Wisconsin Health System, Agnesian Healthcare, Sues Cerner for $16M in Losses

Jan. 5, 2018
Agnesian Healthcare Inc., a health system based in Fond Du Lac, Wisconsin, filed a lawsuit against Cerner Corp. for breach of warranty and fraud after claiming issues in its billing software resulted in losses of more than $16 million, according to reporting by The Kansas City Business Journal.

Agnesian Healthcare Inc., a health system based in Fond Du Lac, Wisconsin, filed a lawsuit against Cerner Corp. for breach of warranty and fraud after claiming issues in its billing software resulted in losses of more than $16 million, according to reporting by The Kansas City Business Journal.

In a complaint filed Sept. 15 in Fond du Lac County Circuit Court, Agnesian claimed problems with Cerner's revenue cycle system began immediately after its installation, the Kansas City Business Journal article stated, resulting in in “pervasive errors” in patient billing statements. Agnesian said it had paid $300,000 for the software, which went live in 2015.

“The hospital system said it had to send out payment statements by hand due to issues with the software, resulting in a large backlog of unprocessed statements, some of which ended as write-offs. In total, Agnesian claimed the problem resulted in losses of at least $16 million and continuing costs of $200,000 per month,” Kansas City Business Journal reporter Elise Reuter reported in the article.

According to the compliant, in 2016, Cerner said it had fixed the problem, but in 2017, Agnesian discovered additional coding errors that “resulted in large numbers of undetected write-offs of claims made to insurance companies and other payers,” Reuter wrote in the article.

As a result of these issues, Agnesian said it may take until 2018 for its billing process to return to normal, and the hospital may not be able to meet federally mandated billing requirements, Reuter reported, according to court documents.

Agnesian is seeking direct and indirect damages, as well as punitive damages, and the cancellation of the contract. The case was transferred to the U.S. District Court for the Eastern District of Wisconsin.

Sponsored Recommendations

How Digital Co-Pilots for patients help navigate care journeys to lower costs, increase profits, and improve patient outcomes

Discover how digital care journey platforms act as 'co-pilots' for patients, improving outcomes and reducing costs, while boosting profitability and patient satisfaction in this...

5 Strategies to Enhance Population Health with the ACG System

Explore five key ACG System features designed to amplify your population health program. Learn how to apply insights for targeted, effective care, improve overall health outcomes...

A 4-step plan for denial prevention

Denial prevention is a top priority in today’s revenue cycle. It’s also one area where most organizations fall behind. The good news? The technology and tactics to prevent denials...

Healthcare Industry Predictions 2024 and Beyond

The next five years are all about mastering generative AI — is the healthcare industry ready?