Lead Opinion
Jacinto del Mazo, appellant/defendant, brings this appeal from the grant of summary judgment to appellee/plaintiff Fred H. Sanchez. Dr. del Mazo heard that Dr. Sanchez was interested in selling his medical practice. At that time Dr. del Mazo was associated with another physician who was involved in a billing problem with Medicare and was desirous of disengaging himself from that type of conflict. Dr. del Mazo spoke with Sanchez concerning the type of practice he had, number of patients, income, and whether he had any problems with insurance, Medicare, Medicaid or malpractice claims. Sanchez informed him there were no problems and that his practice generally brought in $200,000 per year.
Dr. del Mazo said they negotiated a price for the sale of the medical practice. It was a percentage of the last year’s income, and del Mazo’s accountant, John Duggan, examined the books and confirmed the annual income was approximately $200,000. Duggan said Sanchez led him to believe his records were accurate and told him “he was going to Brazil or somewhere in South America and he was selling his practice. . . .” It was his understanding “the purchase price for Dr.
On July 16, 1982, del Mazo and Sanchez executed an agreement whereby Sanchez agreed to sell del Mazo his “patient files” for $10,000 and included a covenant not to compete for $40,000 to be paid in monthly increments. A first payment of $5,000 was made to Sanchez, and he departed for Bolivia. The agreement provided that the seller retained the rights to his accounts receivable and that del Mazo upon receipt of those checks would deposit them in the seller’s checking account in the National Bank of Georgia.
When del Mazo received checks from Medicare and Medicaid for services billed by Dr. Sanchez, he “saw documents from those entities showing that [Sanchez] had repeatedly submitted claims for and was now being paid for procedures he could not have performed, both because . . . Sanchez did not have the skill, training or equipment required to perform colonoscopies, colposcopies, sigmoidoscopies with flexible fiberoptic, cardiac catherizations, or endoscopies.” Alma Mc-Cauley, Dr. Sanchez’ medical assistant from September 1981 until his departure for South America, is familiar with these procedures and in her affidavit stated: “At no time after I came to work for Sanchez [in 1981] did Sanchez ever perform any of the procedures [listed above]. Furthermore, at no time after I came to work for Sanchez did Sanchez have the equipment required to perform any of the procedures identified [above].” McCauley said she was instructed by Dr. Sanchez to post a list of diagnostic codes, and that some diagnostic codes included several types of procedures. After Dr. Sanchez saw a patient, he would give her a diagnostic code and she was directed to bill Medicare and Medicaid for all of the procedures whether they had been performed or not. Between September 1981 and January 1982, Sanchez billed Medicaid and Medicare for procedures he did not perform, including “CBC’s and urinalyses that were never performed ... for other laboratory work and office visits that were never performed, and . . . twice for tests only performed once.” The doctor’s staff “were giving approximately 12 out of every 14 of his patients injections of B12, iron, or B&B (a combination of B12 and iron).”
McCauley’s duties included posting the patient’s files. Copies of Medicaid and Medicare claim forms were kept in and were a part of
Arlene del Mazo, a Registered Nurse, and formerly head nurse at Crawford W. Long Hospital, is familiar with patients’ files. After she took over Dr. Sanchez’ files, she reviewed the files and compared them with insurance claims (private, Medicaid and Medicare), with information provided del Mazo by his patients and the insurers, and found “[i]n at least a majority of the files I reviewed, the patient files were grossly incomplete.” Services paid for by insurers had no corresponding entry in the appropriate patient file. “Because of the lack of information in the patient files del Mazo was severely hampered in [his] efforts to treat patients, not knowing what tests or lab work or procedures had been performed previously and not knowing the results of those tests, lab work or procedures that had in fact been performed.” Under regulations of Medicare and Medicaid, when Dr. Sanchez qualified as a provider of medical services, he agreed to make and maintain those records for at least three years. Dr. del Mazo, without “that historical information, or comparable information . . . would have no way of knowing what tests or lab work . . . had previously been performed for a patient, thereby increasing the risk that they would be duplicated and . . . unnecessary tests, lab work or procedures would be performed, thereby needlessly increasing the cost, and sometimes the discomfort and risk to life and well being, to a patient.”
