Pompa v. St. Luke's Hospital

CourtDistrict Court, M.D. Pennsylvania
DecidedMarch 2, 2023
Docket3:21-cv-01378
StatusUnknown

This text of Pompa v. St. Luke's Hospital (Pompa v. St. Luke's Hospital) is published on Counsel Stack Legal Research, covering District Court, M.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pompa v. St. Luke's Hospital, (M.D. Pa. 2023).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF PENNSYLVANIA

LISA POMPA, :

Plaintiff : CIVIL ACTION NO. 3:21-1378

v. : (JUDGE MANNION)

ST. LUKE’S HOSPITAL, et al. :

Defendants :

MEMORANDUM

Pending before the court are two motions to dismiss the defendants’ counterclaims filed by Plaintiff Lisa Pompa. (Docs. 12 & 19). Defendants filed an amended answer shortly after Pompa’s first motion to dismiss was filed, which, as Pompa acknowledges, supersedes Defendants’ original pleading and renders moot Pompa’s first motion to dismiss; accordingly, Pompa’s first motion to dismiss, (Doc. 12), will be DISMISSED AS MOOT. Pompa’s second motion to dismiss attacks Defendants’ operative pleading, (Doc. 14, Amended Answer), for failure to state a claim upon which relief can be granted. Defendants’ Amended Answer contains four counterclaims against Pompa for breach of fiduciary duty, negligence, gross negligence, and unjust enrichment. (Doc. 14). Pompa moves to dismiss all four counterclaims asserted in Defendants’ Amended Answer, arguing that the breach of fiduciary duty, negligence, and gross negligence claims are barred by Pennsylvania’s two-year statute of limitations, and that the unjust enrichment

claim cannot be sustained as a matter of law because the other counterclaims are time-barred. (Doc. 20). As explained below, since Defendants bring their counterclaims well over two years after their claims

against Pompa accrued, their claims are time-barred; thus, the court will GRANT Pompa’s motion to dismiss.

I. BACKGROUND

The factual background of this case is taken from the factual allegations set forth in Defendants’ Amended Answer, (Doc. 14), which the court must accept as true for purposes of Pompa’s motion to dismiss.

In 1984, Plaintiff Lisa Pompa was hired by Gnaden Huetten Memorial Hospital (“Gnaden Huetten”), which employed Pompa until 2004. Pompa’s job title was changed to Exercise Physiologist in 1993, and in 2000, she became the Coordinator of Gnaden Huetten’s Cardiopulmonary

Rehabilitation program. In 2004, Gnaden Huetten merged with Palmerton Hospital to form Blue Mountain Health System (“BMHS”). Plaintiff worked for BMHS from 2004 until May 2018. In 2008, BMHS changed Pompa’s job title

to Supervisor of the Cardiopulmonary Rehab program. In June 2018, and following St. Luke’s acquisition of BMHS, Pompa’s title was changed to Manager of the Cardiopulmonary Rehab program, wherein she reported to

Mr. William Merkert, Director of Cardiopulmonary Rehabilitation. Pompa’s primary responsibilities did not change from what they had been at BMHS. In or around June and July 2018, St. Luke’s determined that Pompa and

BMHS staff were not doing 1:1 therapy as it is defined under the Centers for Medicare and Medicaid Services (“CMS”) guidelines; thus, the services they offered could not be billed under the G0238 code and instead had to be billed using the G0239 code.

Merkert sent Pompa an email on August 24, 2018, addressing her alleged ongoing refusal to phase out use of the G0238 billing code despite prior directives to do so and numerous conversations regarding St. Luke’s

expectations concerning compliant billing practices. From that day until December 2018, Merkert was aware that Pompa was continuing to disregard the directive he issued to her in the August 24 email, as well as identical instructions given to Pompa in meetings on October 30 and November 5,

2018. During that period, Merkert was also consulting with HR and Compliance at St. Luke’s to keep them informed of Pompa’s actions and determine the best way to deal with her alleged insubordinate behavior.

Pompa’s behavior culminated on December 14, 2018, after St. Luke’s Compliance Department conducted a billing inquiry and learned that Pompa had reversed Merkert’s reversal of her G0238 billing code for therapy

provided to a patient on December 13, 2018. During a meeting on December 20, 2018, Merkert informed Pompa that her actions were insubordinate, and he reiterated that her continued coding practice was unethical and

inappropriate, and that her coding was considered “upcoding” in violation of federal law. At the same meeting, St. Luke’s informed Pompa that she was being suspended for her misuse of the G0238 billing code on December 13 and 14, her reversing of Merkert’s change of her coding on December 14,

and her continuous disregard for Merkert’s authority as evidenced thereby. While all this was going on, Pompa met with Human Resources on November 20, 2018, to discuss allegations of age discrimination against

Merkert that she had made in an email to HR on November 15, 2018. Merkert was made aware of Pompa’s discrimination claims “in late November 2018” when HR investigated Pompa’s claims and reached out to Merkert to get his response thereto. St. Luke’s avers, “Merkert’s awareness of [Pompa’s]

allegations had no bearing on or relation to [Pompa’s] subsequent suspension and termination[.]” (Doc. 14, ¶96). St. Luke’s terminated Pompa on January 8, 2019. Because of Pompa’s improper upcoding by using the

G0238 code, St. Luke’s deemed it necessary to reimburse CMS the amount of $30,008.75, for which it seeks recoupment from Pompa through its counterclaims filed in this case.

II. LEGAL STANDARD Pompa’s motion to dismiss is brought pursuant to Rule 12(b)(6) of the

Federal Rules of Civil Procedure; Rule 12(b)(6) provides for the dismissal of a complaint, in whole or in part, if the complaint—or, in this case, St. Luke’s Amended Answer containing its counterclaims against Pompa—fails to state a claim upon which relief can be granted. The moving party bears the burden

of showing that no claim has been stated, Hedges v. United States, 404 F.3d 744, 750 (3d Cir. 2005), and dismissal is appropriate only if, accepting all the facts alleged in the complaint as true, the non-moving party has failed to

plead “enough facts to state a claim to relief that is plausible on its face.” Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 570 (2007) (abrogating “no set of facts” language found in Conley v. Gibson, 355 U.S. 41, 45-46 (1957)). The facts alleged must be sufficient to “raise a right to relief above the speculative

level.” Twombly, 550 U.S. at 555. This requirement “calls for enough fact[s] to raise a reasonable expectation that discovery will reveal evidence of” necessary elements of the non-moving party’s cause of action. Id.

Furthermore, to satisfy federal pleading requirements, the non-moving party must “provide the grounds of his entitlement to relief,” which “requires more than labels and conclusions, and a formulaic recitation of the elements of a

cause of action will not do.” Phillips v. County of Allegheny, 515 F.3d 224, 231 (3d Cir. 2008) (brackets and quotations marks omitted) (quoting Twombly, 550 U.S. 544 at 555).

In considering a motion to dismiss, the court generally relies on the complaint, attached exhibits, and matters of public record. See Sands v. McCormick, 502 F.3d 263 (3d Cir. 2007). The court may also consider “undisputedly authentic document[s] that a defendant attaches as an exhibit

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