16-006583 Christine N. Monkhouse vs. Davita Healthcare Partners, Inc.
 Status: Closed
Recommended Order on Tuesday, May 16, 2017.


View Dockets  
Summary: Petitioner failed to prove a prima facie case of discrimination because she did not suffer an adverse employment action. Her final written warning did not alter the terms, conditions, or privileges of her employment.

1STATE OF FLORIDA

4DIVISION OF ADMINISTRATIVE HEARINGS

8CHRISTINE N. MONKHOUSE,

11Petitioner,

12vs. Case No. 16 - 6583

18DAVITA HEALTHCARE PARTNERS,

21INC.,

22Respondent.

23_______________________________/

24RECOMMENDED ORDER

26Pursuant to notice, a f ormal hearing was held in this case

38on February 22, 2017, in Deland, Florida, and on March 15, 2017,

50by telephone conference in Tallahassee and Deland, Florida,

58before Suzanne Van Wyk, the duly - designated Administrative Law

68Judge of the Division of Adminis trative Hearings.

76APPEARANCES

77For Petitioner: Christine N. Monkhouse, pro se

841512 Clapton Drive

87Deland, Florida 32720

90For Respondent: Gretchen M aria Lehman, Esquire

97Ogletree, Deakins, Nash,

100Smoak & Stewart, P.C.

104100 North Tampa Street, Suite 3600

110Tampa, Florida 33602

113STATEMENT OF THE ISSUE

117Whether Davita Healthcare Partners, Inc., is liable to

125Petitioner for employm ent discrimination based on race in

134violation of the Florida Civil Rights Act of 1992.

143PRELIMINARY STATEMENT

145Petitioner, Christine N. Monkhouse, filed a Charge of

153Discrimination with the Florida Commission on Human Relations

161(FCHR) on March 18, 2016, alleg ing that her employer, Davita

172Healthcare Partners, Inc., discriminated against her on the basis

181of her race when Petitioner was given a final written warning on

193February 1, 2016. The allegations were investigated, and on

202October 5, 2016, FCHR issued its D etermination of No Cause

213(Determination).

214On November 5, 2016, Petitioner filed a Petition for Relief

224requesting an administrative hearing regarding FCHRÓs

230Determination pursuant to section 760.11(7), Florida Statutes. 1/

238The matter was referred to the D ivision of Administrative

248Hearings on November 10, 2016, for assignment of an

257Administrative Law Judge to conduct a final hearing. The final

267hearing was initially scheduled to commence on January 18, 2017,

277but was subsequently rescheduled to, and convened on,

285February 22, 2017.

288At the final hearing, Petitioner testified on her own behalf

298and offered the testimony of Pamela Maniec. PetitionerÓs

306Exhibits LL, W1, W2, and W3 were admitted in evidence. 2/

317Respondent presented the testimony of Fluerette Dakin - Davis,

326Kelly Jacobs, Karen Corn, and Sharon Alpizar. RespondentÓs

334Exhibits R1, R2, R4, R6, R8 through R16, and R20 through R22 were

347admitted in evidence.

350A three - volume Transcript of the final hearing was filed on

362April 3, 2017. Both parties timely file d Proposed Recommended

372Orders which have been considered in preparation of this

381Recommended Order.

383FINDING S OF FACT

3871. Respondent, Davita Health Care Partners, Inc. (Davita),

395is a subsidiary of Total Renal Laboratory, which treats patients

405with end - stage renal disease who require kidney dialysis

415treatment. Davita processes lab specimens for patients receiving

423kidney dialysis services. Processing lab specimens involves

430performing laboratory tests on the tissue, blood, and other

439specimens taken from patien ts.

4442. Petitioner, who is African - American, has been employed

454by Davita since July 2007. PetitionerÓs current position is

463Compliance Specialist in the Compliance Department, which she has

472held since March 2016.

4763. Petitioner previously held the position of Payer Rules

485Specialist II within the Payer Rules team in Patient

494Accounting. 3/

4964. The general job description of the Payer Rules

505Specialist II was to ensure that Davita was billing compliantly

515based on the payerÓs rules and regulations.

5225. The Payer Rules team consisted of four teammates,

531Petitioner, Pamela Maniec, and two additional employees.

5386. Ms. Maniec held the pos ition of Payer Rules

548Specialist III and became the Ðteam leadÑ in mid - 2015. As team

561lead, Ms. Maniec was responsible to assign, and oversee

570completion of, tasks for the other teammates.

5777. The Payer Rules team was responsible for ensuring the

587accuracy of certain information on which Davita bases its patient

597billing. For example, government payers, such as Medicare, issue

606bulletins s pecifying what types of tests will be covered and how

618frequently the tests may be ordered. If Davita issued bills to

629Medicare patients charging for tests which were not covered, or

639tests that had been ordered too frequently, Medicare would deny

649the claim and Davita would not be paid. Moreover, frequent

659billing errors may result in investigations of Davita by

668government payers.

6708. The Payer Rules team was responsible to ensure that the

681current version of government - payer rules was updated in DavitaÓs

692bill ing system.