Immediately upon learning of the missing contents of the files and the apparent fraudulent billing practices of Dr. Sanchez, Dr. del Mazo, through his attorney on July 29, 1982, notified Dr. Sanchez he rescinded the contract for “the medical practice ... I was buying from you” alleging Sanchez “seriously misrepresented certain material facts. . . .’’He tendered to Sanchez “everything I thought I was purchasing from you.” Dr. del Mazo’s attorney notified Medicare and Medicaid of the possible fraud, and they investigated Dr. Sanchez’ billing practices. An affidavit of Richard Rapa, Manager of Medical Administration for Prudential Life Insurance, notified Dr. Sanchez that he had been suspended from the Medicare program on August 12,1982 pending investigation and the result of that investigation was that he had billed Medicare for procedures not performed, and for which he did not have the equipment, and his billings for 1981 and 1982 “resulted] in an overpayment of $8,372.89” which was deducted from his escrow account.
Investigation by the Georgia Department of Medical Assistance,
The person who investigated Dr. Sanchez for the Medicaid program found that his overpayment resulted from “a pattern of fraud.” In one instance, Dr. Sanchez treated a mother and billed the Department for $171, then submitted five additional billings for the same day for a total of $1,941 for treating the mother’s five children and the mother. The investigator concluded that Dr. Sanchez did not treat any of the five children. Dr. Sanchez’ medical assistant confirmed that he did not treat any of the children on the day he billed Medicaid for such services.
Dr. Sanchez filed this action, admitting he was “planning to leave the country” and “was negotiating with various parties for the sale of certain assets associated with [his] medical practice” and that Dr. del Mazo “agreed to purchase certain assets associated with Plaintiff’s medical practice for the sum of $50,000.00. ...” The agreement contained a clause which Sanchez alleged “purportedly [superceded] all prior contracts. ...” Sanchez prayed for actual and punitive damages, costs and attorney fees. A second count asked for specific performance and Count 3 alleged a violation of privacy when Dr. del Mazo opened his mail to retrieve his checks before depositing them. Sanchez refused to return to Georgia to be deposed on the basis of the expense and the court agreed that defendant could submit written interrogatories to him. Sanchez submitted an affidavit in which he denied any intent to sell his medical practice but only sold his patient’s files and agreed not to compete. He said he had fully performed the agreement and the files were delivered to del Mazo “containing all necessary and relevant information in them which was in my possession.”
Dr. del Mazo answered and filed a counterclaim alleging fraud and deceit in inducing him to enter into the agreement to purchase Sanchez’ medical practice, a failure of consideration in the failure of Sanchez to deliver the complete patients’ files, and a third count al
The trial court granted Sanchez’ “Motion for Summary Judgment” on “the Complaint and Counterclaim,” but gave judgment for only $45,000 plus interest and costs. Dr. del Mazo brings this appeal. Held:
Appellants’ defense and counterclaim are based on fraud and deceit in the inducement of the agreement. Appellee contends that the contract itself contains a provision that it represents the “ ‘entire agreement’ . . . and, as this Court has held, when a contract contains such a clause, a fraud-in-the-inducement defense cannot be maintained unless it can be shown that the party claiming fraud lacked knowledge of the contents of the contract. McGuire v. Winkler,
We do not agree. Our Code provides that “[f]raud renders contracts voidable at the election of the injured party.” OCGA § 13-5-5. And, “[p]arol evidence shall be admissible to show that a writing either was originally void or subsequently became so.” OCGA § 24-6-8. Further, “[f]raud, accompanied by damage to the party defrauded, always gives a right of action to the injured party.” OCGA § 51-6-1. “Willful misrepresentation of a material fact, made to induce another to act, upon which such person acts to his injury, will give him a right of action. ... In all cases of deceit, knowledge of the falsehood constitutes an essential element of the tort. A fraudulent or reckless representation of facts as true when they are not, if intended to deceive, is equivalent to a knowledge of their falsehood. . . .” OCGA § 51-6-2. Thus, if Sanchez made a wilful misrepresentation of the amount of his legitimate income for the preceding year, upon which Dr. del Mazo and his accountant said the purchase price was based, then there was evidence supporting an issue of fraud in the inducement. There was evidence that Dr. Sanchez had not performed all the services for which he billed Medicaid and Medicare, and that Medicaid and Medicare recouped respectively, $19,687.58 and $8,372.89, previously paid to Dr. Sanchez apparently included in the computation of the legitimate income of the medical practice, upon which the sale price was based. If such evidence is admissible, it raises an issue of
