Shehata v. Blackwell

District Court, E.D. Kentucky·Decided June 13, 2023·No. 3:20-cv-00012·Unknown

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF KENTUCKY CENTRAL DIVISION FRANKFORT DR. EHAB SHEHATA, )

) Civil No. 3:20-cv-00012-GFVT-EBA Plaintiff, )

) v. ) MEMORANDUM OPINION

DAVID W. BLACKWELL, et al., ) & ) ORDER ) Defendants. ) ) *** *** *** *** This matter is before the Court on a Motion to Reconsider Summary Judgment filed by Defendant Dr. Stephanos Kyrkanides. [R. 162.] The Court previously declined to grant summary judgment in Dr. Kyrkanides’s favor on a state wage and hour claim and on part of a defamation claim brought against him by Dr. Ehab Shehata. [R. 137.] Now, Dr. Kyrkanides asks the Court to reexamine those decisions. [R. 162.] Because none of his concerns amount to clear error, Dr. Kyrkanides’s Motion to Reconsider [R. 162] is DENIED. I The University of Kentucky employed Dr. Ehab Shehata as both an oral and maxillofacial surgeon and as a clinical title series assistant professor from 2013 through June of 2020. [R. 71- 4 at 1; R. 107 at 3.] During that time, Dr. Shehata treated patients at an off-campus Faculty Clinic operated by UK. [R. 71-4 at 3.] Through the university’s Dental Service Plan, Dr. Shehata could receive a portion of the fees paid to UK if he was designated as the Treating Provider for a given patient. Id. at 2, 5. Sometime in 2017, someone changed the policy that governed whether Dr. Shehata would receive that designation.1 Id. at 6; [R. 162 at 4–5.] Dr. Shehata, then, changed his documentation practices to ensure that he would receive compensation. [R. 71-4 at 9.] Whether UK validly changed its policy and whether Dr. Shehata truly should have been the Treating Provider for these patients are issues that remain disputed.

See id. at 14; see also Memorandum Opinion & Order at 21 n.14, Cunningham v. Blackwell, No. 3:20-cv-00008-GFVT (E.D. Ky. Oct. 10, 2021), ECF No. 118. At UK’s Faculty Clinic, faculty dentists and resident dentists would both see a patient through the course of treatment. [R. 71-4 at 3; R. 77-3 at 7.] To further their training, the residents conducted faculty-supervised consultations with patients and documented the care. [R. 71-4 at 3; R. 77-3 at 7.] Prior to 2017, a UK guidance document approved by the UK Dental Care Board required billing staff to designate the faculty member as the Treatment Provider for patients where a resident helped with treatment and documented the care.2 [R. 71-4 at 6; R. 77-3 at 7.] Sometime in 2017, UK’s billing employees began designating residents as the Treatment

Provider whenever residents documented a patient’s care. [R. 71-4 at 6; R. 71-6 at 1; R. 77-3 at 9.] Dr. Shehata claims to have noticed this change in some of his cases by August of 2017. [R. 1-2 at 9.] He alleges that the Dean of the College of Dentistry, Dr. Stephanos Kyrkanides,

1 The parties dispute who changed the policy. [R. 162 at 5; R. 163 at 4.]

2 The 2013 document reads, in full:

If a patient is appointed to a particular Faculty member or Faculty Clinic, and a Faculty member provides care to the patient, billed charges will be recorded with the Treatment Provider listed as the provider number of the Faculty who provided care. These appointments may involve Residents in taking and documenting the patient’s History & Physical Exam and in surgical follow-up evaluations; however, the Faculty member assigned to the patient will still be listed as the axiUm Treatment Provider.

[R. 70-1 at 161.] UK disputes both the applicability of this document to the patients at issue and whether it constitutes formal University policy. See Motion for Summary Judgment at 5, Cunningham v. Blackwell, No. 3:20- cv-00008-GFVT (E.D. Ky. June 26, 2021), ECF No. 63-4. effectively changed UK’s billing policy without following the mandatory procedures to do so. [R. 71-4 at 6–7.] Dr. Kyrkanides denies this claim. [R. 162 at 6; R. 165 at 1.] By contrast, Dr. Kyrkanides claims that the UK Dental Care Board revised the policy in November of 2017. [R. 162 at 5.]

