# Boucher v. Maine Workers' Compensation Bd.

> Superior Court of Maine · December 15, 2011

URL: https://www.frixlaw.com/law-library/cases/10809689

## Case

- **Court:** Superior Court of Maine
- **Decided:** December 15, 2011
- **Precedential status:** Unpublished
- **Opinion:** Opinion
- **Judges:** Roland A. Cole
- **Cited by:** 0 later opinions in the Frix Law Library

## Citator (automated)

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## Opinion text

STATE OF MAINE SUPERIOR COURT
CUMBERLAND, ss. CIVIL ACTION
DOCKETNO: AP-11-01~
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I
WILLIAM BOUCHER

and

FORTUNES ROCKS
CONSULTANTS,

Petitioners,

v. ORDER
MAINE WORKERS'
COMPENSATION BOARD,

Respondent.

Pursuant to M.R. Civ. P. SOC, petitioners William Boucher and Fortunes Rocks

Consultants' appeal of the Maine Workers' Compensation Board's action is before

the court.

BACKGROUND
Petitioner William Boucher is a physician licensed in the State of Maine and

the president of petitioner Fortunes Rocks Consultants, a Maine corporation. (R.

4, 163.) Through Fortunes Rocks Consultants Dr. Boucher performs independent

medical evaluations associated with workers' compensation claims. (R. 123.)

Petitioners charge a uniform hourly rate for all consultations. In 2008,

Fortunes Rocks charged $335 per hour for preparation time for depositions and

$500 per hour for time spent in the deposition. (R. 39, 150.) At that time, the

maximum fees allowed by the Maine Workers' Compensation Board ("Board")

were $180.00 per hour for preparation for a deposition and $300.00 per hour for

attendance. 90-351 C.M.R. ch. 5, § 12 (2011); R. 265.

1
Dr. Boucher conducted an independent medical examination of Charlene

Dutremble on September 17, 2008, in conjunction with a workers' compensation

claim. (R. 7.) Ms. Dutremble's attorney, Howard Reben, scheduled a deposition

for Dr. Boucher and Attorney Reben was sent an invoice requesting prepayment.

(R. 128-29.) Dr. Boucher claims that when the invoice was submitted he did not

know that the case was a Maine workers' compensation case. (R. 132.) Other

evidence presented to the court, however, indicated that Dr. Boucher was aware of

the circumstances. (R. 19.)

Attorney Reben refused to prepay for the deposition and told Petitioners

that he would address the invoice at the deposition. (R. 129.) During the

deposition Dr. Boucher admitted that he charges $500 per hour for a deposition,

despite his knowledge of the statutory requirements for a lower rate. (R. 43.)

Additionally, Dr. Boucher admitted that other clients had paid the higher rate

when the lower rate applied. (R. 43-44.) Dr. Boucher later told the Board that his

deposition was "incorrect" and he "had absolutely no intention of defrauding Mr.

Reben, his client, or anyone else." (R. 45.) Dr. Boucher accepted payment from

Attorney Reben for the deposition in accordance with the Board's maximum rate.

(R. 78.)

Attorney Reben filed a complaint with the Board pursuant to 39-A M.R.S.A.

§ 360(2). (R. 4-5.) Through their attorney, Petitioners asserted that Ms. Dutremble

did not have standing to file this complaint. The Abuse Investigation Unit of the

Board referred the matter for a formal hearing with Michael Stovall, the Hearing

Officer in the Portland Regional Office. (R. 48.) On October 8, 2009, Attorney

Reben requested that the Hearing Officer order Dr. Boucher to "provide access to

his billing files to determine whether the unlawful rate has been charged to

2
others." (R. 54.) The Hearing Officer ordered the production of these files and

implied that Ms. Dutremble did have standing in the hearing. (Supp. R. 304-05.)

At the hearing the Hearing Officer did not directly address standing,

although the billing files for other clients were introduced, and objected to, as

evidence. (R. 115.) On November 4, 2010, the Hearing Officer issued an order

permitting the billing files as exhibits since "they are relevant to the issue of what

Dr. Boucher routinely charged employers and employees for depositions during

the applicable time period." (R. 283.) On February 28, 2011, the Hearing Officer

ordered Fortunes Rocks to pay a penalty in "an amount approximately equal to

the excessive fees it has charged employers and insurers and employees since

November 2005 as well as an additional $1000.00 in light of the fact that it is clear

they continue to overcharge with the knowledge that it is doing so." (R. 302.)

Petitioners filed this appeal against the Board on March 22, 2011.

ANALYSIS

1. Standard of Review

This court reviews agency decisions for an abuse of discretion, error of law,

or findings unsupported by substantial evidence from the record. Thacker v.

Konover Dev. Corp., 2003 ME 30, I}[ 14, 818 A.2d 1013. The court must defer to the

agency's interpretation of its own internal rules and regulations "unless the rules

or regulations plainly compel a contrary result." Rangeley Crossroads Coal v. Land

Use Reg. Comm'n, 2008 ME 115, I}[ 10, 955 A.2d 223. Additionally, the court must

give great deference to an agency's interpretation of a statute it is charged with

administering. Id.

3
2. Willful Violation

Petitioners are charged with violating section 360(2) of the Maine Workers'

Compensation Act(" Act"). Section 360(2), in relevant part, reads:

The board may assess, after hearing, a civil penalty ... for any willful
violation of this Act, fraud or intentional misrepresentation.
39-A M.R.S.A. § 360(2) (2010) (emphasis added). The Board asserts that Petitioners

willfully violated section 209 of the Act.

