Ruling by
Donald R. Franson Jr.Lower Court
Stanislaus County Superior CourtLower Court Judge
John R. MayneEmergency room patient's Consumer Legal Remedies Act claim war properly pleaded since he adequately alleged that medical center failed to provide material information about its evaluation and management services fee.
Court
California Courts of Appeal 5DCACite as
2023 DJDAR 4323Published
May 17, 2023Filing Date
May 16, 2023Opinion Type
ModificationDisposition Type
Reversed and RemandedCase Fully Briefed
Oct. 13, 2022Oral Argument
Apr. 20, 2023Plaintiff and Appellant,
v.
DOCTORS MEDICAL CENTER OF MODESTO, INC.,
Defendant and Respondent.
No. F083197
(Super. Ct. No. CV-21-001363)
California Court of Appeal
Fifth Appellate District
Filed May 16, 2023
Order Modifying Opinion And Denying Rehearing
[No Change In Judgement]
THE COURT:
It is so ordered that the opinion filed on April 28, 2023, be modified as follows:
1. At the beginning of page 4, after the quoted sentence "[T]he EMS Fee was designated as 40100038 ER ROOM LEVEL IV, which hides the fact that the EMS Fee is a separate fee not based on any specific item of treatment or service," add as footnote 3 the following, which will require renumbering of all subsequent footnotes.
3 Medical Center argues Naranjo's use of the phrase "Evaluation and Management Services Fee" is, in essence, an acknowledgment the EMS Fee is for "services." It appears, however, Naranjo is using the name Medical Center gave to the fee in its Charge Description Master, discussed post.
2. On page 10, heading I.A. is modified to read as follows:
A. Medical Center's Request for Judicial Notice is Denied, in Part, and Granted, in part.
3. On page 11, the last paragraph beginning "Medical Center also requests" and on page 12, the first paragraph beginning "Finally, Medical Center also" are both deleted along with footnote 4 and replaced with the following paragraph which may require renumbering of subsequent footnotes:
"Medical Center also requests we judicially notice its 2019 list of 25 common outpatient procedures and 2019 Chargemaster, both of which were filed with OSHPD. We grant Medical Center's request as to both the 2019 list of 25 common outpatient procedures and 2019 Chargemaster. (Evid. Code, §§ 452, subd. (h), 453, 459 subd. (a).) However, in light of the opinions expressed herein, we do not view these two lists to be of consequence to our determination of this appeal.
4. On page 13, in the first paragraph following heading II., the phrase "fact or" is removed from the second quoted sentence and replaced with an ellipsis so that sentence now reads:
We treat the demurrer as admitting all material facts properly pleaded, but not contentions, deductions or conclusions of ... law.
There is no change in the judgment. Respondent's petition for rehearing filed on May 11, 2023, is denied.
FRANSON, J.
WE CONCUR:
HILL, P. J.
SMITH, J.
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