McKirdy v. Superior Court

138 Cal. App. 3d 12, 188 Cal. Rptr. 143, 1982 Cal. App. LEXIS 2201
CourtCalifornia Court of Appeal
DecidedDecember 13, 1982
DocketA017222
StatusPublished
Cited by6 cases

This text of 138 Cal. App. 3d 12 (McKirdy v. Superior Court) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McKirdy v. Superior Court, 138 Cal. App. 3d 12, 188 Cal. Rptr. 143, 1982 Cal. App. LEXIS 2201 (Cal. Ct. App. 1982).

Opinion

Opinion

SMITH, J.

The Attorney General’s Medi-Cal Fraud Unit obtained from the San Francisco Municipal Court a search warrant for the office and home of Archibald A. McKirdy, M.D., a psychiatrist. Upon execution of the warrant at McKirdy’s office Fraud Unit investigators seized 49 files labelled with the names of patients together with other materials. McKirdy promptly filed in the municipal court a “notice of petition to quash search warrant and for return of property.” The municipal court granted McKirdy’s petition. The Attorney General petitioned respondent superior court for a writ of mandate or prohibition. The superior court issued a peremptory writ of prohibition vacating the municipal court’s order and thus, in practical effect, validating the search. McKirdy then petitioned this court for a writ of mandate or prohibition to vacate the superior court’s order. We initially denied the petition. The Supreme Court granted a hearing and retransferred the cause to us with directions to issue the alternative writ. We have done so. Upon consideration of the written and oral arguments of the parties we conclude that the superior court’s ruling was correct and that the municipal court should not have granted McKirdy’s petition to quash the warrant. Accordingly, we deny the peremptory writ and discharge the alternative writ.

At relevant times, McKirdy was a licensed physician and an enrolled provider of publicly funded health services under California’s Medi-Cal statute (Welf. & Inst. Code, § 14000 et seq.). To obtain payment for services rendered to patients entitled to Medi-Cal benefits McKirdy was required to submit claims on specified forms accompanied by specified documentation, and itemizing services rendered. Itemization was to be accomplished by means of codes assigned to enumerated categories of psychotherapeutic treatment: 45-50 minute individual sessions, 25 minute individual sessions, 15 minute individual sessions, 90 minute group sessions, and an initial comprehensive history and examination. Per patient the highest payable Medi-Cal rate was for initial examination and the next highest was for 45-50 minute individual sessions. The rate payable for each individual patient in a group session was less than half the rate for a 45-50 minute individual session.

*17 The search warrant was issued on the basis of a 30-page affidavit signed by Fraud Unit Investigator Beall. The affidavit recites that to detect and prevent fraudulent claims the Medi-Cal program incorporated auditing procedures to identify providers who have billed Medi-Cal for more than 10 hours of health services in any single day. In 1981 the Fraud Unit concluded on the basis of these auditing procedures that in 1979 and 1980 McKirdy “had on numerous occasions billed the Medi-Cal Program for 10 to 15 45-50 minute patient sessions per day.” According to the affidavit, follow-up investigation disclosed that McKirdy had received $76,392.31 in paid Medi-Cal claims during 1980 and that McKirdy had recently been subject to Board of Medical Quality Assurance proceedings in which he had been found to have prescribed drugs unnecessarily. The affidavit reflects that Beall identified the patients for whom McKirdy had submitted Medi-Cal claims and interviewed several of them. As described in the affidavit, the interviews supported inferences that McKirdy had on several occasions submitted claims for 45-50 minute sessions when the services rendered should instead have been itemized as shorter individual sessions or as group sessions compensable at lower rates. Beall concluded that McKirdy had billed Medi-Cal for services he had not performed. The search warrant was sought and issued to authorize seizure of additional evidence, including “[a]ll medical records that disclose the type and extent of services [McKirdy] billed the Medi-Cal Program for providing between January 15, 1979 and April 27, 1981,” relevant to the possibility that McKirdy had defrauded Medi-Cal. A list of patients for whom McKirdy had submitted MediCal claims was attached to the warrant and incorporated in the affidavit.

Unquestionably McKirdy was a psychotherapist within the meaning of subdivision (c) of Penal Code section 1524, which provides in pertinent part that “no search warrant shall issue for any documentary evidence in the possession or under the control of any person, who is ... a psychotherapist as defined in section 1010 of the Evidence Code . . . and who is not reasonably suspected of engaging or having engaged in criminal activity related to the documentary evidence for which a warrant is requested” unless a special master is appointed to conduct the search and to take possession of any documents seized until a superior court hearing on search, seizure, and privilege issues can be held. 1 No special master was appointed in this action.

*18 I. The special master procedure

In the municipal court McKirdy challenged the search on several grounds. The municipal court concluded that although the search warrant procedure had been proper in all other challenged respects, the warrant should be quashed for failure to comply with the special master procedure. The superior court vacated the municipal court’s order on the sole stated ground that the special master procedure was inapplicable, Since McKirdy was a psychotherapist and the documents to be seized were in his possession, the narrow question initially presented to us is whether the exception for a document custodian reasonably suspected of relevant criminal activity could properly have been invoked in the circumstances of record. If (as McKirdy strenuously contends) the exception could not be invoked, then patently the special master procedure applied and should have been followed and we should issue the writ. We conclude, contrary to McKirdy’s contentions, that the exception is valid and that McKirdy came within it.

*19 McKirdy argues briefly that the Fraud Unit did not sufficiently show that its suspicion that McKirdy had engaged in relevant criminal activity was factually reasonable. Specifically, McKirdy asserts that Beall’s interviews with less than all of the patients whose files were ultimately seized establishes neither that McKirdy might have been engaged in criminal activity related to the files of patients who had not been interviewed nor that the suspected criminal activity related to all of the documents in the files of patients who had been interviewed. We reject this argument. McKirdy himself has placed before us a copy of Beall’s 76-page report of investigation which provides ample factual justification for the Fraud Unit’s suspicion that McKirdy had been engaged in pervasive Medi-Cal fraud.

McKirdy’s more thoroughly developed contention is that we must invalidate, or at least disregard, the statutory exception because it is unconstitutional. It is his position that the exception is in fatal conflict with his patients’ inalienable constitutional right of privacy. (Cal. Const., art. I, § 1; cf. Griswold v. Connecticut (1965) 381 U.S. 479, 484 [14 L.Ed.2d 510, 514-515, 85 S.Ct. 1678], and cognate cases under the federal Constitution.)

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Cite This Page — Counsel Stack

Bluebook (online)
138 Cal. App. 3d 12, 188 Cal. Rptr. 143, 1982 Cal. App. LEXIS 2201, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mckirdy-v-superior-court-calctapp-1982.