Gibson v. USA <b><font color="red">Do not docket in this case. File only in [4:12-cr-600-1].</font></b>

CourtDistrict Court, S.D. Texas
DecidedSeptember 21, 2021
Docket4:19-cv-02143
StatusUnknown

This text of Gibson v. USA <b><font color="red">Do not docket in this case. File only in [4:12-cr-600-1].</font></b> (Gibson v. USA <b><font color="red">Do not docket in this case. File only in [4:12-cr-600-1].</font></b>) is published on Counsel Stack Legal Research, covering District Court, S.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gibson v. USA <b><font color="red">Do not docket in this case. File only in [4:12-cr-600-1].</font></b>, (S.D. Tex. 2021).

Opinion

IN THE UNITED STATES DISTRICT COURT September 21, 2021 FOR THE SOUTHERN DISTRICT OF TEXAS Nathan Ochsner, Clerk HOUSTON DIVISION UNITED STATES OF AMERICA, § § § vs. § CRIMINAL ACTION NO. H-12-600-1 § CIVIL ACTION NO. H-19-2143 § EARNEST GIBSON III § MEMORANDUM AND ORDER

A jury convicted Earnest Gibson III (“Gibson III”)1 on ten counts related to a scheme to defraud Medicare. In June 2015, he was sentenced to a 540-month prison term and ordered to pay $46,753,180.04 in restitution. (Docket Entry No. 508). The Fifth Circuit affirmed Gibson III’s conviction and sentence in November 2017. United States v. Gibson, 875 F.3d 179 (5th Cir. 2017). The Supreme Court denied Gibson III’s petition for a writ of certiorari, Gibson v. United States, 138 S. Ct. 2664 (2018), and his petition for rehearing, Gibson v. United States, 139 S. Ct. 1241 (2019). Gibson III has now moved to vacate, set aside, or correct his conviction and sentence. (Docket Entry No. 816). Based on Gibson III’s motion and his amendments and supplements to the motion, the government’s opposition, Gibson III’s replies, the record, and the governing law, Gibson III’s motion is denied, and final judgment is separately entered. The reasons are explained below. I. The Legal Standard Title 28 U.S.C. § 2255 provides for relief “for errors that occurred at trial or sentencing.” Jeffers v. Chandler, 253 F.3d 827, 830 (5th Cir. 2001). To prevail, Gibson III must show that: (1) his sentence was imposed in violation of the Constitution or laws of the United States; (2) the

1 Gibson III’s son was a codefendant. Gibson III is the father; Gibson IV is the son. court lacked jurisdiction to impose the sentence; (3) the sentence exceeded the maximum allowed by law; or (4) the sentence is otherwise subject to collateral attack. See United States v. Seyfert, 67 F.3d 544,546 (5th Cir. 1995). To prevail on a claim for ineffective assistance of counsel, Gibson III must show that . . . counsel made errors so serious that counsel was not functioning as the “counsel” guaranteed by the Sixth Amendment. Second, the [petitioner] must show that the deficient performance prejudiced the defense. This requires showing that counsel’s errors were so serious as to deprive the defendant of a fair trial, a trial whose result is reliable.

Strickland v. Washington, 466 U.S. 668, 687 (1984). The first prong of the Strickland test requires Gibson III to demonstrate that counsel’s representation fell below an objective standard of reasonableness. Id. at 687–88. Reasonableness is measured against prevailing professional norms and must be viewed under the totality of the circumstances. Id. at 688. Review of counsel’s performance is deferential. Id. at 689. In assessing prejudice, “Strickland asks whether it is reasonably likely the result would have been different,” if not for counsel’s deficient performance. Harrington v. Richter, 562 U.S. 86, 111 (2011)(internal quotation marks omitted). II. Analysis A. Background The Fifth Circuit summarized the background of the case in its decision affirming Gibson III’s conviction and sentence. The summary follows:

This case presents another instance of Medicare fraud involving Partial Hospitalization Programs (PHPs). PHPs are outpatient programs designed to provide daily, intensive treatment for patients suffering from an “acute exacerbation” of a chronic mental disorder. Houston’s Riverside General Hospital (Riverside) ran PHPs, both onsite and at satellite locations. Riverside’s Chief Executive Officer, president, and administrator was Gibson III. His son, Gibson IV, operated an affiliated, offsite PHP, Devotions Care Solutions (Devotions). In 2006, Medicare approved Riverside and its PHPs to submit reimbursement claims. Not surprisingly, a PHP costs more to operate than does a standard outpatient service. So it is also unsurprising that Medicare attached several strings to its PHP coverage.

One condition was patient eligibility. To bill Medicare for PHP services, a physician needed to certify that the Medicare beneficiary required treatment comparable with inpatient care. Naturally, a patient must have had “the capacity for active participation in all phases of the multidisciplinary and multimodal program.” Patients diagnosed with Alzheimer’s or dementia, for example, would raise “red flag[s]” for Medicare.

The type of treatment mattered, too. A doctor must have certified that the PHP services would be “furnished while the individual [wa]s under the care of a physician” according to “an individualized written plan of care.” Expressly excluded from Medicare coverage were, to name a few: “services to hospital inpatients and meals, self- administered medications and transportation”; “custodial or respite care”; “programs attempting to maintain psychiatric wellness”; “daycare programs for the chronically mentally ill”; and “services to a nursing facility resident that should be expected to be provided by the nursing facility staff.” And if a hospital operated an offsite PHP—like Gibson IV’s Devotions—treatment must have occurred under a licensed physician’s “direct supervision.” That meant the physician had to be “physically present” in the office suite housing the offsite PHP and “immediately available to provide assistance and direction throughout the time the employee is performing services.”

Medicare also imposed timing requirements. A PHP patient needed to receive “active treatment” at least four days and twenty hours a week. And if a patient’s condition “improve[d] or stabilize[d],” or if she could not benefit from “the intensive multimodal treatment available in the PHP,” the PHP had to discharge her.

In 2006—and again in 2008, 2009, and 2011—Gibson III certified that Riverside’s PHPs complied with “the laws, regulations and program instructions of the Medicare program.” That, according to the government, turned out to be false. As the prosecutors put it, Riverside submitted on behalf of its PHPs $160,336,451.90 in Medicare bills, and Medicare paid $46,753,180.04 before realizing it had been swindled. On October 1, 2012, a grand jury in the Southern District of Texas indicted Gibson III, Gibson IV, and five others on thirteen counts, alleging various illegal schemes relating to Riverside PHPs. Facing the prospect of a jury trial, three defendants pleaded guilty. Two of them turned government’s witnesses to testify against the Gibsons. By contrast, the Gibsons put the government to its burden.

Thus ensued a month-long trial. On October 20, 2014, a jury convicted Gibson III of conspiracy to commit healthcare fraud (Count 1), conspiracy to defraud the government and violate the Anti-Kickback Statute (AKS) (Count 2), seven substantive kickback offenses (Counts 3, 4, 5, 7, 9, 11 & 12), and conspiracy to commit money laundering promotion (Count 13).2 The jury found Gibson IV guilty on each conspiracy charge (Counts 1, 2 & 13) and two substantive kickback offenses (Counts 11 & 12). Soon after, the district court sentenced Gibson III to 540 months’ imprisonment and $46,753,180.04 in restitution.

United States v. Gibson, 875 F.3d 179, 184–85 (5th Cir. 2017), cert.

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Gibson v. USA <b><font color="red">Do not docket in this case. File only in [4:12-cr-600-1].</font></b>, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gibson-v-usa-bfont-colorreddo-not-docket-in-this-case-file-only-in-txsd-2021.