Ingleside Emergency Group, LLC v. Michele H. Hollis, M.D.

CourtCourt of Appeals of Virginia
DecidedNovember 12, 2024
Docket1311232
StatusUnpublished

This text of Ingleside Emergency Group, LLC v. Michele H. Hollis, M.D. (Ingleside Emergency Group, LLC v. Michele H. Hollis, M.D.) is published on Counsel Stack Legal Research, covering Court of Appeals of Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ingleside Emergency Group, LLC v. Michele H. Hollis, M.D., (Va. Ct. App. 2024).

Opinion

COURT OF APPEALS OF VIRGINIA UNPUBLISHED

Present: Judges Huff, AtLee and Callins Argued at Richmond, Virginia

INGLESIDE EMERGENCY GROUP, LLC, ET AL. MEMORANDUM OPINION* BY v. Record No. 1311-23-2 JUDGE DOMINIQUE A. CALLINS NOVEMBER 12, 2024 MICHELE H. HOLLIS, M.D.

FROM THE CIRCUIT COURT OF HENRICO COUNTY Richard S. Wallerstein, Jr., Judge

D. Paul Holdsworth (Nigel L. Wilkinson; Jackson Lewis, P.C., on briefs), for appellants.

Thomas E. Strelka (Strelka Employment Law, on brief), for appellee.

After being terminated from her position as an emergency medicine physician for

appellants Ingleside Emergency Group, LLC (“IEG”) and Kingsford Emergency Group, LLC

(“KEG”) (collectively, “Ingleside”), Dr. Michelle Hollis sued Ingleside, alleging that Ingleside

terminated her in violation of the Virginia Whistleblower Protection Act (“VWPA”), Code

§ 40.1-27.3. Ingleside filed a plea in bar to Dr. Hollis’s VWPA claim, arguing that the claim was

filed outside of the VWPA’s one-year statute of limitations. The trial court denied the plea in

bar, and this Court granted Ingleside’s petition for interlocutory appeal. For the following

reasons, we affirm the trial court’s judgment.

* This opinion is not designated for publication. See Code § 17.1-413(A). BACKGROUND

Dr. Hollis is an emergency medicine physician. In July 2020, Dr. Hollis’s professional

corporation entered into two provider agreements with IEG and KEG, respectively, to provide

emergency medical services at two Virginia hospitals within the HCA Healthcare (“HCA”)

network. In her complaint, Dr. Hollis alleged that she was “repeatedly directed” by SCP Health

(“SCP”)1 administrators in November and December 2020 “to upcharge her services as ‘critical

care’ even when she was not provi[ding] critical care services as defined in the [medical]

coding.” Dr. Hollis believed this was “an effort by Defendants2 to generate fraudulent income

through overbilling of government programs such as Medicare and Medicaid.” Dr. Hollis

“repeatedly refused to illegally upcharge services and reported to management of Defendants in

2020 and early 2021 that she would not improperly upcharge patient care as ‘critical care.’”

Dr. Hollis also “complained in emails and verbally to management of Defendants that

Defendants had intentionally mismanaged federal [COVID-19 relief] funds intended for

Physicians” such as Dr. Hollis.

Dr. Hollis also asserted that, in November 2020, one of her patients experienced a brain

bleed after Dr. Hollis “ordered an injection of recombinant tissue plasminogen activator (“TPA”)

for a patient at the insistence of the neurology consultant.” In assessing the incident, Dr. Hollis

“communicated to other medical staff that she thought that the TPA order was incorrect” and that

“[t]he push to give TPA is dangerous.” Dr. Hollis also sent an email to an SCP physician,

Dr. Jeremiah O’Shea, reiterating that “the call for TPA was the wrong one” and that “the risk did

not outweigh the benefits” in giving this “potentially dangerous medication” to the patient.

1 Dr. Hollis asserted that SCP is Ingleside’s corporate parent. 2 Dr. Hollis listed IEG, KEG, SCP, and Subsidium Healthcare, LLC (“Subsidium”) as the defendants in her complaint. SCP and Subsidium are not parties to this appeal. -2- Dr. O’Shea did not share Dr. Hollis’s skepticism of TPA and responded that “complications . . .

have been rare and generally not severe, even with some intracranial hemorrhage.”

