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Trial court shouldn't have struck expert witness affidavit

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The Indiana Court of Appeals reversed summary judgment for a doctor in his attempt to collect an unpaid medical bill, finding the trial court erred when it struck the affidavit of an expert witness designated by the defendant.

In Marianne Jackson v. Thomas Trancik, M.D., No. 29A02-1012-CC-1391, Marianne Jackson went to Dr. Thomas Trancik for two office visits and shoulder surgery, which consisted of four separate procedures performed during one surgery. The bill was $11,147; Jackson paid a $20 co-pay and the doctor received nearly $6,000 as payment from Jackson’s insurer. He later filed suit against Jackson to recover the remaining $5,252.

Jackson wanted to introduce an affidavit by Christine Lewis, owner of MedReview Solutions, a firm specializing in reviewing medical bills. Lewis believed that three of the four surgical procedures weren’t billed correctly and that resulted in the doctor overcharging Jackson by more than $3,700. Her affidavit was struck after Trancik argued that Lewis wasn’t an expert qualified to render such an opinion and that her opinion wasn’t shown to be reliable or based on personal knowledge.

Lewis’ curriculum vitae shows she reviews medical bills for a living and she is also a certified public accountant and has completed a training program with Medical Billing Advocates of America. Based on her experience and training, she is qualified to render an expert opinion on the correctness of Trancik’s billing, wrote Chief Judge Margret Robb.

“Lewis is not second-guessing Dr. Trancik’s decision to perform the surgery that he did, nor is she opining about the quality of his work or its utility measured in medical terms. Rather, Lewis is opining that given the services that were performed, a different amount should have been billed according to methodology that reflects commonly accepted pricing and reimbursement methods. A trier of fact may consider Lewis’s lack of medical training when evaluating the weight to be given to her opinion, but that does not make her opinion inadmissible,” she wrote.

The judges also found that Lewis’ affidavit establishes a genuine factual issue as to what amount Jackson may owe, so summary judgment for Trancik was an error. They remanded for further proceedings.

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  1. First comment on this thread is a fitting final comment on this thread, as that the MCBA never answered Duncan's fine question, and now even Eric Holder agrees that the MCBA was in material error as to the facts: "I don't get it" from Duncan December 1, 2014 5:10 PM "The Grand Jury met for 25 days and heard 70 hours of testimony according to this article and they made a decision that no crime occurred. On what basis does the MCBA conclude that their decision was "unjust"? What special knowledge or evidence does the MCBA have that the Grand Jury hearing this matter was unaware of? The system that we as lawyers are sworn to uphold made a decision that there was insufficient proof that officer committed a crime. How can any of us say we know better what was right than the jury that actually heard all of the the evidence in this case."

  2. wow is this a bunch of bs! i know the facts!

  3. MCBA .... time for a new release about your entire membership (or is it just the alter ego) being "saddened and disappointed" in the failure to lynch a police officer protecting himself in the line of duty. But this time against Eric Holder and the Federal Bureau of Investigation: "WASHINGTON — Justice Department lawyers will recommend that no civil rights charges be brought against the police officer who fatally shot an unarmed teenager in Ferguson, Mo., after an F.B.I. investigation found no evidence to support charges, law enforcement officials said Wednesday." http://www.nytimes.com/2015/01/22/us/justice-department-ferguson-civil-rights-darren-wilson.html?ref=us&_r=0

  4. Dr wail asfour lives 3 hours from the hospital,where if he gets an emergency at least he needs three hours,while even if he is on call he should be in a location where it gives him max 10 minutes to be beside the patient,they get paid double on their on call days ,where look how they handle it,so if the death of the patient occurs on weekend and these doctors still repeat same pattern such issue should be raised,they should be closer to the patient.on other hand if all the death occured on the absence of the Dr and the nurses handle it,the nurses should get trained how to function appearntly they not that good,if the Dr lives 3 hours far from the hospital on his call days he should sleep in the hospital

  5. It's a capital offense...one for you Latin scholars..

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