Ohio Bur. of Workers' Comp. v. Price

2023 Ohio 4395, 230 N.E.3d 1248
CourtOhio Court of Appeals
DecidedDecember 5, 2023
Docket23AP-82
StatusPublished
Cited by1 cases

This text of 2023 Ohio 4395 (Ohio Bur. of Workers' Comp. v. Price) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ohio Bur. of Workers' Comp. v. Price, 2023 Ohio 4395, 230 N.E.3d 1248 (Ohio Ct. App. 2023).

Opinion

[Cite as Ohio Bur. of Workers' Comp. v. Price, 2023-Ohio-4395.]

IN THE COURT OF APPEALS OF OHIO

TENTH APPELLATE DISTRICT

State of Ohio Bureau of : Workers’ Compensation, : No. 23AP-82 Plaintiff-Appellee, (C.P.C. No. 22CV-0227) : v. (ACCELERATED CALENDAR) : Thomas Price et al., : Defendants-Appellants. :

D E C I S I O N

Rendered on December 5, 2023

On brief: Dave Yost, Attorney General, Cooke Demers, LLC, Andrew P. Cooke, and Adam J. Bennett for appellee. Argued: Adam J. Bennett.

On brief: Dennis W. McNamara for appellants. Argued: Dennis W. McNamara.

APPEAL from the Franklin County Court of Common Pleas

MENTEL, J. {¶ 1} Defendants-appellants, Thomas Price and ES of Ohio, Inc., appeal from the trial court’s January 6, 2023 judgment entry adopting a magistrate’s decision, pursuant to a damages hearing, finding appellants jointly and severally liable for the sum of $30,683.18. For the reasons that follow, we affirm. I. FACTS AND PROCEDURAL HISTORY {¶ 2} Between September 21, 2011 and April 1, 2015, Price operated as a certified vocational rehabilitation specialist for the State of Ohio Bureau of Workers’ Compensation (“BWC”). Price traveled across Ohio to injured workers covered by Ohio’s workers’ No. 23AP-82 2

compensation system and provided rehabilitation services. Price would then bill and receive payment from the BWC through ES of Ohio, Inc. Price was entitled to reimbursement from the BWC for his actual time and mileage in the course of his work as a vocational rehabilitation specialist. During this time, the BWC Special Investigation Department conducted an audit of Price’s billing practices. Aric Bizzari, a special agent employed by the BWC, attested that when “Price saw multiple injured workers, he billed the round-trip time and mileage from his home to each individual patient even though he was not making a separate trip for each injured worker.” (Aug. 19, 2022 Ex., Bizzari Aff. at ¶ 9.) {¶ 3} On September 17, 2015, a Franklin County Grand Jury returned a criminal indictment against Price for workers’ compensation fraud in violation of R.C. 2913.48, a felony of the fourth degree (Count One), and theft in violation of R.C. 2913.02, a felony of the fourth degree (Count Two). State v. Price, Franklin C.P. No. 15CR-4570 (“Price I”). The indictment alleged that Price engaged in deceptive billing practices for his mileage and travel time from September 21, 2011 to December 30, 2014. The matter proceeded to a jury trial in March 2017. Prior to trial, the parties entered into a series of stipulations. The stipulations, in relevant part, provide as follows:

The State of Ohio and Thomas E. Price have agreed that certain facts can be accepted by the jury as true. This case involves thousands of pages of treatment notes, billing records, and payment records. The stipulations are intended to avoid many hours of testimony to identify and authenticate records, and to establish facts that are not disputed. The parties may still present any relevant evidence they believe to be helpful to their respective sides of the case. But the jury should consider the following facts to be true without the need for any evidence or proof. ***

The total difference between Thomas E. Price’s bills and the amounts he would have billed if the time and milage was pro-rated between the patients seen by Thomas E. Price, is $8,772.20.

