United States of America v. Eisenhower Medical Center

CourtDistrict Court, C.D. California
DecidedNovember 20, 2020
Docket5:18-cv-02667-RGK-KK
StatusUnknown

This text of United States of America v. Eisenhower Medical Center (United States of America v. Eisenhower Medical Center) is published on Counsel Stack Legal Research, covering District Court, C.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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United States of America v. Eisenhower Medical Center, (C.D. Cal. 2020).

Opinion

UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA CIVIL MINUTES—GENERAL

Case No. EDCV 18-2667-RGK (KKx) Date: November 20, 2020 Title:

Present: The Honorable KENLY KIYA KATO, UNITED STATES MAGISTRATE JUDGE

DEB TAYLOR Not Reported Deputy Clerk Court Reporter

Attorney(s) Present for Plaintiff(s): Attorney(s) Present for Defendant(s): None Present None Present

Proceedings: Order Granting in Part and Denying in Part Plaintiff’s Motion to Compel [Dkt. 87] On October 29, 2020, Plaintiff David Hong (“Plaintiff”) filed a Motion to Compel (“Motion”) defendants Eisenhower Medical Center (“EMC”) and Eisenhower Medical Associates, Inc. (“EMA”) to respond and produce certain claims data in response to Plaintiff’s Request for Production No. 16. ECF Docket No. (“Dkt.”) 87, Mot. The parties filed a Joint Stipulation pursuant to Local Rule 37-2. Dkt. 88, JS. The parties did not file supplemental briefs. For the reasons stated below, Plaintiff’s Motion to Compel is GRANTED IN PART and DENIED IN PART.

I. RELEVANT BACKGROUND

On December 27, 2018, Plaintiff filed a Complaint against defendants EMC and EMA (collectively, “Eisenhower”) alleging Eisenhower’s deviations from the Medicare and Medicaid guidelines violate the False Claims Act, 31 U.S.C. §§ 3279-33, and California False Claims Act, Cal. Gov. Code §§ 12651, et seq. Dkt. 1 at 1–2.

On January 28, 2020, Plaintiff filed a First Amended Complaint against EMC, EMA, and Monica Khanna (“Defendants”). Dkt. 36. Plaintiff alleged Defendants submitted false claims to Medicaid and Medicare since at least 2012 for procedures that had not been properly supervised in violation of the False Claims Act and California False Claims Act. Id. at 2, 11.

On April 24, 2020, Plaintiff served Eisenhower with Requests for Production of Documents, Set One. Dkt. 88-1, Declaration of Sam Brown (“Brown Decl.”), ¶ 4 n.1; Dkt. 88-6, Declaration of Jason C. Wright (“Wright Decl.”), ¶ 2, Ex. A. The requests included Request for Production (“RFP”) No. 16, which seeks: “Any and all DOCUMENTS reflecting and RELATING to EMC and EMA internal communications and reports regarding radiation oncology auditing, billing, documentation, activity capture, coding, compliance or operations.” Wright Decl., Ex. A at 12, 28.

On May 18, 2020, the Court issued a Scheduling Order setting a discovery cut-off date of November 24, 2020 and a jury trial for February 23, 2021. Dkt. 60.

On May 26, 2020, Plaintiff filed a Second Amended Complaint (“SAC”) against Defendants. Dkt. 64. Plaintiff alleges Defendants violated the False Claims Act and the California False Claims Act by submitting “false claims to Medicare and Medicaid” and creating “false records material to Medicare and Medicaid claims for health services.” Id. at 2. The SAC alleges Defendants had submitted false claims to Medicare and Medicaid since at least 2012. Id. at 14, 51. Plaintiff also alleges a state tort claim for Wrongful Termination in Violation of Public Policy (Tameny) under section 1102.5 of the California Labor Code against defendant Eisenhower. Id.

On July 2, 2020, after Plaintiff agreed to an extended response time, Eisenhower responded to Plaintiff’s Requests for Production of Documents. Brown Decl., ¶ 4 n.1, Ex. A; Wright Decl., ¶ 7. Eisenhower objected to RFP No. 16 on grounds that the request: 1) is “overbroad in scope”; 2) “seeks document neither relevant to the subject matter of the pending action nor proportional to the needs of the case”; 3) is “unduly burdensome”; 4) “seeks confidential, proprietary, privileged, and/or trade secret information”; 5) “seeks documents outside of its possession, custody, or control”; and 7) includes terms that are “vague and ambiguous in the context of the Request[.]” Brown Decl., Ex. A at 9. Eisenhower indicated it was willing to meet and confer to discuss the request’s scope. Brown Decl., Ex. A at 9.

