Judge: Jon R. Takasugi, Case: 23STCV15480, Date: 2025-01-29 Tentative Ruling
Case Number: 23STCV15480 Hearing Date: January 29, 2025 Dept: 17
County of Los
Angeles
DEPARTMENT 17
TENTATIVE RULING
CREDITORS ADJUSTMENT BUREAU
vs. SANTE
HEALTH PARTNERS LLC AKA SANTE HEALTH PARTNERS OBA SANTE SURGERY CENTER ADBA
SANTE SURGERY CENTER LOS ANGELES ADBA SANTE CENTURY CITY ASC ADBA SANTE
SURGERY CENTER ENCINO ADBA SANTE ENCINO ASC, et al. |
Case
No.: 23STCV15480 Hearing Date: January 29, 2025 |
Plaintiff’s
motion for an order instructing the Centers for Medicare and Medicaid Services
and Noridian Healthcare Solutions, LLC, a regional Medicare payment
intermediary, to pay all Medicare reimbursements and payments on claims
submitted by Judgment Debtor to Judgment Creditor, Creditors Adjustment Bureau,
Inc is GRANTED.
On
7/3/2023, Plaintiff Creditors Adjustment Bureau (Plaintiff) filed suit against
Sante Health Partners, LLC aka Sante Health Partners dba Sante Surgery Center
adba Sante Surgery Center Los Angeles adba Sante Century City ASC adba Sante
Surgery Center Encino adba Sante Encino ASC (Judgment Debtor), Richard
Villanueva aka Richard Crus Villanueva aka Richard C. Villanueva, alleging: (1)
open book account; (2) account stated; (3) reasonable value; (4) breach of
contract; and (5) personal guarantee.
On
11/142024, Plaintiff moves for an order instructing the Centers for Medicare
and Medicaid Services and Noridian Healthcare Solutions, LLC, a regional
Medicare payment intermediary, to pay all Medicare reimbursements and payments
on claims submitted by Judgment Debtor to Judgment Creditor, Creditors
Adjustment Bureau, Inc.
The
motion is unopposed.
Discussion
Plaintiff is
entitled to levy upon any and all Accounts Receivable pursuant to CCP section
680.130. CCP section 708.510 states that the court may order the Judgment
Debtor to assign rights to payments due.
42 CFR
424.73(b)(2) provides, "Payment under assignment established by court
order. Medicare may pay under an assignment established by, or in accordance
with, the order of a court of competent jurisdiction if the assignment meets
the conditions set forth in § 424.90."
Court ordered
assignments: Conditions and limitations. (a) Conditions for acceptance. An assignment
or reassignment established by or in accordance with a court order is effective
for Medicare payments only if-(I) Someone files a certified copy of the court
order and of the executed assignment or reassignment (if it was necessary to
execute one) with the intermediary or carrier responsible for processing the
claim; and (2) The assignment or reassignment- (1) Applies to all Medicare
benefits payable to a particular person or entity during a specified or
indefinite time period.
42 SFR §424.90
Here,
Judgment Debtor has failed make payment toward the default judgment entered on
10/25/2024. Judgment Creditor submitted evidence that Debtor is a corporation
engaged in the home health care industry. As a home health care provider, it
has been assigned a unique National Provider Identifier (NPI) used for its
administrative and financial transactions adopted under the Health Insurance
Portability and Accountability Act. The Centers for Medicare & Medicaid
Services has developed the National Plan and Provider Enumeration System
(NPPES) to assign these unique identifiers. A search on the NPI Registry shows
NPI 1689335028 registered to the Judgment Debtor. (Brown Decl., ¶ 7.)
Judgment
Creditor also submitted a declaration from counsel saying on information and
belief that Judgment Debtor has rights to payments of monies that are due or
will become due to Judgment from the Centers for Medicare and Medicaid Services
(CMS) and Noridian Healthcare Solutions, LLC (NHS), a regional Medicare payment
intermediary, related to its NPI. (Id. ¶ 8.)
Given
Judgment Creditor’s submitted evidence, alongside the lack of opposition, the
Court finds the assignment order sought should be granted.
Based on the
foregoing, Plaintiff’s motion for an order instructing the Centers for Medicare
and Medicaid Services and Noridian Healthcare Solutions, LLC, a regional
Medicare payment intermediary, to pay all Medicare reimbursements and payments
on claims submitted by Judgment Debtor to Judgment Creditor, Creditors
Adjustment Bureau, Inc is granted.
It is so ordered.
Dated: January
, 2025
Hon. Jon R.
Takasugi
Judge of the
Superior Court
Parties who intend to submit on this tentative must
send an email to the court at smcdept17@lacourt.org
by 4 p.m. the day prior as directed by the instructions provided on the court
website at www.lacourt.org. If a party submits
on the tentative, the party’s email must include the case number and must
identify the party submitting on the tentative.
If all parties to a motion submit, the court will adopt this
tentative as the final order. If the department
does not receive an email indicating the parties are submitting on the
tentative and there are no appearances at the hearing, the motion may be placed
off calendar. For more information, please contact the court clerk at (213)
633-0517.