The two counts in the pending Indictment refer to an amount of $7,500.00 or more. The actual amount involved is $8,772.20 as described above. No. 23AP-82 3

(Jan. 21, 2022 Answer, attached Stipulations at 1, 3.)

{¶ 4} At the conclusion of the trial, a jury acquitted Price of all charges. On February 25, 2020, BWC filed a civil complaint against appellants asserting causes of action for violation of Ohio Adm.Code 4123-6-25 (Count One) and breach of contract (Count Two). State of Ohio Bureau of Workers’ Compensation v. Price, et al., Franklin C.P. No. 20CV-1598 (“Price II”). The BWC sought damages in the amount of $30,683.18. According to the BWC, the increase in alleged damages from the criminal complaint to the civil complaint was based on the discovery of additional dates that Price had overbilled. The BWC explained that it only discovered the additional evidence after the criminal indictment was presented to the grand jury. {¶ 5} During the course of the litigation, the parties filed competing motions for summary judgment. Appellants moved for summary judgment arguing that res judicata precluded the BWC from pursuing additional damages in the subsequent civil case. Conversely, the BWC moved for partial summary judgment arguing that there was no genuine dispute of material fact that $8,772.20 was overpaid to appellants as Price conceded the issue by agreeing to the joint stipulations prior to the criminal trial. On November 13, 2020, the trial court denied both motions for summary judgment. The trial court found that because the stipulations were not actually litigated, res judicata could not preclude the increase in alleged damages by the BWC. The trial court also denied the BWC’s motion for summary judgment writing that the BWC had failed to meet its burden that Price engaged in conduct that required him to prorate his billing on the dates included in the stipulations. On February 11, 2021, the BWC filed a motion for leave to file a second motion for summary judgment contending that it had resolved the proration issue. The trial court denied the motion on February 18, 2021. On August 18, 2021, the BWC dismissed the complaint pursuant to Civ.R. 41(A). {¶ 6} On January 11, 2022, the BWC refiled its complaint asserting the same causes of action as the prior complaint (“Price III”). On August 19, 2022, the BWC filed a motion for summary judgment arguing there was no dispute of material fact that Price billed for amounts that exceeded his actual miles traveled and time spent traveling, and the BWC was entitled to $30,683.18 in damages. As acknowledged by Price, the BWC included additional evidence that was not submitted in the motion for summary judgment filed in Price II. On No. 23AP-82 4

August 26, 2022, appellants filed a joint memorandum contra opposing the BWC’s motion for summary judgment. Appellants argued the doctrine of res judicata precluded the trial court from granting partial summary judgment. Relevant to the instant appeal, appellants argued that collateral estoppel barred the increase in damages from $8,772.20 to $30,683.18. Appellants also argued that the BWC was precluded from seeking summary judgment in Price III as the trial court had previously found there was a dispute of fact as to liability in Price II. {¶ 7} On October 18, 2022, the trial court granted partial summary judgment as to liability against appellants. The trial court held that the BWC had met its burden finding there was no dispute of material fact that appellants engaged in at least one instance of overbilling. The trial court explained that summary judgment was warranted because the BWC provided evidence that was absent in Price II as well as additional cases of overbilling outside the stipulations in Price I. (Oct. 18, 2022 Decision & Entry at 9.) The trial court rejected appellants’ arguments that res judicata precluded a finding of liability or barred the BWC from seeking additional damages beyond the amount provided in the joint stipulations in Price I. Pursuant to Civ.R. 53, the trial court referred this matter to a magistrate to conduct a damages hearing. On December 15, 2022, the magistrate issued findings of fact and conclusions of law finding the BWC was entitled to damages against appellants, jointly and severally, in the amount of $30,683.18. On January 6, 2023, the trial court, without objection from appellants, issued its final judgment entry adopting the magistrate’s decision. {¶ 8} Appellants filed a timely appeal in this matter. II.

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Bluebook (online)
2023 Ohio 4395, 230 N.E.3d 1248, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ohio-bur-of-workers-comp-v-price-ohioctapp-2023.