Grievance Information Detail

Grievance DENIED.  Grievant was terminated for rule violations alleging that Grievant had failed to (1) complete patients’ Applications for Financial Assistance (AFA) forms in a timely manner, and (2) upload AFA’s into the Financial and Billing System (FABS) in a timely manner.  The Arbitrator determined Grievant’s AFA’s did not contain the necessary and required accurate information.  Grievant’s AFA’s instead had a 77.9% accuracy score while audits from all of the other hospitals showed an accuracy of 90% or higher.  In addition, the Arbitrator noted the Union failed to even address the second portion of the allegations regarding Grievant’s failure to upload the AFA’s into FABS in a timely manner.  The Arbitrator found this disconcerting as MHAS cannot bill unless or until the AFA’s have been uploaded into FABS.  Plus, there is potential for additional lost revenue due to penalties if the AFA which had not been uploaded is selected as part of a Medicare audit.  Grievant had clearly been informed of the timelines several times under Grievant’s current supervisor.  Finally, the Arbitrator noted that management followed the steps of progressive discipline as outlined in the CBA.  Grievant had also been made aware of the consequences of his failure to accurately complete and file the forms.  Therefore, the grievance was DENIED.