6959. For Medicare billings, two sets of rules are most

705critical: National Coverage Determinations (NCDs), which specify

712covered tests from Federal Medicare; and Local Coverage

720Determinations (LCDs), which track state - specific rules governing

729co vered tests. NCDs and LCDs are published quarterly by the

740Centers for Medicare and Medicaid Services (CMS) and are

749available for download through the CMS website. The Payer Rules

759team was charged with the responsibility to review NCDs and LCDs

770quarterly and upload any changes to the Davita billing system.

78010. The Payer Rules team was also responsible for uploading

790changes in the ÐCodeMap medical necessityÑ database to the Davita

800billing system. The Codemap database contains a list of testing

810procedures which may only be performed with specific associated

819diagnoses. The team was responsible for reviewing the quarterly

828CodeMap updates and uploading the data to the Davita billing

838system.

83911. Finally, the Payer Rules team was responsible for

848Correct Coding Initiatives updates, or CCIs. CCIs are published

857by CMS within days of the quarterly NCDs and LCDs, and ÐeditÑ the

870information in those publications related to what types of test

880can and cannot be billed together.

886Q4 2015 CodeMap Issue

89012. DavitaÓs Pati ent Accounting Supervisor is Fleurette

898Dakin - Davis, who is African - American and who supervises the Payer

911Rules team, including Petitioner.

91513. In late December 2015, Karen Jacobs, Director of

924Patient Accounting, asked Ms. Dakin - Davis why the fourth quarte r

9362015 CodeMap file (Q4 2015), which had been received in late

947September, had not been uploaded to the Davita billing system.

957Ms. Dakin - Davis replied that she would look into it.

96814. Ms. Dakin - Davis approached Ms. Maniec and inquired

978about the delay in u ploading the Q4 2015. Ms. Maniec indicated

990she would ask the Petitioner what was taking so long.

100015. Ms. Maniec asked Petitioner about the delay in the

1010Q4 2015 update, and Petitioner explained she had not uploaded the

1021Q4 2015 because of discrepancies bet ween that file and recently -

1033updated diagnosis codes known as the ICD - 10.

104216. On January 5, 2016, Ms. Maniec sent an email to

1053Ms. Dakin - Davis, with copies to Ms. Jacobs and Karen Corn , the

1066Patient Accounting Manager, relaying her conversation with

1073Petition er and PetitionerÓs explanation for the delay. In the

1083email, Ms. ManiecÓs email noted, ÐThis was an error on

1093ChristineÓs part.Ñ

109517. On January 12, 2016, Ms. Dakin - Davis and Ms. C orn met

1109with Petitioner and discussed th e error in not uploading the

1120Q4 2015 , the potential impact the error had on patient billing,

1131and the expectations going forward. Ms. Dakin - Davis described

1141this ÐdiscussionÑ with Petitioner as a Ðverbal warning.Ñ

114918. That same date, Ms. Dakin - Davis completed a corrective

1160action form, provid ing written documentation of PetitionerÓs

1168verbal warning for failing to timely upload the Q4 2015. In the

1180section titled ÐExpectations Moving Forward,Ñ Ms. Dakin - Davis

1190noted, as follows:

1193It is expected that the medical necessity

1200file will be updated withi n the first two

1209weeks of file receipt.

1213It is expected that if you are unable to

1222perform a task due to other priorities, that

1230this is communicated to both the team lead

1238and supervisor.

124019. The follow ing day, January 13, 2016, Ms. C orn sent the

1253following email to Petitioner, copying Ms. Dakin - Davis and

1263Ms. Maniec:

1265Christine -- per our conversation yesterday

1271afternoon n ew goals were established for

12782 processes you are responsible for and are

1286listed below. The goals will ensure we have

1294reviewed and submitted any applicable changes

1300in a timely manner. This will prevent any

1308future misses for these updates on our team.

1316• NCD/LCD & LMRP review and update: The LMRP

1325file will be saved on the network and an

1334email will be sent to Christine on a

1342quarterly basis when t he file is available.

1350Christine will pull the NCD/LCD list directly

1357from CMS.

1359GOAL: The LMRP & NCD/LCDÓs will be reviewed,

1367edits suggested, a QA performed and final

1374edits suggested within the first 2 weeks

1381after the file is available.

1386• NCCI Edits: NCCI edits are published within

1394the last several days of a Qtr. up until the

1404first few days of every new Qtr. Christine

1412will pull the updated list directly from CMS

1420on a quarterly basis.

1424GOAL: NCCI edits will be reviewed, edits

1431suggested, a QA performed and f inal edits

1439completed by the 7th calendar day of every

1447new quarter.

1449If you are unable to meet the goals specified

1458due to other priorities, it is expected you

1466communicate this with both the team lead and

1474Supervisor prior to the due date.

1480Although the payer bulletins may be

1486reallocated to compliance at a later date, I

1494will be setting up some time to further

1502discuss this process. If we currently do not

1510have one, we will need to establish a

1518schedule to ensure these are being reviewed

1525and actions are taken time ly.

153120. Davita procedure does not require that the employee be

1541given a copy of, or even sign, a documented Ðverbal warning.Ñ

1552Petitioner was not provided a copy of the January 12, 2016,

1563verbal warning. At final hearing, Petitioner testified that she

1572was unaware of the written verbal warning until that document was

1583revealed during the FCHR investigation of her Charge of

1592Discrimination.