We must concede that Spires v. Relco and McGuire v. Winkler, supra, support appellee’s contention that “a party cannot allege fraud in the inducement to avoid a written agreement containing a ‘merger’ or ‘entire agreement’ clause,” McGuire, supra at 104. Further, Spires holds that “ ‘even assuming that the evidence would otherwise authorize a finding of fact that the agent’s statement was an actionable misrepresentation, it is clear that under the terms of the “ENTIRE AGREEMENT” provision of the subsequently executed . . . agreement, appellants are “precluded from setting up fraud in the contract through such misrepresentations.” ’ ”
However, contrary to Spires and McGuire, supra, our earlier case law followed the statutes cited above. And, in Brown v. Ragsdale Motor Co.,
The critical question as to which statute should be applied is based upon which course of action is selected by the defrauded party. If the party elects to rescind the contract as voidable, he is not bound by the provisions of the rescinded contract. Brown, supra at 730. If the defrauded party elects to affirm the contract and sue for damages for fraud and deceit he is bound by the contract provisions. Id. This distinction was made clear in Eastern Motor Co. v. Lavender,
In a similar action, in City Dodge v. Gardner,
In another contract issue involving a claim of fraud in the inducement and a clause in the contract that the entire contract is set forth in the document and that the buyer cannot rely upon prior representations, the Court held that “we do not agree that this particular integration clause can be regarded as a relinquishment or waiver of the purchaser’s rights. ... We consider this clause as merely having evidentiary value on the question of whether representations were made to the purchaser inducing [the sale] other than those contained in the prospectus. This provision in the contract states there were no such representations but the purchaser now says there were representa
Our more recent cases have also followed our earlier cases rather than McGuire and Spires, supra. In Potomac Leasing Co. v. Thrasher,
In the instant appeal, the buyer offered parol evidence he was induced to enter the agreement through fraudulent misrepresentation of the legitimate income of the medical practice upon which the purchase price was based. Parol evidence showing fraud in the inducement is admissible even though the written contract says the entire agreement of the parties is contained therein. Brown, supra; City Dodge, supra. This evidence is sufficient to raise an issue, thereby precluding summary judgment on the issue of fraud. Gibbs v. Jim Wilson Chevrolet Co.,
In the event of a conflict between decisions of this court (McGuire and Spires, supra) and the Supreme Court {Brown, Meason, and City Dodge, supra), we are bound to follow decisions of the Supreme Court (Art. VI, Sec. VI, Par. VI, 1983 Const, of Ga.), and to the extent that McGuire and Spires are in conflict with Brown, Meason and City Dodge, they no longer will be followed. The trial court erred in granting summary judgment to appellee when there was evidence of fraud in the inducement, rescission of the contract, and tender to the seller of the property purchased. Further, since there was evidence of rescission and tender, and the buyer had counterclaimed for fraud and deceit, it was error for the trial court to grant summary judgment for appellee on the counterclaim. We specifically do not reach any issue regarding a violation of the Georgia “little RICO act,” but note only that “racketeering activity” is limited to designated Articles of the Georgia Code, and “fraud” is not one of those listed. See OCGA § 16-14-3 (3) (A). “Theft” of the type listed as “racketeering activity,” “Article 1 of Chapter 8,” is “theft by taking.” However, “theft by deception” is proscribed by OCGA § 16-8-3.
Judgment reversed.
Addendum.
With reference to the special concurrence, we wish to state that no attempt is made to overrule McGuire or Spires, supra. Our holding is that “to the extent that [they] are in conflict with Brown, Meason and City Dodge, they no longer will be followed.” The reason for this limitation is as follows: In contracts which include a “merger” or “entire agreement” clause, the admissibility of parol evidence on a claim of fraud in the inducement is controlled by the type of action followed by the purchaser/plaintiff. Potomac Leasing Co. v. Thrasher, supra at 886. If the purchaser/plaintiff “rescinds” the contract, “parol evidence of the alleged misrepresentation was admissible on the question of fraud and deceit.” City Dodge v. Gardner,
Concurrence Opinion
concurring specially.
While fully concurring in the result reached in the majority opinion, I do not feel that it is necessary to overrule Spires v. Relco,
The cases relied upon by the majority opinion, as in the instant case under review, all involve actual fraudulent concealment of present or past facts which were not readily discernible through the use of reasonable diligence. In Brown v. Ragsdale Mtr. Co., 65 Ga. App.
I am authorized to state that Presiding Judge Banke and Judge Sognier join in this special concurrence.