Regardless, both parties agree that Dr. Shehata changed his documentation practices around this time. [R. 71-4 at 9; 77-3 at 7.] From June of 2017 through December of 2018, UK designated a resident as the Treatment Provider for forty patients that Dr. Shehata alleges he treated. [R. 71-4 at 42; R. 71-18.] Dr. Shehata believed that he was entitled to income for these patients under UK’s existing policies, even though a resident wrote the documentation for their treatment. [R. 71-4 at 9–10.] Accordingly, he reviewed the files and removed any reference to a resident from the notes for these patients. Id. at 11. Dr. Kyrkanides characterizes these actions differently. He claims that UK staff inferred, from the fact that a resident chronicled the care of a patient, that the resident performed the care for that patient. [R. 162 at 4.] Further, Dr. Kyrkanides claims that the manner of documentation

in these patients’ files is consistent with other cases where it is known that a resident performed all the care. Id. at 5. Accordingly, he believes that Dr. Shehata altered patient records to illegitimately increase his income. Id. at 3. The altered records triggered an investigation within the University. [R. 71-4 at 11; R. 77-3 at 10.] While the investigation ultimately concluded without discipline, UK’s Provost, David Blackwell, would soon after accuse Dr. Shehata of fraud for “claiming credit for services which he did not perform.” [R. 71-4 at 12, 21.] Through the course of the investigation and the subsequent fallout, Dr. Kyrkanides made nine recorded phone calls to UK administrators. [R. 77-5 at 446–51.] He accused Dr. Shehata of various crimes and of stealing from the university based on the altered patient records. Id. These allegations eventually led to Dr. Shehata’s termination. Id. at 30. In 2019, Dr. Kyrkanides also lost his position as Dean. [R. 163 at 5.] Dr. Shehata sued Dr. Kyrkanides on a variety of bases, including violations of Kentucky’s wage and hour law, for the patients he believes he treated, and defamation, over the nine

statements. [R. 1-2 at 35; R. 55 at 19.] Dr. Kyrkanides moved for summary judgment on these claims. [R. 77-3.] The Court denied summary judgment on the wage and hour claim, finding that a material issue of fact exists as to whether Dr. Shehata is entitled to income he allegedly earned before Dr. Kyrkanides lost his deanship. [R. 137 at 8.] The Court granted summary judgment against Dr. Shehata as to eight of the defamatory statements because of the statute of limitations. Id. at 10. However, the Court preserved one of the communications for the jury, despite Dr. Kyrkanides’s invocation of Kentucky’s doctrine of qualified privilege. Id. at 12. Dr. Kyrkanides now asks the Court to reconsider these decisions. [R. 162.] II A federal district court has the authority to reconsider interlocutory orders under both the

common law and Federal Rule of Civil Procedure 54(b). Rodriguez v. Tenn. Laborer’s Health & Welfare Fund, 89 F. App’x 949, 959 (6th Cir. 2004). Traditionally, courts only reconsider interlocutory orders “when there is (1) an intervening change of controlling law; (2) new evidence available; or (3) a need to correct a clear error or prevent manifest injustice.”3 Id. A motion to reconsider an interlocutory order is not an invitation for the parties to relitigate the issue. See Hazard Coal Corp. v. Am. Res. Corp., Civil No. 6:20-cv-00010-CHB, 2022 U.S. Dist.

3 That said, district courts have the power to revisit their interlocutory summary judgment decisions “for any reason.” ACLU of Ky. v. McCreary Cnty., 607 F.3d 439, 450 (6th Cir. 2010); see also Dayton Veterans Residences Ltd. P’ship v. Dayton Metro. Hous. Auth., No. 21-3090, 2021 U.S. App.

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