McCracken v. Verisma Systems, Inc.

CourtDistrict Court, W.D. New York
DecidedOctober 27, 2020
Docket6:14-cv-06248
StatusUnknown

This text of McCracken v. Verisma Systems, Inc. (McCracken v. Verisma Systems, Inc.) is published on Counsel Stack Legal Research, covering District Court, W.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McCracken v. Verisma Systems, Inc., (W.D.N.Y. 2020).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF NEW YORK __________________________________________

ANN McCRACKEN, JOAN FARRELL, SARAH STILSON, KEVIN McCLOSKEY, CHRISTOPHER TRAPATSOS, and DECISION & ORDER KIMBERLY BAILEY, as individuals 14-CV-6248 FPG/MJP and as representatives of the classes,

Plaintiffs,

v.

VERISMA SYSTEMS, INC., UNIVERSITY OF ROCHESTER, STRONG MEMORIAL HOSPITAL, and HIGHLAND HOSPITAL,

Defendants.

__________________________________________

Preliminary Statement Plaintiffs Ann McCracken, Joan Farrell, Sarah Stilson, Kevin McCloskey, Christopher Trapatsos, and Kimberly Bailey, as individuals and as representatives of the classes1 (“Plaintiffs”), commenced this putative class action against Verisma Systems, Inc., (“Verisma”) University of Rochester, Strong Memorial Hospital, and Highland Hospital (“Hospital Defendants”) (collectively “Defendants”) alleging that Defendants systematically violated New York law by manipulating charges for medical records and by charging artificially inflated amounts to Plaintiffs and

1 On July 7, 2017, the Honorable Michael A. Telesca certified a class action under Federal Rule of Civil Procedure 23(b)(3) and also certified two provider-level sub-classes – individuals who requested records through Strong Memorial Hospital and individuals who requested records through Highland Hospital after May 14, 2011. (Decision and Order (“D&O”) at 20, Jul. 27, 2017, ECF No. 102.) other class members. (Second Amended Class Action Complaint (“Compl.”) at 2, ECF No. 40.) Verisma moves pursuant to Local Rule 7(b)(2)(B) of the Western District of

New York to stay the proceedings in this matter pending the Second Circuit’s review of the decision of the District Court for the Southern District of New York (“S.D.N.Y.”) in Ortiz v. CIOX Health LLC, 386 F. Supp. 3d 308 (S.D.N.Y May 7, 2019)2, a case involving the issue of whether New York State’s Public Health Law (“PHL”) § 18 provides a private right of action. (Verisma’s Notice of Mot., ECF No. 169; Verisma’s Mem. of Law at 1–2, ECF No. 169-1; see also Ortiz v. IOD, Inc., 17-

CV-4039, S.D.N.Y. (May 30, 2017), Ortiz v. IOD, Inc., No. 19-1649 (2d Cir. Jun. 3, 2019) (collectively “Ortiz”).) Defendants University of Rochester, Strong Memorial Hospital, and Highland Hospital (“Hospital Defendants”) sought and were granted permission to join in Verisma’s motion to stay. (Text Order Granting Mot. to Join, ECF No. 173.) After several briefs and a letter submitted by the parties in connection with this motion regarding the Ortiz matter, the Second Circuit certified a question in Ortiz to the New York State Court of Appeals regarding

whether a private right of action exists under PHL § 18. (Certified Order, ECF No. 105, Ortiz, No. 19-1649 (2d Cir. Jun. 5, 2020).) While Defendants’ motion papers sought to stay this matter pending the Second Circuit’s decision in Ortiz, after the completion of briefing on this motion