159321. The written verbal warning was not placed in

1602PetitionerÓs human resources file. This documentation of the

1610verbal wa rning was placed only in the managerÓs file.

162022. Petitioner received no suspension, demotion, reduction

1627in pay, or change in job duties based on the written verbal

1639warning.

1640January CCI Edit Error

164423. On January 20, 2016, Susan McNeice, an employee in a

1655different team, brought to Ms. ManiecÓs attention some denials of

1665Medicare claims which appeared to be a CCI edit issue.

1675Ms. McNeice asked Ms. Maniec to review the system data to

1686determine the source of the error.

169224. Ms. Maniec reviewed the edits in th e system and could

1704not find any discrepancy. She then brought the denial to

1714PetitionerÓs attention and requested Petitioner to review the

1722text file she would have uploaded for the prior quarter. After

1733her review, Petitioner told Ms. Maniec that she had u ploaded the

1745wrong file into the Davita billing system.

175225. Ms. Maniec informed Petitioner she would have to report

1762the error to Ms. Dakin - Davis. In response, Petitioner said to

1774Ms. Maniec something to the effect of, ÐDonÓt open your mouth

1785until I have l ooked at it more.Ñ

179326. Petitioner does not deny asking Ms. Maniec to hold off

1804on reporting the error to management, but testified that she only

1815wanted the time to figure out how the error occurred and

1826calculate the financial impact on billing prior to rep orting the

1837error.

183827. Petitioner proceeded to investigate how the error

1846occurred, as well as its impact on DavitaÓs billings. At around

18572:30 p.m. that day, Petitioner emailed Ms. Dakin - Davis, her

1868supervisor, explaining that Ms. McNeice had brought some payer

1877denials to the teamÓs attention, and that she had investigated

1887and discovered that the October 2015 CCI edit upload was

1897incorrect. Further, Petitioner related that she had isolated the

1906particular diagnosis codes affected and was running a query to

1916d etermine how many incorrect bills were generated.

192428. In her email, Petitioner stated, as follows:

1932This appears to have happened by the

1939ÒduplicatesÓ being uploaded instead of

1944deleted from the file after the process file

1952was complete for upload. The proce ss calls

1960for the duplicate to be removed.

1966In order to prevent this from happening in

1974the future an additional QA step was added to

1983the process for the file to be QA after

1992upload.

199329. In response to PetitionerÓs email, Ms. Dakin - Davis

2003wrote, ÐThe current P&P states that once the data is uploaded, a

2015QA of the upload is supposed to be done. What additional QA are

2028you referring to?Ñ In reply, Petitioner wrote, ÐWe normally QA

2039prior to upload. IÓll double check the P&P.Ñ

204730. The ÐP&PÑ is a reference to Da vita Policy PAP 1006:

2059CCI Edits. The purpose of the policy is to ÐMaintain the most

2071current CMS CCI edits for accurate billing. Ensure compliance

2080with all federal billing guidelines.Ñ The Policy sets out the

2090procedural steps for downloading CCI edits f rom the CMS website,

2101manipulating the data, saving it as a text file, and uploading it

2113to the Davita billing system.

211831. The final step in the process is to Ð[p]erform a

2129quality check on the newly updated data confirming accurate

2138uploading.Ñ

213932. Petiti oner is the author of PAP 1006, which she created

2151in 2013.

215333. Ms. Dakin - Davis was justifiably surprised at

2162PetitionerÓs apparent unfamiliarity with the post - upload QA

2171requirement. It i s easy to understand how PetitionerÓs

2180suggestion that a post - upload Q A step be added to the P&P could

2195be seen as an effort to conceal her error.

220434. Ms. Maniec reported the error to Ms. Dakin - Davis in her

2217office following lunch. Ms. Dakin - Davis instructed Ms. Maniec to

2228document the issue, which Ms. Maniec did by email to Ms. Dakin -

2241Davis the following day, January 21, 2016. Ms. Dakin - Davis

2252forwarded Ms. ManiecÓs email to Ms. Jacobs.

225935. Ms. Jacobs and Ms. Dakin - Davis met with Petitioner that

2271same day and confronted her about the statement, ÐDonÓt open your

2282mouth until I look at it further,Ñ that she had made to

2295Ms. Maniec. Ms. Jacobs and Ms. Dakin - Davis construed this

2306statement as an effort by Petitioner to conceal her CCI edit

2317error. Ms. Jacobs counseled Petitioner about appropriate

2324language to be used with other team mates, as well as the

2336importance of reporting any error, no matter the dollar amount,

2346to the Director.

234936. On February 1, 2016, Ms. Corn issued Petitioner a Final

2360Written Warning regarding the incident, using the companyÓs

2368Universal Corrective Action For m. The following description of

2377the incident is particularly relevant:

23821/20/2016 - [I]t was discovered via another

2389team receiving denials that the CCI edit

2396changes that were made in October 2015 were

2404incorrect. The changes to the CCI edits are

2412the respon sibility of Christine to complete

2419and QA once the changes are made to the

2428[Accounts Receivable] AR system. The team

2434lead discovered the error and went to

2441Christine to review her process as the data

2449was incorrect in the AR system. ChristineÓs

2456reply to the team lead was ÐdonÓt open your

2465mouth until I have looked at it more.Ñ The

2474leadÓs reply was that these type of errors

2482effect appropriate billing and will be

2488reported immediately to the leadership team.

