USA ex rel Michael S. Lord v. North American Partners In Anesthesia, LLP

CourtDistrict Court, M.D. Pennsylvania
DecidedNovember 7, 2019
Docket3:13-cv-02940-MEM
StatusUnknown

This text of USA ex rel Michael S. Lord v. North American Partners In Anesthesia, LLP (USA ex rel Michael S. Lord v. North American Partners In Anesthesia, LLP) 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
USA ex rel Michael S. Lord v. North American Partners In Anesthesia, LLP, (M.D. Pa. 2019).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF PENNSYLVANIA UNITED STATES OF AMERICA, : ex rel. MICHAEL S. LORD, : Plaintiffs/Relator CIVIL ACTION NO. 3:13-2940 : v : (JUDGE MANNION) NAPA MANAGEMENT SERVICES CORPORATION, NORTH AMERICAN: PARTNERS IN ANESTHESIA (PENNSYLVANIA), LLC, and : POCONO MEDICAL CENTER, : Defendants MEMORANDUM Presently before the court is a motion for a protective order pursuant to Federal Rule of Civil Procedure 26(c), filed by the two remaining defendants, namely, NAPA Management Services Corporation (“NMSC”), and North American Partners In Anesthesia (Pennsylvania), LLC (“NAPA-PA”), (collectively the “defendants”). (Doc. 117). Defendants move for a protective order claiming that good cause exists to preclude the discovery of certain communications and documents requested by plaintiff/relator Michael S. Lord (“plaintiff”) since they are investigative materials prepared in anticipation of litigation protected from disclosure as work product or constitute privileged attorney-client communications. In this qui tam action, plaintiff was employed as a certified registered nurse anesthesiologist ("CRNA") by NAPA-PA and was based at Pocono Medical Center (“PMC”) from June of 2011 until July 5, 2013.1 Plaintiff alleges that the defendants violated the False Claims Act (“FCA”), 31 U.S.C. §3729, et seq., by submitting false claims to Medicare for reimbursement regarding anesthesiology services. Plaintiff alleges that defendants engaged in a scheme to defraud Medicare in order to receive higher reimbursement by knowingly and falsely billing it for anesthesiology services provided at PMC

as “medical direction” services when they should have properly been billed as “medical supervision” services. In particular, plaintiff alleges, in part, that in some of the surgeries he was involved in, the assigned attending anesthesiologist doctor (“Attending”) was not present in the operating room to place the patient under anesthesia and, that at the end of some surgeries, while the patient was being extubated from anesthesia, the Attending was not present in the operating room. Plaintiff also asserts a False Claims Act Whistleblower claim against the defendants as well as a state law breach of contract claim involving his termination from employment. Based on the foregoing, the defendants’ motion for protective order will be GRANTED, except with respect to one document, Dr. Strobel’s PowerPoint

presentation entitled “Compliance Talk 2013.”

1In its June 20, 2017 memorandum, (Doc. 73), and order, (Doc. 74), the court granted PMC’s motion to dismiss, (Doc. 50), and dismissed all claims against PMC with prejudice. 2 I. PROCEDURAL BACKGROUND2 On April 3, 2019, the defendants filed their motion for a protective order, (Doc. 117), with attached exhibits, namely, the Affidavits of Beth Green, Esquire and Leslie Russo, and a Declaration of Thomas J. Campenni, Esquire, counsel for defendants, dated April 3, 2019. (Docs. 117-1, 117-2 & 117-3, respectively). Attached to Campenni’s Declaration as Exhibit B is an

abridged version of defendants’ privilege log containing the original 31 documents that were the subject of defendants’ motion. (Doc. 117-3, Ex. B). Defendants simultaneously filed their brief in support of their motion. (Doc. 118). Plaintiff filed his brief in opposition to defendants’ motion on April 17, 2017, (Doc. 122-1), with the attached Declaration of Richard E. Vuernick, Esquire, counsel for plaintiff, (Doc. 122-2). There are also exhibits, A-D, attached to Vuernick’s Declaration. Defendants filed their reply brief on April 24, 2019, with the attached April 24, 2019 Declaration of Campenni and a copy of a December 26, 2012 email regarding “Regulations”, which is largely redacted. (Docs. 123 & 123-1). On September 9, 2019, defendants submitted revised privilege logs,

attached to Campenni’s September 9, 2019 Declaration as Exhibits A & B, with 73 documents attached for in camera review. The revised abridged

2Since the court stated the full procedural and factual backgrounds of this case in its memorandum dated June 20, 2017, (Doc. 73), and its memorandum dated November 14, 2017, (Doc. 76), it shall not fully repeated them herein. As such, the court goes directly to the heart of the issues presented in defendants’ motion for protective order. 3 privilege log includes the original 31 documents submitted for in camera review along with 42 additional documents.* The court has jurisdiction over this case pursuant to 28 U.S.C. §1331. The court can exercise supplemental jurisdiction over plaintiff's state law claim under 28 U.S.C. §1367. Venue is appropriate in this court since the claims arose in this district and all parties are located here. See 28 U.S.C. §1391.

ll. STANDARD Generally, the scope of discovery is broad. “Parties may obtain discovery regarding any nonprivileged matter that is relevant to any party’s claim or defense and proportional to the needs of the case.” FED. R. Civ. P. 26(b)(1) (emphasis added). The information need not be admissible to be discoverable. Id. Privileged information, however, is clearly not discoverable. The court must limit discovery if it determines that the information sought is outside the proper scope of discovery. FED. R. Civ. P. 26(b)(2)(iii). A motion for a protective order is a proper method for challenging inappropriate discovery requests. The court’s general authority to issue a protective order is governed by Federal Rule of Civil Procedure 26(c), which reads, in pertinent part: A party or any person from whom discovery is sought may move for a protective order in the court where

’Defendants submitted Campenni’s September 9, 2019 Declaration with the revised privilege logs attached thereto as Exhibits A & B along with the 73 documents submitted for in camera review.

the action is pending—or as an alternative on matters relating to a deposition, in the court for the district where the deposition will be taken. The motion must include a certification that the movant has in good faith conferred or attempted to confer with other affected parties in an effort to resolve the dispute without court action. The court may, for good cause, issue an order to protect a party or person from annoyance, embarrassment, oppression, or undue burden or expense. FED. R. Civ. P. 26(c)(1). The court may grant various forms of relief under Rule 26(c), including “forbidding disclosure of discovery” and “forbidding inquiry into certain matters, or limiting the scope of disclosure of certain matters.” Feb. R. Civ. P. 26(c)(1)(A), and (D). The decision to grant a protective order, like other rulings regarding the scope of discovery, is within the court’s discretion. See Shingara v. Shiles, 420 F.3d 301, 305 (3d Cir. 2005); Mass. Sch. of Law at Andover, Inc. v. Am. Bar. Ass'n, 107 F.3d 1026, 1032 (3d Cir. 1997). The party seeking the protective order bears the burden of demonstrating “good cause” for that protection. Glenmede Trust Co. v.

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USA ex rel Michael S. Lord v. North American Partners In Anesthesia, LLP, Counsel Stack Legal Research, https://law.counselstack.com/opinion/usa-ex-rel-michael-s-lord-v-north-american-partners-in-anesthesia-llp-pamd-2019.