2 IOD, Inc., is the successor to Healthport Technologies, LLC and CIOX Health, LC. the Hospital Defendants sought leave to file supplemental papers in which they intended to argue why a stay is also warranted based upon new procedural developments in Spiro v. Healthport, LLC, No. 14-CV-2921 (S.D.N.Y., Apr. 30, 2017)

and Spiro v. Healthport Technologies, LLC, No. 20-2627 (2d Cir. Aug. 3, 2020), collectively referred to as “Ruzhinskaya..”3 (Letter from Amanda B. Burns, Esq., to the Court (Jul. 9, 2020), ECF No. 191.) Verisma soon joined in that request. (Letter from Christopher J. Belter, Esq., to the Court (Jul. 10, 2020), ECF No. 193.) The Court held oral argument on Defendants’ request for a stay based upon the Ruzhinskaya developments rather than permitting additional briefing. Based upon the oral argument and a review of all documents submitted in connection with this matter,

the Court grants Defendants’ motions to stay this action until March 31, 2021, as discussed below. Background Plaintiffs alleged that Defendants “systematically violated New York law by manipulating charges for medical records, and by charging artificially inflated amounts to Plaintiffs and other Class members,” which “inflated amounts

exceed[ed] the actual cost of producing some records and include[d] built-in kickbacks” from Verisma to the Hospital Defendants. (Compl. at 2.) Plaintiffs are patients who requested their medical records from Defendants. Plaintiffs asserted the following claims: (1) violation of PHL § 18; (2) unjust enrichment (separately

3 The docketed name of the case is Spiro v. Healthport Technologies, LLC. However, the Court will refer to the case as Ruzhinskaya as that is the name of the plaintiff who filed the appeal. (Notice of App., ECF No. 409, Spiro v. Healthport Technologies, LLC, No. 14-CV-2921 (S.D.N.Y. Jul. 31, 2020).) against Verisma and the Hospital Defendants); and (3) violation of New York General Business Law (“GBL”) § 349 et seq. (collectively against all Defendants). (Id.) The District Court granted class certification on all three of these claims.

(D&O on Pls.’ Mot. to Certify Class at 20, ECF No. 102; see also D&O amending ECF No. 102 to appoint counsel, ECF No. 103.) PHL § 18 regulates the amount a health care provider can charge for copies of a patient’s medical information. PHL § 18(2)(e). Plaintiffs assert that Verisma, a third-party vendor that manages health care providers’ medical records, responds to requests for such records, and produces the records, contracted with

the Hospital Defendants to provide such services. (Compl. at 5.) Plaintiffs further assert that to obtain these contracts Verisma offered “improper kickbacks” to the Hospital Defendants with respect to the “revenues associated with charges for medical records” and by providing free “courtesy copies” to the providers. (Id. 5–6; Pls.’ Mem. of Law at 2–3, ECF No. 172.) Plaintiffs contend that the amounts they were overcharged for their medical records violate PHL § 18, GBL § 349, and unjustly enriched Defendants. (Compl. at 2.)

Procedural History The procedural history of this motion is somewhat complicated as it necessarily involves two other cases originating in the S.D.N.Y. – Ortiz and Ruzhinskaya. Notably, on September 6, 2018, this Court stayed the present action pending the resolution of an appeal before the Second Circuit in Ruzhinskaya. (Sept. 6, 2018 D&O, ECF No. 151.) Judge Telesca found that a stay was warranted because the appellants in Ruzhinskaya requested that the Second Circuit certify two questions to the New York State Court of Appeals that could provide clarification regarding Plaintiffs’ PHL § 18 claim. (Id. at 9–10.) That stay was lifted

on November 21, 2019. (Letter Order Lifting Stay, ECF No. 153.) The parties have submitted numerous briefs and letters in connection with the motions to stay. A brief summary of the cumbersome history of the pending motions is as follows: • On May 5, 2020, Verisma filed a motion to stay pending the Second Circuit’s decision in Ortiz. (ECF No. 169.);

• On May 18, 2020, the Hospital Defendants moved to join Verisma’s motion to stay. (ECF No. 171.);

• Plaintiffs filed their opposition to Verisma’s motion to stay on May 19, 2020. (ECF No. 172.);

• The Court granted the Hospital Defendants’ motion to join Verisma’s motion to stay on May 20, 2020. (ECF No.173.) In addition, the Court set a deadline for Plaintiffs to respond to Defendants’ motion to join Verisma’s motion to stay. (Id.);

• Verisma filed its reply to Plaintiffs’ response to its motion to stay on May 26, 2020. (ECF No. 175.);

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