2494The Supervisor was made aware of the issue by

2503the te am that receives the denials,

2510Supervisor questioned Christine about the

2515error and why the final QA was not performed

2524on the data that is part of the formal policy

2534and procedure. ChristineÓs reply was that

2540she was not aware a final QA was expected.

2549Superv isor pushed back as Christine was the

2557teammate that wrote the P&P detailing a final

2565QA is expected.

25681/21/2016 - Director of [Patient Accounting]

2574and Supervisor had a verbal conversation with

2581Christine in regards to her comment ÐdonÓt

2588open your mouth until I have looked at it

2597more.Ñ Director asked Christine if she ever

2604made that comment to the team lead. She

2612stated that she cannot confirm that she used

2620those exact words and meant that she wanted

2628to identify the dollar impact before it

2635should be shared. D irector counseled her on

2643being aware of her language when she

2650communicates to other teammates.

2654Director also informed Christine that

2659regardless of the dollar amount of an error,

2667she, Director, should be informed of any

2674error that pertains to billing. The

2680expectation is for Christine to be

2686transparent and disclose immediately when an

2692issue is identified.

269537. In the section of the Corrective Action Form titled

2705ÐExpectations Moving Forward,Ñ Ms. Corn noted:

2712Immediately and on a sustained basis it is

2720our e xpectation that you perform your job

2728duties at a satisfactory level to include the

2736following:

2737It is expected that all tasks assigned to

2745Christine are completed within the

2750appropriate time frame and the policy and

2757procedure for each is followed.

2762It is exp ected that if you are unable to

2772perform a task due to other priorities, that

2780this is communicated to both the team lead

2788and supervisor.

2790It is expected that Christine demonstrate our

2797core value of integrity and immediately

2803disclose an issue when it is iden tified.

2811Going forward, any behaviors not

2816demonstrating our core values, and most

2822specifically integrity, will not be

2827tolerated.

2828In addition, it is our expectation that you

2836adhere to all Davita Policies, Procedures and

2843Guidelines and exemplify the Core Va lues.

285038. Ms. Corn presented the Final Written Warning to

2859Petitioner in her office with Ms. Dakin - Davis present.

2869Petitioner refused to sign the acknowledgment section of the

2878corrective action.

288039. Neither party introduced DavitaÓs disciplinary policy

2887into evidence. There is enough record evidence to find that

2897Davita follows a progressive discipline program. There is no

2906reliable record evidence of the effect on an employeeÓs status

2916based on issuance of a final written warning. 4/

292540. Petitioner receiv ed no change in job duties or salary,

2936demotion, or suspension, based on the final written warning.

2945Petitioner received a merit pay increase in 2016 following the

2955issuance of the final written warning. Petitioner speculated

2963that her pay increase would hav e been higher without the final

2975written warning on her record.

2980Responsibility for the Errors

298441. PetitionerÓs case centers on her argument that both

2993Petitioner and Ms. Maniec, who is Caucasia n, were equally

3003responsible for the Q4 2015 upload and the CCI e dits, but only

3016Petitioner was disciplined for the errors. Petitioner maintains

3024that she was selectively disciplined based upon her race.

303342. Ms. Maniec is the Payer Rules team l ead, responsible

3044for assigning and overseeing tasks of the P ayer R ules team mates.

305743. With regard to the Q4 2015, Petitioner argued that she

3068and Ms. Maniec had agreed not to upload the Q4 2015 because of

3081conflicts with the diagnosis codes in the ICD 10, which would be

3093corrected by the next quarterly update. Ms. Maniec denied t hat

3104she had ever agreed to hold off on uploading the Q4 2015.

3116Neither Petitioner nor Ms. Maniec had authority to decide not to

3127upload the Q4 2015. That is a decision that would have had to be

3141made by management.

314444. Ms. Maniec testified, credibly, that her responsibility

3152with both the Q4 2015 and the CCI e dits was quality assurance,

3165not initial data download and manipulation.

317145. PetitionerÓs testimony that she and Ms. Maniec had

3180agreed together not to upload the Q4 2015 was simply not

3191credible.

319246. Petitioner had the r esponsibility to perform the

3201Q4 2015 update and failed to do so.

320947. With respect to the CCI e dits, Ms. Maniec was

3220responsible to perform a QA check of the data file following

3231PetitionerÓs manipulations, but prior to the upload.

323848. On October 6, 2015, Petitioner emailed Ms. Maniec, ÐI

3248have completed the October 2015 NCCI edits for upload, can you

3259please QA.Ñ Petitioner attached a file titled ÐNCCI New/October

32682015.Ñ

326949. On October 13, 2015, Ms. Maniec replied, ÐI have QAÓd

3280the d ata and agree with your findings. The file is ready for

3293upload.Ñ

329450. That same day, Petitioner replied, ÐUpload is complete.

3303See you next quarter.Ñ

330751. PAP 1006 requires a final QA to be performed on the

3319Ðnewly updated data confirming accurate upload ing.Ñ Petitioner

3327did not refute testimony that the final QA on the uploaded data

3339was PetitionerÓs responsibility.

334252. Petitioner did not prove that Ms. Maniec was

3351responsible for QA of the final uploaded data, or that Ms. Maniec

3363was oth erwise responsibl e for the CCI e dit error that created the

3377incorrect billings.

