Nicole Bellottie v. Healthcarefirst, Inc.

District Court, E.D. Michigan·Decided September 1, 2026·No. 2:24-cv-12325·Unknown

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MICHIGAN SOUTHERN DIVISION

NICOLE BELLOTTIE,

Plaintiff, Case No. 2:24-cv-12325 Hon. Gershwin A. Drain v.

HEALTHCAREFIRST, INC.,

Defendant. ________________________________/

OPINION AND ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT [ECF No. 21]

Plaintiff Nicole Bellottie alleges that her former employer, Defendant Healthcarefirst, Inc., interfered with her Family and Medical Leave Act (“FMLA”) rights, retaliated against her for exercising her FMLA rights, and discriminated against her because of her disability in violation of the Michigan Persons with Disabilities Civil Rights Act (“PWDCRA”). Defendant filed a Motion for Summary Judgment on all claims. The Motion for Summary Judgment is fully briefed. The Court concludes that a hearing will not aid in the disposition of this motion and will determine the outcome on the briefs. E.D. Mich. L.R. 7.1(f)(2). For the reasons that follow, Defendant’s Motion for Summary Judgment [ECF No. 21] is GRANTED. I. BACKGROUND A. Defendant’s Business and Operation

Defendant Healthcarefirst, Inc. is a company that provides software solutions and other services to home health and hospice care agencies. ECF No. 21-2,

PageID.107. Part of Defendant’s business is “Clinical Documentation and Review,” which involves performing medical billing, medical chart review, and coding services for clients to ensure that they are in regulatory compliance and to optimize their financial performance. Id. at PageID.107–08. The Clinical Documentation and

Review team is further split into two sub-teams: one team focused on MatrixCare Electronic Medical Record (“EMR”) clients, and one team focused on Non- MatrixCare EMR clients. Id. at PageID.108.

The Non-MatrixCare EMR team is further subdivided into two groups. One is a group of coders (“Coders”) who perform medical coding services and who are supervised by Ms. Patricia Weber. Id. at PageID.108. The other is a group of Outcome and Assessment Information Set (“OASIS”) and 485 review specialists

(“Review Specialists”). The Review Specialists review patient charts for proper assessments and plans of care, ensure accuracy and completeness, identify discrepancies and errors, and make corrections. Id. This team is supervised by Ms.

Tressa Hronek. Id. At the time of the events in this case, both Ms. Weber and Ms. Hronek reported to Mr. Jeremy Crow, the then-Director of Revenue Cycle Services and Senior Director of Revenue Cycle Management and Survey Operations. Id. at PageID.107–08.

Review Specialists are assigned patient charts to review and a weekly productivity target to ensure timely completion of the review process. ECF No. 21- 2, PageID.109. According to Mr. Crow, timely review “is essential” because

Defendant’s clients must have finalized reviews before they can be paid from federal payers, and because Defendant is paid on a per-chart basis (i.e., Defendant does not get paid for reviews that are not completed). Id. To monitor productivity, Defendant assigns a numerical value (called

“points”) to each task that a Review Specialist is required to perform. ECF No. 21- 6, PageID.155; ECF No. 21-3, PageID.121. The values for each task are added up on a weekly basis. As of 2022, Defendant required Review Specialists to complete

40 points each week. ECF No. 21-6, PageID.155; ECF No. 21-3, PageID.121. If the employee took PTO or other leave, or otherwise did not work 40 hours per week, the number of points they were required to complete each week was reduced pro rata. ECF No. 21-4, PageID.142.

B. Plaintiff’s Employment and Health Challenges In 2018, Plaintiff was hired by Defendant to join the Review Specialist team

on the Non-MatrixCare EMR team in the Clinical Documentation and Review line of business. ECF No. 21-3, PageID.118; ECF No. 21-5, PageID.152. Plaintiff has struggled with depression and anxiety for “most of [her] life.” ECF No. 23-2, PageID.336.1 Beginning in 2020, personal circumstances in

Plaintiff’s family life began contributing to the worsening of her mental health. Specifically, in 2020, her husband Bryan began exhibiting symptoms of Huntington’s disease. Id. In 2021, Bryan’s physician informed Plaintiff and Bryan

that there was a “high degree of certainty” that Bryan had the disease. Id. Because Huntington’s disease is hereditary, each of Plaintiff’s two children have a 50% chance of developing it. Id. In 2022, Plaintiff’s adult son, Brandon, lost his job and his partner broke up with him, causing him to have to move home with his parents.

Id. Brandon was depressed and not coping well. Id. Around the same time, Bryan’s Huntington’s symptoms began worsening. Id. Plaintiff stated that, at this point, she was “very worried about [her] ability to care for [her] family,” and her anxiety and

depression increased. Id. In April 2022, Plaintiff emailed Ms. Hronek, her supervisor, to see if she could reduce her schedule to 32 hours per week because she “had a lot going on right now and it would be helpful.” ECF No. 21-3, PageID.122. Plaintiff did not explain what

was going on in her life. Id. There is no evidence that Ms. Hronek ever responded to this email. Id. Although Ms. Hronek did not respond, Plaintiff did not follow up with

1 Plaintiff states that her lifelong depression and anxiety were exacerbated when her stepfather committed suicide in 2007 and her mother committed suicide in 2010. ECF No. 23-2, PageID.336. her or anyone else about a request for reduced hours, although she told a team leader that she had emailed Ms. Hronek. Id.

On October 26, 2022, Ms. Hronek emailed Plaintiff regarding her productivity. She indicated that Plaintiff had failed to meet the 40-point productivity threshold for all of September 2022 and for the first three weeks of October. ECF

No. 21-7, PageID.162. In her response, Plaintiff stated that she was not sure whether she would always be able to obtain 40 points per week but that she did not want to put her job in jeopardy. Id. at PageID.161. She asked whether she could possibly reduce her hours so that her required productivity could be lower. Id.

Ms. Hronek did not answer that question in her following email, but simply told Plaintiff how she should be tracking her productivity and reiterated that Plaintiff was expected to get 40 points per week. Id. at PageD.160. In Plaintiff’s next email,

she expressed her disappointment that she was falling so behind. Id. at PageID.159.2 Plaintiff was concerned about the number of hours it takes her to complete 40 points per week and again asked whether she could decrease her hours or salary so that she

2 In Plaintiff’s email, she explained that the drop in productivity was a result of Defendant increasing the expected productivity target and workload for each Review Specialist by 20%. She told Ms. Hronek that she was “disappointed and saddened that what would have been considered as going above and beyond this time last year, despite [her] efforts, is considered falling short at this time.” ECF No. 21-7, PageID.159. would not be at risk of falling short by 2–3 points every week. Id. Ms. Hronek asked Plaintiff to discuss the matter with her over a call. Id. at PageID.158.

Plaintiff testified that in this call, she “expressed to [Ms. Hronek] what was going on, that I was dealing with anxiety and depression and my husband’s issues and that it’s difficult for me to concentrate.” ECF No. 21-3, PageID.124. Plaintiff

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