On March 2, 2021, Dr. Hollis “noticed that she was not scheduled to work in April,” and

she emailed Jason Clark, SCP’s Vice President of Staffing Operations to “ask why.” Clark

responded that “the hospital had said that ‘there is a case pending review’” and referred

Dr. Hollis to another HCA employee, Dr. Ankur Fadia. Dr. Fadia “did not return [Dr.] Hollis’[s]

calls, and Clark did not provide any additional information to [Dr.] Hollis.” Dr. Hollis

subsequently obtained legal counsel, and Dr. Hollis’s attorney sent a demand letter to Clark on

April 5, 2021, claiming that IEG was in breach of contract and demanding that IEG clarify the

status of Dr. Hollis’s contract. On June 2, 2021, Dr. Hollis “received a letter from HCA stating

that her ‘resignation’ was ‘approved’” and that “[Dr.] Hollis’[s] ‘Medical Staff appointment and

clinical privileges have been considered voluntarily relinquished effective’” March 3, 2021.

Contrary to the letter, Dr. Hollis asserted that she “never resigned her position, terminated her

Provider Agreement, nor relinquished her clinical privileges.”

The following year, on April 1, 2022, Dr. Hollis filed a complaint against Ingleside

alleging, inter alia,3 that Ingleside terminated her in violation of the Virginia Whistleblower

Protection Act, Code § 40.1-27.3. Dr. Hollis asserted that Ingleside “terminated [her] in

retaliation for [her] refusal to upcharge her services” and “for her reports to her supervisors

concerning . . . violations of federal and state law and regulations.” Ingleside filed an answer

and demurrer, and subsequently filed a plea in bar to the VWPA claim. In its plea in bar,

Ingleside argued that Dr. Hollis’s VWPA claim was barred by the VWPA’s one-year statute of

limitations because Dr. Hollis filed her complaint over a year after her March 2, 2021

3 The complaint contained four counts: (1) breach of contract against IEG; (2) breach of contract against KEG; (3) violation of the VWPA against all four defendants; and (4) tortious interference with Dr. Hollis’s IEG and KEG contracts against SCP and Subsidium. -3- recognition that she was not scheduled to work in April 2021. Ingleside asserted that if there had

been any retaliatory action, March 2, 2021, would have been its start date. Ingleside also noted

that Dr. Hollis, in her brief in opposition to Ingleside’s initial demurrer, stated that her March 2,

2021 recognition that she had been removed from the hospital schedule “began the retaliatory

adverse action.”

After hearing oral argument from the parties, the trial court denied Ingleside’s plea in bar.

In reaching its ruling, the trial court stated that it was “not convinced that the statute of

limitations ran at the time of the e-mail exchange in March [2021].” The trial court later denied

Ingleside’s motion for reconsideration and granted Ingleside’s request to certify the court’s

ruling for interlocutory appeal under Code § 8.01-675.5. This Court granted Ingleside’s petition

for interlocutory appeal.

ANALYSIS

On appeal, Ingleside challenges the trial court’s denial of Ingleside’s plea in bar, arguing

that the trial court erred in finding that the VWPA’s statute of limitations did not start to accrue

when Dr. Hollis recognized on March 2, 2021, that she was not scheduled to work in April 2021.

“A plea in bar asserts a single issue, which, if proved, creates a bar to a plaintiff’s

recovery.” Robinson v. Nordquist, 297 Va. 503, 513 (2019) (quoting Hawthorne v. VanMarter,

279 Va. 566, 577 (2010)). “We apply a de novo standard of review when ‘[t]here are no

disputed facts relevant to the plea in bar and it presents a pure question of law.’” Smith v.

McLaughlin, 289 Va. 241, 251 (2015) (quoting David White Crane Serv. v. Howell, 282 Va. 323,

327 (2011)). “[A] circuit court’s ‘denial of a plea in bar as to the statute of limitations is a

question of law that this Court reviews de novo.’” Kerns v. Wells Fargo Bank, N.A., 296 Va.

146, 154 (2018) (quoting Thorsen v.

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