337953. Petitioner did not perform the final QA, even though

3389she authored the policy requiring it. Furthermore, when

3397confronted with the error, Petitioner suggested that she was

3406adding a final QA step to the process to prevent similar errors

3418in the future. Ms. Dakin - DavisÓ met this suggestion as suspect

3430given PetitionerÓs familiarity with the policy.

3436PetitionerÓs Transfer

343854. In March 2016, Davita dissolved the Payer Rules team

3448for reasons unrel ated to the instant case. Each of the Payer

3460Rules teammates was allowed to transfer to another position with

3470Davita.

347155. Petitioner transferred to the Compliance Department in

3479her current position of Compliance Specialist.

3485CONCLUSIONS OF LAW

348856. The Di vision of Administrative Hearings has

3496jurisdiction over the parties and the subject matter of this

3506cause pursuant to sections 120.569 and 120.57(1), Florida

3514Statutes.

351557. The Florida Civil Rights Act of 1992 (ÐFCRAÑ) prohibits

3525discrimination in the workpl ace. Among other things, FCRA makes

3535it unlawful for an employer:

3540To limit, segregate, or classify employees or

3547applicants for employment in any way which

3554would deprive or tend to deprive any

3561individual of employment opportunities, or

3566adversely affect any individualÓs status as

3572an employee, because of such individualÓs

3578race, color, religion, sex, pregnancy,

3583national origin, age, handicap, or marital

3589status.

3590§ 760.10(1)(b), Fla. Stat.

359458. FloridaÓs chapter 760 is patterned after Title VII of

3604the Civil Rig hts Act of 1964, as amended. Consequently, Florida

3615courts look to federal case law when interpreting chapter 760.

3625Valenzuela v. Globe Ground N. Am., LLC , 18 So. 3d 17 (Fla. 3rd

3638DCA 2009).

364059. Petitioner claims she was discriminated against by

3648Da vita b ased on her race (African - American) in violation of FCRA.

3662Specifically, Petitioner alleges that race was a motivating

3670factor in RespondentÓs decision to discipline Petitioner.

367760. Section 760.11(7) permits a party who receives a no

3687cause determination t o request a formal administrative hearing

3696before the Division of Administrative Hearings. ÐIf the

3704administrative law judge finds that a violation of the Florida

3714Civil Rights Act of 1992 has occurred, he or she shall issue an

3727appropriate recommended order to the commission prohibiting the

3735practice and recommending affirmative relief from the effects of

3744the practice, including back pay.Ñ Id.

375061. Petitioner claims disparate treatment (as opposed to

3758disparate impact) under the FCRA; in other words, she clai ms she

3770was treated differently because of her race. Petitioner has the

3780burden of proving by a preponderance of the evidence that

3790Respondent discriminated against her. See Fla. DepÓt of Transp.

3799v. J.W.C. Co. , 396 So. 2d 778 (Fla. 1st DCA 1981).

381062. A p arty may prove unlawful race discrimination by

3820direct or circumstantial evidence. Smith v. Fla. DepÓt of

3829Corr. , Case No. 2:07 - cv - 631, (M.D. Fla. May 27, 2009); 2009 U.S.

3844Dist. LEXIS 44885 (M.D. Fla. 2009). When a petitioner alleges

3854disparate treatment un der the FCRA, the petitioner must prove

3864that her race Ðactually motivated the employerÓs decision. That

3873is, the [petitionerÓs race] Òmust have actually played a role

3883[in the employerÓs decision making] process and had a

3892determinative influence on the outc ome.ÓÑ Reeves v. Sanderson

3901Plumbing Prods., Inc. , 530 U.S. 133, 141 (2000) (alteration in

3911original).

391263. Direct evidence is evidence that, Ðif believed, proves

3921[the] existence of [a] fact in issue without inference or

3931presumption.Ñ Burrell v. Bd. of Tr s. of Ga. Mil. Coll. ,

3942125 F.3d 1390, 1393 (11th Cir. 1997). Direct evidence consists

3952of Ðonly the most blatant remarks, whose intent could be nothing

3963other than to discriminateÑ on the basis of an impermissible

3973factor. Carter v. City of Miami , 870 F.2d 578, 582 (11th Cir.

39851989).

398664. The record in this case did not establish unlawful

3996race discrimination by direct evidence.

400165. To prove unlawful discrimination by circumstantial

4008evidence, a party must establish a prima facie case of

4018discrimination by a preponderance of the evidence. If

4026successful, this creates a presumption of discrimination. Then

4034the burden shifts to the employer to offer a legitimate, non -

4046discriminatory reason for the adverse employment action. If the

4055employer meets that burden, the presumption disappears and the

4064employee must prove that the legitimate reasons were a pretext.

4074Valenzuela v. GlobeGround N. Am., LLC , supra . Facts that are

4085sufficient to establish a prima facie case must be adequate to

4096permit an inference of discriminat ion. Id.

