IN RE COLUMBIA/HCA HEALTHCARE CORPORATION BILLING PRACTICES LITIGATION
293 F.3d 289 (2002)
NATURE OF THE CASE: HCA (D) appealed an order compelling the production of documents
holding that any privilege had been waived.
FACTS: The Department of Justice began investigating D for possible Medicare and Medicaid
fraud. D conducted several internal audits and when DoJ attempted to obtain the audits, D
rebuffed the request based on attorney-client privilege and the work product doctrine. A
change in corporate control led to negotiations about a possible settlement of the fraud
investigation. D agreed to produce some of the Coding Audits and related documents and DoJ
agreed that certain stringent confidentiality provisions would govern its obtaining of the
documents. The agreement provided that: the disclosure of any report, document, or
information by one party to the other does not constitute a waiver of any applicable
privilege or claim under the work product doctrine. Both parties to the agreement reserve
the right to contest the assertion of any privilege by the other party to the agreement, but
will not argue that the disclosing party, by virtue of the disclosures it makes pursuant to
this agreement, has waived any applicable privilege or work product doctrine claim. The
settlement required D to pay an $840,000,000 fine. Private insurance companies and private
individuals undertook to evaluate the billing they received from D. Everyone sued and the
suit was consolidated. Ps contend that D overbilled them for various services. Ps seek the
recovery of excess sums. Ps sought an order compelling D to produce the Coding Audits. Ps
allege that D waived the protections of any privileges by disclosing the materials to the
Government. D refused on grounds of the work product doctrine and attorney-client privilege
and that disclosing the information to the Government did not waive the protections of the
two privileges. The court granted the motion to compel. The district court examined the
approaches taken by other courts and found that 'voluntary disclosure of privileged
materials to the government constitutes a waiver of the attorney-client privilege to all
other adversaries.' D appealed.
ISSUE:
RULE OF LAW:
HOLDING AND DECISION:
LEGAL ANALYSIS:
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