Ward v. National Patient Account Services Solutions, Inc.

CourtDistrict Court, M.D. Tennessee
DecidedJuly 27, 2020
Docket3:19-cv-00484
StatusUnknown

This text of Ward v. National Patient Account Services Solutions, Inc. (Ward v. National Patient Account Services Solutions, Inc.) is published on Counsel Stack Legal Research, covering District Court, M.D. Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ward v. National Patient Account Services Solutions, Inc., (M.D. Tenn. 2020).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF TENNESSEE NASHVILLE DIVISION

CARL WARD, ) ) Plaintiff, ) ) v. ) ) Case No. 3:19-cv-00484 NPAS, INC., ) Judge Aleta A. Trauger ) Defendant. )

MEMORANDUM Before the court is defendant NPAS, Inc.’s Motion for Summary Judgment (Doc. No. 47), seeking judgment in its favor on plaintiff Carl Ward’s claims under the Fair Debt Collection Practices Act (“FDCPA”), 15 U.S.C. §§ 1692 et seq. As set forth herein, the material facts are undisputed, and the defendant’s motion presents a single legal issue for resolution: whether, based on the undisputed facts, the defendant qualifies as a “debt collector,” as defined by the FDCPA. As set forth herein, the court finds that it does not. Its motion, therefore, will be granted. I. UNDISPUTED FACTS1 On or about July 15 or 16, 2018, plaintiff Carl Ward received medical treatment at Stonecrest Medical Center (“Stonecrest”). As a condition of treatment, Ward executed a Conditions of Admission and Consent to Outpatient Care agreement (“Conditions of Admission agreement”), dated 7/16/2018. The Conditions of Admission agreement identifies the account number associated with the services provided in connection with that agreement as 511667555.

1 The facts set forth herein are drawn from the plaintiff’s Response to the Defendant’s Statement of Undisputed Material Facts (“SUMF”) (Doc. No. 51-3), unless otherwise indicated, and are undisputed for purposes of the defendant’s Motion for Summary Judgment. (Doc. No. 49-2, at 1.) The agreement expressly states (in relevant part) as follows with respect to Ward’s financial obligation: Financial Agreement. In consideration of the services to be rendered to Patient, Patient . . . individually promises to pay the Patient’s account . . . . I also understand that, as a courtesy to me, the hospital may bill an insurance company offering coverage . . . . Regardless, I agree that, except where prohibited by law, the financial responsibility for the services rendered belongs to me, the Patient . . . . I agree to pay for services that are not covered and covered charges not paid in full by insurance coverage including, but not limited to, coinsurance [and] deductible. . . .

(Doc. No. 49-2, at 2–3.) The Conditions of Admission agreement expressly states (in relevant part) as follows with respect to the involvement of third parties to service Ward’s account: Third Party Collection. I acknowledge that the Providers may utilize the services of a third party Business Associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing. During the time that the medical account is being serviced by the EBO Servicer, the account shall not be considered delinquent, past due or in default, and shall not be reported to a credit bureau or subject to collection legal proceedings. When the EBO Servicer’s efforts to obtain payment have been exhausted due to a number of factors . . . , the EBO Servicer will send a final notice letter which will include the date that the medical account may be returned from the EBO Servicer to the Provider. Upon return [of the medical account] to the Provider by the EBO Servicer, the Provider may place the account back with the EBO Servicer, or, at the option of the Provider, may determine the account to be delinquent, past due, and in default. Once the medical account is determined to be delinquent it may be subject to late fees, interest as stated, referral to a collection agency for collection as a delinquent account, credit bureau reporting and enforcement by legal proceedings.

(Doc. No. 49-2, at 3 (emphasis added).) In signing the Conditions of Admission agreement, the plaintiff expressly consented to telephone calls from Stonecrest or an EBO Servicer related to her financial obligations: Consent to Telephone Calls for Financial Communications. I agree that, in order for you [Stonecrest], or your EBO Servicers and collection agents, to service my account or to collect any amounts I may owe, I expressly agree and consent that you or your EBO Servicer and collection agents may contact me by telephone at any telephone number I have provided or you or your EBO Servicer and collection agents have obtained or, at any number forwarded or transferred from that number, regarding the hospitalization, the services rendered, or my related financial obligations. Methods of contact may include using pre-recorded/artificial voice messages and/or use of an automatic dialing device, as applicable.

(Doc. No. 49-2, at 5.) Ward specifically acknowledged by initialing and signing the Conditions of Admission agreement that (1) she was given the opportunity to read and ask questions about the information contained in the Conditions of Admission agreement; (2) she either had no questions or her questions had been answered to her satisfaction; and (3) she signed the Conditions of Admission agreement freely and without inducement, other than the rendition of services by the Providers. Ward also certified that she had read and fully understood the Conditions of Admission agreement. Defendant NPAS, Inc. (“NPAS”) serves as an EBO Servicer for Stonecrest.2 NPAS does not receive payments in its own name; it directs the individuals it contacts to make payments directly to its clients, including Stonecrest. A written policy titled “General Collection Process” (Doc. No. 49-3), effective date 01/25/2016, controls and describes the billing workflow process for accounts such as the plaintiff’s. Pursuant to this policy, Stonecrest initiates the billing process after services are rendered to a patient. After sending the initial bill, Stonecrest may continue to work the account in-house or assign it to NPAS. If it is assigned to NPAS, NPAS will attempt to collect on the patient account through collection calls or letters. If it is unsuccessful in making contact, securing payment in full, or establishing a payment plan, NPAS “sends the patient a final notice.” (Doc. No. 49-3, at 5.) If the patient makes no payment after receipt of the final notice, “the account is closed and sent to a primary outside collection agency.” (Id.) Accounts are placed with

2 The plaintiff does not dispute that NPAS and Stonecrest characterize NPAS as an EBO Servicer or that NPAS “sometimes services in that capacity.” (Doc. No. 51-3, Resp. to SUMF ¶ 8.) The plaintiff contends, however, that the question of whether NPAS functioned as an EBO Servicer in this case is “a disputed legal contention rather than an undisputed fact.” (Id.) a primary collection agency (i.e., a debt collector for defaulted accounts) on average 173 days after a patient is discharged. (Doc. No. 49-3, Wright Decl. ¶ 16.) On or about October 3, 2018, approximately eighty days after Ward’s discharge date, Stonecrest placed Ward’s Account No. 511667555 with NPAS. On the same date, NPAS sent its

first billing statement to Ward on behalf of Stonecrest. The statement shows NPAS’s full name (“NPAS, Inc.”) and mailing address in the top left corner, in large letters, and, in the top right corner, it indicates that the bill is for “Services provided by: TriStar Stonecrest Medical Center.” (Doc. No. 49-4, at 1.) The statement identifies the “Patient Name” and “Responsible Party” as Carl Ward and sets forth the account number (511667555), the service dates of 07/15/2018 – 07/16/2018, and a “Statement Date” and “Placement Date” of 10/03/2018. The statement also includes a section labeled “PAYMENT REQUEST” that reflects total payments on Account No. 511667555 in the amount of $2,082.00, a current balance of $80.00, a “Payment Due By” date of 10/18/18, and an “Amount You Owe” of $80.00. The same section also includes the following information:

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Bluebook (online)
Ward v. National Patient Account Services Solutions, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/ward-v-national-patient-account-services-solutions-inc-tnmd-2020.