410366. Accordingly, Petitioner must prove discrimination by

4110indirect or circumstantial evidence under the McDonnell Douglas

4118framework. Petitioner must first establish a prima facie case

4127by showing: (1) she is a member of a protected class; (2) she

4140was qualified for the position held; (3) she was subjected to an

4152adverse employment action; and (4) other similarly - situated

4161employees, who are not members of the protected group, were

4171treated more favorably than Petitioner. See McDonnell Douglas

4179Corp . v. Green , 411 U.S. 792, 802 (1973). ÐWhen comparing

4190similarly situated individuals to raise an inference of

4198discriminatory motivation, these individuals must be similarly

4205situated in all relevant respects.Ñ Jackson v. BellSouth

4213Telecomm. , 372 F.3d 1250 , 1273 (l1th Cir. 2004).

422167. Thus, in order to establish a prima facie case of

4232disparate treatment based on race, Petitioner must show that

4241Davita treated similarly situated non - African - American employees

4251differently or less severely. Valdes v. Miami - Da de Coll. ,

4262463 Fed. Appx. 843, 845 (11th Cir. 2012); Camara v. Brinker

4273IntÓl , 161 Fed. Appx. 893 (11th Cir. 2006).

428168. The Findings of Fact here are not sufficient to

4291establish a prima facie case of discrimination based on race.

4301Petitioner did establish the first two elements: she is a

4311member of a protected class -- African - American -- and she was

4324qualified for the position of Payer Rules Specialist II.

4333However, Petitioner did not establish the third element -- that

4343she suffered an adverse employment action.

434969. ÐNot all conduct by an employer negatively affecting

4358an employee constitutes adverse employment action.Ñ Davis v.

4366Town of Lake Park Fla. , 245 F. 3d 1232, 1238 (11th Cir.

43782001)(Plaintiff, who received one oral reprimand, one written

4386reprimand, the wi thholding of a bank key, and a restriction on

4398cashing non - account - holder checks, did not suffer an adverse

4410employment action). ÐThe asserted impact cannot be speculative

4418and must at least have a tangible adverse effect on the

4429plaintiffÓs employment.Ñ Id. at 1239. An employee is required

4438to show a Ðserious and material change in the terms, conditions,

4449or privileges of employment.Ñ Id.

445470. In this case, the record does not support a finding

4465that Petitioner suffered an adverse employment action. Neither

4473the verbal warning nor the final written warning had any

4483tangible effect on PetitionerÓs employment. Neither action

4490resulted in her termination, demotion, suspension, a reduction

4498in pay, or a change in job duties. Despite the final written

4510warning, Petit ioner received a merit pay increase in 2016.

4520While Petitioner speculated that she would have been eligible

4529for a greater pay increase without the final written warning,

4539such speculation is insufficient to establish a tangible adverse

4548effect on PetitionerÓ s employment. See Barnett v. Athens RegÓl

4558Med. Ctr. , 2013 U.S. App. LEXIS 248677 (11th Cir. Dec. 16,

45692013)(Although Plaintiff speculated that his written reprimands

4576and negative performance reviews might have been used by his

4586employer as grounds for futur e adverse employment action, he did

4597not establish that they actually led to any tangible effect on

4608his employment).

461071. The fact that the final written warning was a step in

4622DavitaÓs progressive disciplinary policy was also an

4629insufficient basis to conclu de that it constituted an adverse

4639employment action. See Barnett , 2013 U.S. App. LEXIS 24867 *5 - 6

4651(Plaintiff Ós argument that the written reprimands and the

4660negative performance evaluation were steps in the employerÓs

4668progressive disciplinary policy , which could have led to harsher

4677disciplinary action , was insufficient to establish an adverse

4685employment action.) The Petitioner must establish that the

4693actions actually led to any tangible effect on his or her

4704employment. Id.

470672. Assuming, arguendo, that ei ther the verbal or final

4716written warning did constitute an adverse employment action,

4724Petitioner still failed to establish a prima facie case because

4734she did not establish that similarly - situated employees outside

4744of her protected class were treated more f avorably.

475373. Petitioner presented evidence attempting to show that

4761Davita treated Caucasian team lead Ms. Maniec more favorably

4770than it did her when the error in uploading the CCI e dits came

4784to light. To be a proper comparator, Ms. ManiecÓs conduct mus t

4796have been Ðnearly identicalÑ to PetitionerÓs. Vickers v.

4804Hyundai Motor Mfg. Ala., LLC , 2016 U.S. App. LEXIS 6741 (11th

4815Cir. Apr. 14, 2016); and Stone & Webster Constr., Inc. v. U.S.

4827DepÓt of Labor , 684 F.3d 1127, 1134 - 35 (11th Cir. 2012). This

4840requirem ent prevents courts from Ðsecond - guessing employersÓ

4849reasonable decisions and confusing apples with oranges.Ñ

4856Maniccia v. Brown , 171 F.3d 1364, 1368 (11th Cir. 1999).

486674. The evidence shows that Ms. ManiecÓs conduct was not

4876at all similar to PetitionerÓ s. First, PetitionerÓs contention

4885that the two employees were e qually responsible for the CCI e dit

4898error was unsupported by the record evidence. Petitioner was

4907responsible to download the edits from CMS and manipulate the

4917data to remove duplicates and ed it incorrect diagnostic codes,

4927which she did. Ms. Maniec was responsible to QA the data prior

4939to upload to ensure accuracy, which she did. Petitioner was

4949clearly responsible to perform the post - upload QA, which she

4960failed to do. The employeesÓ actions w ere not at all similar --

4973only Petitioner failed to perform h er duty with regard to the

4985CCI e dit.

