Phillips and Cohen partner Claire Sylvia spoke to Liz Kilmer of Pittsburgh’s WPXI-TV to discuss Phillips and Cohen’s $8.5 million settlement against UPMC.
“The regulation here is a billing requirement, but it also protects patient safety, and the billing requirement is that teaching hospitals can’t bill for more than one surgery at a time where the critical portions of the surgery overlap, and basically the regulation says the government won’t pay for the additional surgery if the two of them overlap in that important way,” said Claire Sylvia, Partner at Phillips and Cohen LLP.
Sylvia’s firm represented D’Cunha, and she told Channel 11 that they’re pleased with the outcome.
“This is an important settlement in our view, both for the taxpayers but also for patients,” she said.
Read the entire article, “UPMC agrees to pay $8.5 million to settle whistleblower lawsuit filed by former surgeon,” at WPXI, February 27, 2023.