On August 21, 2020, Defendants filed an Answer. Dkt. 81.

On September 25, 2020, Plaintiff and Defendants’ counsel1 met and conferred on discovery issues, including the timing of production. Brown Decl., ¶ 7; Wright Decl., ¶ 18. Defendants claimed the objections in the July 2, 2020 response were proper and Defendants were under no obligation to produce documents until Plaintiff initiated a L.R. 37-1 conference on the issue. Id.

On October 6, 2020, a Department of Justice lawyer asked whether Defendants would agree to the Office of Inspector General (“OIG”) informally producing claims data. Wright Decl., ¶ 19.

On October 12, 2020, the parties met and conferred on the outstanding production and allegedly insufficient responses. Brown Decl., ¶ 8; Wright Decl., ¶ 20, 22. Plaintiff’s counsel explained his belief that RFP No. 16 sought billing claims data. Wright Decl., ¶ 22.

On October 14, 2020, Plaintiff’s counsel sent a follow-up email clarifying and narrowing the scope of RFP No. 16. Brown Decl., ¶ 9; Wright Decl., ¶ 24, Ex. J at 10. The email clarified Plaintiff was seeking: 1) “Professional claims data and payments for services billed on a CMS 1500 or 837P

1 Jason C. Wright states he is the counsel of record for all Defendants: EMA, EMC, and Monica Khanna. Wright Decl., ¶ 1. electronic claim under from December 2008 to present” for seven “providers and NPI numbers” and 2) “Hospital claims data and payments for services billed on a UB04 or 837I electronic claim form Bill Type 131 by Eisenhower Medical Center (CCN 050573 from December 2008 -Present.” Wright Decl., ¶ 24, Ex. J at 10. That same day, Defendants’ counsel responded via email arguing “it was very unclear” how RFP No. 16 would cover individual claims. Wright Decl., ¶ 23, Ex. I at 4. Defendants’ counsel also stated Defendants will not consent to informal production of claims data by the OIG because the Centers for Medicare & Medicaid Services, not the OIG, was the proper custodian of Medicare claims data. Wright Decl., ¶ 23, Ex. I at 6.

On October 15, 2020, Plaintiff sought claims data information from other sources, including the Centers for Medicare & Medicaid Services and an independent auditor. Brown Decl., ¶ 15; Wright Decl., ¶ 25, Ex. K

On October 21, 2020, Plaintiff served additional Requests for Production, Set Three, seeking claims data. Wright Decl., ¶ 27, Ex. L. The Request for Production, Set Three, seeks 1) “Professional claims data and payments for services billed on a CMS 1500 or 837P electronic claim from December 2008 to present” for seven “providers and NPI numbers” and 2) “Hospital claims data and payments for services billed on a UB04 or 837I electronic claim form Bill Type 131 by Eisenhower Medical Center (CCN 050573) from December 2008 -Present.” Wright Decl., Ex. L at 8–9.

From October 19 to 26, 2020, Defendants’ counsel responded to Plaintiff regarding RFP No. 16. Wright Decl., Ex. J at 3–9. Defendants’ counsel noted three of the physicians, Dr. Paul Wesley Adams, Dr. David I-Feng Hsu, and Dr. John Stevenson, for which Plaintiff sought data were never employed by Eisenhower. Id. at 5, 9. Defendants’ counsel further claimed RFP No. 16 was overbroad as to time. Id. at 4. Defendants’ counsel stated Defendants will serve their own Touhy request to the Centers for Medicare & Medicaid Services seeking claims data.2 Id. at 9.

On October 28, 2020, Defendants produced claims data for the time period between July 1, 2017 and September 30, 2018. Wright Decl., ¶ 28.

On October 29, 2020, Plaintiff filed the instant Motion to Compel with Joint Stipulation pursuant to Local Rule 37-2. Dkt. 87, 88. The parties did not file supplemental briefs.

The matter thus stands submitted.

/// /// /// ///

2 “Pursuant to 5 U.S.C.

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