498875. Further, PetitionerÓs behavior when confronted with

4995the error was significantly different from Ms. ManiecÓs. While

5004Ms. Maniec recognized the responsibili ty to immediately report

5013the error to management to prevent further erroneous billing,

5022Petitioner wanted to wait until she had the details of the

5033fiscal impact prior to reporting. The record is clear that

5043PetitionerÓs discipline was related more to her at tempt to

5053conceal the error than the commission of the error itself.

5063Thus, Ms. ManiecÓs behavior was diametrically opposed to

5071PetitionerÓs since Ms. Maniec did not engage in any effort to

5082delay reporting the error to management.

508876. In short, Ms. Maniec was not a proper comparator, and

5099Petitioner fell short of establishing her prima facie case.

5108See Robinson v. Colquitt EMC , 2016 U.S. App. LEXIS 10040 (11th

5119Cir. June 2, 2016) (summary judgment for the employer affirmed

5129in race discrimination action where the plaintiff failed to

5138present sufficient evidence of a proper comparator).

514577. Even assuming, arguendo, that Petitioner established a

5153prima facie case of discrimination, Respondent presented

5160persuasive documentary and testimonial evidence that it

5167disc iplined Petitioner because of its reasonable belief she had

5177exhibited a lack of integrity in failing to disclose the CCI

5188e dit error immediately, and that she engaged in unprofessional

5198conduct when she instructed Ms. Maniec to do the same. As such,

5210Davita has met its burden to establish legitimate, non -

5220discriminatory business reasons for its decision to discipline

5228Petitioner.

522978. Petitioner did not present any credible evidence that

5238RespondentÓs reason for disciplining her was a pretext for

5247discrimination . Petitioner expressed her belief that her

5255discipline was unfair because it was based upon facts with which

5266she disagreed, but disagreement with the employerÓs decision

5274falls short of the showing necessary to establish pretext.

5283Chambers v. Walt Disney Wo rld Co. , 132 F. Supp. 2d 1356, 1366

5296(M.D. Fla. 2001). Courts Ðdo not sit as a super - personnel

5308department that examines an entityÓs business decisions.Ñ

5315Chapman v. AI Transport , 229 F.3d 1012, 1033 (11th Cir. 2000)

5326(en banc) (citations omitted).

533079. ÐTh e ultimate burden of persuading the trier of fact

5341that the [employer] intentionally discriminated against the

5348[employee] remains at all times with the [employee].Ñ Texas

5357DepÓt of Cmty. Affairs v. Burdine , 450 U.S. at 253. In this

5369case, Petitioner failed to meet her burden.

5376RECOMMENDATION

5377Based on the foregoing Findings of Fact and Conclusions of

5387Law, it is RECOMMENDED that the Florida Commission on Human

5397Relations dismiss the Petition for Relief from an Unlawful

5406Employment Practice filed against Responden t.

5412DONE AND ENTERED this 1 6 th day of May , 2017 , in

5424Tallahassee, Leon County, Florida.

5428S

5429SUZANNE VAN WYK

5432Administrative Law Judge

5435Division of Administrative Hearings

5439The DeSoto Building

54421230 Apalachee Parkway

5445Tallahassee , Florida 32399 - 3060

5450(850) 488 - 9675

5454Fax Filing (850) 921 - 6847

5460www.doah.state.fl.us

5461Filed with the Clerk of the

5467Division of Administrative Hearings

5471this 1 6 th day of May , 2017 .

5480ENDNOTE S

54821/ All references to the Florida Statutes are to the 2016

5493version, unless otherwise noted herein.

54982/ The balance of PetitionerÓs exhibits were excluded because

5507she did not comply with the undersignedÓs Order of Pre - hearing

5519Instructions which directed the parties to exchange, no later

5528than seven days before the final he aring, copies of all documents

5540which they intended to offer as exhibits. As of the date of

5552final hearing, Petitioner had not disclosed to Respondent any

5561documents she intended to offer as exhibits.

55683/ Davita eliminated the Payer Rules team in March 2016 , thus

5579the past tense is used in reference to the team.

55894/ Petitioner testified that, due to the final written warning,

5599she was ineligible for the bonus pool in 2016 and unable to apply

5612for a transfer to a new position for six months. However,

5623Petitione rÓs knowledge was based solely on what she read or was

5635told through the Davita personnel system. PetitionerÓs hearsay

5643testimony was not corroborated by any non - hearsay evidence.

5653COPIES FURNISHED:

5655Tammy S. Barton, Agency Clerk

5660Florida Commission on Hum an Relations

5666Room 110

56684075 Esplanade Way

5671Tallahassee, Florida 32399

5674(eServed)

5675Dorothy Parson, Esquire

5678Ogletree, Deakins, Nash,

5681Smoak, and Stewart, P.C.

5685Suite 4600

5687111 Monument Circle

5690Indianapolis, Indiana 46204

5693Christine N. Monkhouse

56961512 Clapton Dr ive

5700Deland, Florida 32720

5703(eServed)

5704Gretchen Maria Lehman, Esquire

5708Ogletree, Deakins, Nash,

5711Smoak & Stewart, P.C.

