedic, LLC (“Plaintiff’) provides prosthetic and orthotic devices and services to the United States Government for use by veterans. See Compl. ¶ 2. On August 15, 2006, Plaintiff entered into Contract No. V249-P-0011 (“the Contract”) to provide prosthetic and orthotic services for the United States Department of Veterans Affairs (“VA”) at the Lexington, Kentucky Medical Center. See Pl.Ex. A (Contract No. V249-P-0011). The Contract had a base year from August 20, 2006 to August 19, 2007 with two renewable option years. Id.

The Contract required Plaintiff to deliver prostheses to the VA, no later than thirty calendar days after receipt of a delivery order, and to fabricate them in strict conformity with the prescriptions provided by the VA Amputee Clinic Team. Id. Under the Contract, Plaintiff could not change a prescription in any way, “without prior approval and written authority from the VA Amputee Clinic Team Prosthetic Representative or desig-nee.” Id. The Contract also stated that the VA would measure and fit first-time prosthetic users, and Plaintiff was responsible for measuring and fitting prostheses on experienced prosthetic wearers. Id.

B. The Contracting Officer’s December 19, 2006 Letter To Kenney Orthopedic, LLC And Subsequent Dispute.

In a December 19, 2006 letter, the Contracting Officer (“CO”) for the VA Tennessee Valley Healthcare System accused Plaintiff of not performing under the Contract, be[692]*692cause Plaintiff altered prescriptions and provided non-preseribed items without prior approval. See Pl.Ex. B. The letter warned that unauthorized, non-prescribed items would not be reimbursed and asked Plaintiff to provide a plan by no later than December 29, 2006 to remedy the problem. Id.

On December 21, 2006, the VA sent Plaintiff a proposed modification to the contract. See Pl.Ex. C. The modification provided that Plaintiff issue satisfaction surveys to all VA patients and submit a quarterly report back to the CO as of March 31, 2007. Id. On December 22, 2006, Plaintiff responded that it could not find any instances of non-compliance and requested additional information and documentation to address the VA’s concerns. See Pl.Ex. D. Plaintiff, however, did not respond to the proposed contract modification. Id.

On January 8, 2007, the CO replied that Plaintiff delivered a prosthesis to Patient “Williams 5967” on November 3, 2006, before the VA reviewed or approved the prosthesis price. Pl.Ex. E. The letter claimed that “[d]uring a conversation with Mr. Kenney2 on Dec. 20th, he admitted he had casted/fit [Patient Williams 5967] prior to receiving [the prescription], [Williams 5967] confirmed that fittings were done prior to Nov[.] 1, 2006.” Id.

On January 22, 2007, Plaintiff mailed the CO a “formal written response,” explaining that it evaluated Patient Williams on September 8, 2006. Pl.Ex. F. Plaintiff also claimed it received a prescription from the VA on November 1, 2006 and provided Patient Williams with the device on November 3, 2006. Id. Plaintiff stipulated that “[t]he only ‘admission’ made ... was that [it] provided diagnostic sockets only prior to the prescription date.” Id. Plaintiff also conceded that it provided twelve socks instead of the prescribed six, which was “the usual and customary number ... provided by Medicare,” but did not request reimbursement from the VA for the extra socks. Id.

On February 27, 2007, the CO sent a letter to Plaintiff in response to Plaintiff’s invoice for approximately $3,952.40 for a prosthesis delivered to “[Patient] Williams”3 on November 3, 2006. See Pl.Ex. G. The CO claimed that “on December 20, 2006, Patient Williams received a new prescription from the VA for a replacement prosthesis,” because the prosthesis provided on November 3, 2006 did not fit properly. Id. Accordingly, “the claim for approximately $3,952.40 to [Plaintiff] will be denied based on negligence in providing an appropriately fitting prosthesis[.]” Id.; see also Pl.Ex. A (“The contractor warrants the artificial limb provided against defective material and/or workmanship for a minimum of 90 calendar days from the date of acceptance.”). The CO also advised Plaintiff that:

I have been made aware of several instances where veteran’s [sic] prescriptions have been altered without having prior approval and written authority from the VA Amputee Clinic Team Prosthetic Representative or designee.... [T]his process will not be tolerated anymore. There will be no reimbursement for non-prescripted items not authorized and prescriptions written prior to VA approval of quote.... If you continue to perform outside the scope of the contract I will be forced to start termination procedures.

Pl.Ex. G (bold in original).

C. The February 28, 2007 Proposed Contract Modification.

On February 28, 2007, the VA sent Plaintiff a second proposed modification to the August 15, 2006 Contract’s Prescription Policy for Prosthesis (“PPP”), that set forth the process for providing and purchasing prescription prostheses. See Pl.Ex. H.

D. A Dispute Also Developed Between Kenney Orthopedic, LLC And The Veterans Administration’s Network Contracting Manager.

On March 9, 2007, counsel for Plaintiff called the VA’s Network Contracting Manag[693]*693er to inquire why the VA had not responded to Plaintiffs January 22, 2007 letter regarding Patient William’s evaluation and also to express concern about the allegations of negligence in the CO’s February 27, 2007 letter. See Compl. ¶ 11. In a March 13, 2007 letter, Plaintiff challenged the VA’s “grossly inaccurate” characterization of Patient Williams’ December 20, 2006 replacement as a “prosthesis,” instead of a prescribed “replacement socket.” Pl.Ex. I. In addition, Plaintiff explained how Patient Williams and “numerous other patients under the care of the VA experience anatomical changes necessitating sockets changes on a routine basis.” Id. Finally, Plaintiff demanded immediate payment for the services provided to Patient Williams. Id.

On March 14, 2007, Plaintiff sent another letter to the CO stating that Plaintiff received three additional requests for socket replacements or prostheses caused by anatomical changes. See Pl.Ex. J. This letter advised that, “given the difficulties associated with the other socket replacements,” Plaintiff was “extremely concerned” that the VA would not reimburse Plaintiff for these items. Id. Plaintiff requested the VA provide “assurances” that it would not “continue to intentionally interfere with the necessary ongoing medical treatment of [Plaintiffs] patients, and that Plaintiff can expect appropriate payment for services rendered in accordance with the anatomical changes associated with these additional patients.” Id.

On March 30, 2007, the VA responded that Plaintiffs ninety-day warranty covered Patient Williams’ December 20, 2006 prescription for a replacement prosthesis and denied the $3,952.40 claim for Mr. Williams’ prosthesis. See Pl.Ex. K.

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88 Fed. Cl. 688, 2009 U.S. Claims LEXIS 286, 2009 WL 2568278, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kenney-orthopedic-llc-v-united-states-uscfc-2009.