Medical Billing, Inc. v. Medical Management Sciences, Inc.

212 F.3d 332
CourtCourt of Appeals for the Sixth Circuit
DecidedMay 8, 2000
Docket98-3561
StatusPublished

This text of 212 F.3d 332 (Medical Billing, Inc. v. Medical Management Sciences, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Medical Billing, Inc. v. Medical Management Sciences, Inc., 212 F.3d 332 (6th Cir. 2000).

Opinion

212 F.3d 332 (6th Cir. 2000)

MEDICAL BILLING, INC., PLAINTIFF-APPELLEE,
REICH, SEIDELMANN & JANICKI, PLAINTIFF-APPELLEE/ CROSS-APPELLANT,
v.
MEDICAL MANAGEMENT SCIENCES, INC.; JAMES F. THACKER; WILLIAM J. DEZONIA, JR., DEFENDANTS-APPELLANTS/ CROSS-APPELLEES.

Nos., 98-3561, 98-3564

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

Argued: December 13, 1999
Decided and Filed: May 8, 2000

Appeal from the United States District Court for the Northern District of Ohio at Cleveland. No. 94-01567--Kathleen McDonald O'Malley, District Judge.

Christopher P. Johnson, Caryn G. Mazin, Brobeck, Phleger & Harrison, New York, New York, Diana B. VanDervort, Climaco, Climaco, Seminatore, Lefkowitz, & Garofoli, Cleveland, OH, for Appellees.

Daniel L. Brockett, Robin G. Weaver, Squire, Sanders & Dempsey, Cleveland, Ohio, for Appellants.

Before: Merritt and Siler, Circuit Judges; Beckwith, District Judge*.

BECKWITH, D. J., delivered the opinion of the court, in which SILER, J., joined. MERRITT, J. (pp. 340-41), delivered a separate opinion concurring in part and dissenting in part.

OPINION

SANDRA S. BECKWITH, District Judge.

Reich, Seidelmann & Janicki ("RS&J") is a radiology practice. Until September 1992, Medical Billing, Inc. ("MBI"), which is owned by Drs. Reich and Seidelmann, performed billing services for RS&J and two other small affiliated practices. In 1992, Medical Management Sciences, Inc. ("MMS") began soliciting RS&J's billing business. In September 1992, MBI and MMS entered into three agreements. The two of those agreements that are relevant to this appeal are the Billing Services Agreement and the Asset Purchase Agreement.

Pursuant to the Billing Services Agreement, MMS agreed to perform billing services for RS&J and the other medical practices formerly served by MBI. MBIagreed to pay MMS fifteen percent of the amounts it collected for services performed by RS&J. That percentage was well in excess of the market rate of 9.5%. MMS promised to perform billing and collection services and to remit payments received in a timely fashion.

Two other provisions of the Billing Services Agreement are of particular relevance here. MMS promised to pay MBI a volume bonus for amounts billed by RS&J in excess of their previous billings (hereinafter, the "Volume Bonus"). MMS also agreed to guarantee increased revenue collections and to pay MBI the difference between the amounts it guaranteed and the amounts it actually collected1 (hereinafter, the "Collection Bonus").

Pursuant to the Asset Purchase Agreement, MMS agreed to pay MBI $2.7 million for its assets, which are described with particularity in Schedule 1 to the agreement. Then, in Schedule 9 to the Asset Purchase Agreement, the parties to the agreement allocated the purchase price as follows: $10,000 for certain used office furniture and $2.69 million for a "Covenant Not To Compete in any radiology billing services activity by MBI, its Shareholders, officers and other principals." The Covenant Not To Compete provision of the Asset Purchase Agreement provides as follows:

Commencing on the Closing Date and ending on the expiration of the term or upon the termination for whatever reason of the Billing Services Agreement, seller, its shareholders and officers and other principals agree to not, on its own behalf or in conjunction with any other individual, company or other entity or person, directly or indirectly, manage, operate, control, be an agent for, participant in, or be connected in any manner with the ownership, operation or control of any corporation, partnership, proprietorship or other business entity primarily engaged in the provision of collection or billing services for radiology firms. This Covenant Not To Compete is the essence of the value of this agreement to MMS. Of the $2,700,000 payable hereunder, $2,690,000 is being paid for said Covenant Not To Compete.

While the Asset Purchase Agreement makes reference to the Billing Services Agreement, it does not recite that the two agreements are integrated or in any other fashion suggest that the terms or recitals of the Billing Services Agreement are incorporated in the Asset Purchase Agreement.

The agreements became effective in October 1992. The term of the Billing Services Agreement was 6 years.

In August 1993, sooner than one year after the effective date of the two agreements, MBI gave notice of termination of the Billing Services Agreement and accused MMS of failing to perform services as promised. The parties met to discuss the notice. One topic of discussion was MBI's entitlement to a Volume Bonus and a Collection Bonus. MMS alleged, and the jury that eventually tried the matter found, that Defendants Thacker and DeZonia, who are principals in MMS, induced MBI to withdraw its notice of termination by promising to abide by Arthur Andersen's calculations of RVU's in the future. In any event, MMS continued to perform billing services for RS&J after the meeting, giving rise to an inference, at least, that the Billing Services Agreement was not terminated in 1993.

In August 1994, Dr. Reich, a principal in both RS&J and MBI, sent a second notice of termination of the Billing Services Agreement. He accused MMS of failing to perform the promised services, in the manner promised, and of withholding the Volume and Collection Bonuses to which MBI was entitled under the Billing ServicesAgreement2. On that same date, MBI and RS&J initiated the lawsuit giving rise to this appeal. They claimed, primarily, that MMS had breached the Billing Services Agreement by failing to pay the Volume and Collection Bonuses.3 MBI and RS&J also claimed that they had been fraudulently induced to withdraw the first notice of termination by MMS's officials' promise to be bound by Arthur Andersen's calculation of RVU's for purposes of determining the amount to which MBI was entitled by way of the Collection Bonus. The jury found that MMS had fraudulently induced MBI to withdraw the notice of termination and awarded MBI $289,000 in compensatory damages.

MMS asserted a counterclaim for breach of the Asset Purchase Agreement. MMS argued that the $2.69 million payment had been intended as an up-front payment by MMS of money it would earn back during the six-year term of the Billing Services Agreement by virtue of the 15% service fee, which was well in excess of the market rate. MMS alleged that Drs. Reich and Seidelmann wanted the deal to be structured in that fashion so that money would go to MBI, where they would collect it, rather than to RS&J over time in the form of lower billing services fees, in which case Dr. Janicki would share it. MMS claimed, on that basis, that it was entitled to the return of that portion of the payment that was attributable to the approximately four years remaining on the Billing Services Agreement when MBI terminated it.

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Cite This Page — Counsel Stack

Bluebook (online)
212 F.3d 332, Counsel Stack Legal Research, https://law.counselstack.com/opinion/medical-billing-inc-v-medical-management-sciences-inc-ca6-2000.