5715Suite 3600

5717100 North Tampa Street

5721Tampa, Florida 33602

5724(eServed)

5725Cheyanne Costilla, General Counsel

5729Florida Commission on Human Relatio ns

57354075 Esplanade Way, Room 110

5740Tallahassee, Florida 32399

5743(eServed)

5744NOTICE OF RIGHT TO SUBMIT EXCEPTIONS

5750All parties have the right to submit written exceptions within

576015 days from the date of this Recommended Order. Any exceptions

5771to this Recommende d Order should be filed with the agency that

5783will issue the Final Order in this case.

Select the PDF icon to view the document.
PDF
Date
Proceedings
PDF:
Date: 08/04/2017
Proceedings: Agency Final Order Dismissing Petition for Relief from an Unlawful Employment Practice filed.
PDF:
Date: 08/03/2017
Proceedings: Agency Final Order
PDF:
Date: 05/16/2017
Proceedings: Recommended Order
PDF:
Date: 05/16/2017
Proceedings: Recommended Order cover letter identifying the hearing record referred to the Agency.
PDF:
Date: 05/16/2017
Proceedings: Recommended Order (hearing held February 22 and March 15, 2017). CASE CLOSED.
PDF:
Date: 04/13/2017
Proceedings: Respondent's Proposed Recommended Order filed.
PDF:
Date: 04/12/2017
Proceedings: Order Denying Motion for Extension of Time.
PDF:
Date: 04/12/2017
Proceedings: Plaintiff Motion to Deny Respondent Motion for Extension of Time to Submit Post-Hearing Briefs filed.
PDF:
Date: 04/11/2017
Proceedings: Petitioner's Proposed Recommended Order filed.
PDF:
Date: 04/11/2017
Proceedings: Davita Healthcare Partners Inc.'s Motion for Extension of Time to Submit Post-hearing Briefs filed.
Date: 04/03/2017
Proceedings: Transcript of Proceedings (not available for viewing) filed.
Date: 03/15/2017
Proceedings: CASE STATUS: Hearing Held.
PDF:
Date: 03/13/2017
Proceedings: Respondent's Response In Opposition to Petitioner's Motion for Rebuttal Evidence filed.
PDF:
Date: 03/10/2017
Proceedings: Court Reporter Request filed.
PDF:
Date: 03/09/2017
Proceedings: Notice of Telephonic Hearing on Petitoner's Motion for Rebuttal Evidence.
PDF:
Date: 03/09/2017
Proceedings: Order Re-scheduling Hearing by Telephone (hearing set for March 15, 2017; 10:00 a.m.).
PDF:
Date: 03/06/2017
Proceedings: Motion for Rebuttal Evidence filed.
Date: 02/22/2017
Proceedings: CASE STATUS: Hearing Partially Held; continued to date not certain.
PDF:
Date: 02/20/2017
Proceedings: Respondent's Request for Hearing Transcript filed.
PDF:
Date: 02/17/2017
Proceedings: Respondent's Witness List filed.
PDF:
Date: 02/17/2017
Proceedings: Court Reporter Request filed.
PDF:
Date: 02/16/2017
Proceedings: Amended Order Re-scheduling Hearing (hearing set for February 22, 2017; 10:30 a.m.; Deland, FL).
PDF:
Date: 02/15/2017
Proceedings: Notice of Transfer.
PDF:
Date: 01/25/2017
Proceedings: Order Re-scheduling Hearing (hearing set for February 22, 2017; 9:30 a.m.; Deland, FL).
PDF:
Date: 01/20/2017
Proceedings: Status Update filed.
PDF:
Date: 01/18/2017
Proceedings: Order Granting Extension of Time.
PDF:
Date: 01/17/2017
Proceedings: Respondent's Motion for Extension of Time to Submit Status Update filed.
PDF:
Date: 12/27/2016
Proceedings: Order Granting Continuance (parties to advise status by January 17, 2017).
PDF:
Date: 12/22/2016
Proceedings: Respondent's Unopposed Motion for Continuance of Hearing filed.
PDF:
Date: 12/14/2016
Proceedings: Notice of Appearance (Gretchen Lehman) filed.
PDF:
Date: 12/08/2016
Proceedings: Order of Pre-hearing Instructions.
PDF:
Date: 12/08/2016
Proceedings: Notice of Hearing (hearing set for January 18, 2017; 9:30 a.m.; Deland, FL).
PDF:
Date: 11/10/2016
Proceedings: Initial Order.
PDF:
Date: 11/10/2016
Proceedings: Employment Charge of Discrimination filed.
PDF:
Date: 11/10/2016
Proceedings: Notice of Determination: No Reasonable Cause filed.
PDF:
Date: 11/10/2016
Proceedings: Determination: No Reasonable Cause filed.
PDF:
Date: 11/10/2016
Proceedings: Petition for Relief filed.
PDF:
Date: 11/10/2016
Proceedings: Transmittal of Petition filed by the Agency.

Case Information

Judge:
LAWRENCE P. STEVENSON
Date Filed:
11/10/2016
Date Assignment:
02/15/2017
Last Docket Entry:
08/04/2017
Location:
Deland, Florida
District:
Northern
Agency:
ADOPTED IN TOTO
 

Counsels

Related Florida Statute(s) (4):