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Primary Care Providers Win Challenge of CMS Interpretation of Enhanced Payment Law

With the help and support of the Tennessee Medical Association, 21 Tennessee physicians of underserved communities joined together and retained Bass, Berry & Sims to file suit against the Centers for Medicare & Medicaid Services to stop improper collection efforts. Our team, led by David King, was successful in halting efforts to recoup TennCare payments that were used legitimately to expand services in communities that needed them. Read more

Tennessee Medical Association & Bass, Berry & Sims

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Download the Healthcare Fraud & Abuse Review 2017, authored by Bass, Berry & Sims

The Healthcare Fraud & Abuse Review 2017 details all healthcare-related False Claims Act settlements from last year, organized by particular sectors of the healthcare industry. In addition to reviewing all healthcare fraud-related settlements, the Review includes updates on enforcement-related litigation involving the Stark Law and Anti-Kickback Statute, and looks at the continued implications from the government's focus on enforcement efforts involving individual actors in connection with civil and criminal healthcare fraud investigations.

Click here to download the Review.

Labor Talk Blog: Terminated Employee Entitled to Union Representation Prior to Taking Reasonable Suspicion Drug Test


September 22, 2014

The National Labor Relations Board (NLRB), in agreeing with an administrative law judge's (ALJ) April 2013 ruling, has held that suspending and discharging a union member for refusing a drug and alcohol test after the employee demanded union representation is a direct violation of the National Labor Relations Act (NLRA).

In Ralphs Grocery Co., 361 NLRB No. 9 (2014), coworkers observed the employee displaying unusual behavior, such as slurring his words and having difficulty operating the computer. Based on these observations, the employee was ordered to submit to a drug and alcohol test. The employee requested a union representative, but was told that he did not have this right. The employee attempted to contact a union representative or alternate steward regardless, but was unable to reach anyone. The employee again refused to submit to the test, despite warnings that his refusal would lead to discharge under Ralphs Grocery Company's (Ralphs) drug/alcohol testing policy, and he was ultimately terminated.

Ralphs insisted that the employee's refusal to submit to the testing was insubordinate and amounted to an automatic positive test result under its drug/alcohol testing policy, and this was a complete defense in the case. Ralphs also argued that it was not required to postpone its investigation because the employee could not contact a representative.

Both the NLRB and the ALJ held that the drug and alcohol test trigger the employee's Weingarten rights, which were established by a 1975 U.S. Supreme Court decision allowing employees to insist on having a union representative present for any investigatory interview that the employee reasonably believes could lead to disciplinary action. The NLRB and the ALJ determined that the employee's discharge was a direct result of his invocation of his Weingarten rights, and not because Ralphs believed the employee to be intoxicated.

While employers may institute policies calling for an employee's discharge for refusing to submit to a drug/alcohol test, this decision underscores the importance of recognizing an employee's attempt at exercising his/her union rights. Managers also should make record of any observed behavior indicating intoxication or illegal drug use as a means to support any actions in the wake of an unfair labor practice claim.

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