A health facility or health care provider must be paid either its usual
and customary charge for any health care services or the maximum
charge established under the rules adopted pursuant to subsection 1,
whichever is less.
39-A M.R.S. § 209(2) (2010) (emphasis added).

Petitioners assert that section 209(2) does not apply to the transaction

involving Ms. Dutremble and Attorney Reben because they ultimately only paid a

total based on the maximum allowed rates, although they were charged a higher

rate. (Pets' Br. 14.) The Hearing Officer disagreed stating that he did not "believe

it necessary for a party to actually pay the excessive charge in order" to violate the

statute." (R. 301.) Instead, he found "that the violation occurred when Dr.

Boucher knowingly charged a fee in excess of the maximum rate." (Id.)

Statutory interpretation is a question of law that is properly before this

court. "A statute will be interpreted according to its plain meaning to discern the

intent of the Legislature. If a statute is reasonably susceptible to different

interpretations, it is ambiguous, and only then may we review additional indicia

of legislative intent to determine its meaning." Peters v. O'Leary, 2011 ME 106, err

13, _ A.3d _ (internal citations omitted). Since this is an administrative appeal,

the court must give deference to the agency's interpretation of the statute.

Rangeley Crossroads Coal, 2008 ME 115, err 10, 955 A.2d 223. This deference is

limited, however, to situations where "the statute is considered ambiguous, but

4
[the court] will apply a different interpretation if 'the statute plainly compels a

contrary result."' Dep't ofCorr. v. Pub. Utils. Comm'n, 2009 ME 40, 18, 968 A.2d

1047 (quoting Competitive Energy Servs. LLC v. Pub. Utils. Comm'n, 2003 ME 12, 1

15, 818 A.2d 1039).

Although the Hearing Officer determined that "paid" had a broad

interpretation, the plain meaning of the word does not encompass the amount a

party charges. Charge and paid are separate portions of a transaction and both

terms are utilized in section 209(2). Based on the plain reading, the statute is not

ambiguous. Dr. Boucher charged $500 per hour to participate in a deposition, but

he was only paid $300 per hour. Therefore, in terms of their transaction with Ms.

Dutremble, Petitioners did not violate the statute.

3. Standing

Petitioners argue that Ms. Dutremble did not have standing before the

Hearing Officer. To establish standing in administrative proceedings the plaintiff

must demonstrate a particularized injury. Friends of Lincoln Lakes v. Town of

Lincoln, 2010 ME 78, 114, 2 A.3d 284. A party has a particularized injury "when

the defendant's actions have adversely and directly affected the plaintiff's

property, pecuniary or personal rights." Stull v. First Am. Title Ins. Co., 2000 ME

21, 111, 745 A.2d 975. "In the context of an administrative decision ... whether a

party has standing depends on the wording of the specific statute involved."

Lindemann v. Comm'n on Gov't Ethics & Election Practices, 2008 ME 187, 19, 961

A.2d 538 (quotation marks omitted).

The Board provides regulations for the assessment of penalties under

section 360(2).

5
(2) Any party in interest, including any deputy director or assistant
director of the Workers' Compensation Board, may file a Section
360(2) complaint with the Abuse Investigation Unit.

(4) The Presiding Officer will schedule and hold a hearing in referred
cases . . . . In cases where there is no specific complaining party, the
Abuse Investigation Unit will present evidence acquired by the
investigation.
90-351 C.M.R. ch. 15 (2011) (emphasis added).

Based on this statute, the Board argues that Ms. Dutremble is a party-in-

interest because the billing practices caused her harm. (Res. Br. 18.) While the

billing practices may have placed Ms. Dutremble in an inappropriate situation, she

was not involved in a transaction that violated the statute. As a result, she did not

experience a particularized injury and she is not a party in interest.

Although Ms. Dutremble did not pay the higher rates, Petitioners' billing

records, provided as evidence in the hearing, indicate that prior clients may have

paid the higher rate in violation of 39-A M.R.S. § 209(2) (2010). (R. 283.) Despite

these potential violations, Ms. Dutremble may not assert third party standing on

behalf of these other clients. See Stull, 2000 lvfE 21, <_[ 11, 745 A.2d 975 ("Litigants

normally may not assert the rights of third parties ... "). If the Board chooses to

pursue an action against Petitioners based on these billing records, the regulations

allow the Board to conduct an investigation and hold a hearing without a specific

complaining party. 90-351 C.M.R. ch. 15(4) (2011).

The entry is:

The Hearing Officer's final decision is vacat

Superior Court

6
Date Filed 03-22-11 Cumberland Docket No. ---=A=P_--=1-=1_-.::..12=----
County

Action ------=8c.=Oc.=Cc__.::.:A:.::.P..~.:.P..=e=a=l---------

WILLIAM BOUCHER, M.D. MAINE WORKERS COMPENSATION BOARD
FORTUNES ROCKS CONSULTANTS

vs.
Plaintiff's Attorney Defendant's Attorney

CHRISTOPHER C. TAINTOR, ESQ. HOWARD REBEN ESQ FOR PII CHARLENE
415 CONGRESS ST., P.O. BOX 4600 DUTREMBLE
PORTLAND, ME 04112-4600
John Rohde, Esq. (Me. Workers)

Date of
Entry
2011
Mar. 23 Received on March 22, 2011.

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Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/10809689. Public record. Not legal advice.
