Malik v. Department of Health and Human Services

CourtDistrict Court, E.D. Virginia
DecidedJune 1, 2022
Docket1:20-cv-00091
StatusUnknown

This text of Malik v. Department of Health and Human Services (Malik v. Department of Health and Human Services) is published on Counsel Stack Legal Research, covering District Court, E.D. Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Malik v. Department of Health and Human Services, (E.D. Va. 2022).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF VIRGINIA Alexandria Division ISHTIAQ A. MALIK, ) ) Plaintiff, ) ) v. ) Civil Case No. 1:20-cv-00091 (RDA/TCB) ) UNITED STATES DEPARTMENT OF ) HEALTH & HUMAN SERVICES, ) ) Defendant. ) MEMORANDUM OPINION AND ORDER This matter comes before the Court on Defendant Department of Health & Human Services’ (“Defendant”) Motion for Summary Judgment (Dkt. 18). The Court dispenses with oral argument as it would not aid in the decisional process. See Fed. R. Civ. P. 78(b); E.D. Va. Loc. Civ. R. 7(J). The Motion is now ripe for disposition. Considering the Motion together with Defendant’s memorandum in support of the Motion (Dkt. 19); Plaintiff Ishtiaq Malik’s (“Plaintiff”) Opposition (Dkt. 34); and Defendant’s Reply (Dkt. 35), it is hereby ORDERED that Defendants’ Motion for Summary Judgment is GRANTED for the reasons that follow. I. BACKGROUND Although the parties dispute certain facts, the following facts are uncontested except where noted. Prior to 2015, Plaintiff practiced primary care and nuclear cardiology across multiple locations in Washington, D.C. and Maryland. Dkt. 17-3 at 22. On July 27, 2012, the United States Government, the State of Maryland, and the District of Columbia commenced a civil action against Plaintiff. See United States v. Malik, No. 1:12-v-1234 (D.D.C.), Dkt. 1. The complaint alleged under the False Claims Act, among other statutes, that from January 2006 until December 2010, Plaintiff “knowingly submitted false claims . . . to Medicare, Medicaid, TRICARE, and the Federal Employee Health Benefits Program, for cardiovascular nuclear medicine services” because he “improperly billed nuclear stress test services and billed for services not provided” even after “being instructed by [his] Medicare contractor that the[] billings were improper.” Id. ¶¶ 2-4. On

July 30, 2013, the U.S. District Court for the District of Columbia granted partial summary judgment against Plaintiff including allegations under the False Claims Act. Id., Dkt. 47. The court entered final judgment against Plaintiff for a total of $17,468,767.38. Id., Dkt. Nos. 48-51. On January 20, 2015, the U.S. Court of Appeals for the District of Columbia Circuit dismissed Plaintiff’s appeal. United States v. Malik, No. 13-5355, 2015 WL 653166 (D.C. Cir. Jan. 20, 2015). On September 3, 2014, the Health and Human Services’ Office of the Inspector General (“OIG”) sent Plaintiff a notice of intent (“NOI”) to exclude him from participation in certain federal health programs pursuant to 42 U.S.C. § 1320a-7(b)(7). Dkt. 17-3 at 1-3. In the NOI, the

OIG described the same set of allegations outlined in the complaint brought against Plaintiff in the federal civil action and notified Plaintiff that he had 30 days to “submit documentary evidence or written argument concerning whether the proposed exclusion [was] warranted.” Id. at 3. The OIG also sent an electronic copy of the NOI to Plaintiff’s then counsel, Mr. Ronald Schwartz, on September 5, 2014, and Mr. Schwartz transmitted it to Plaintiff’s email within an hour of receipt. Dkt. 17-3 at 4. On September 30, 2014, Plaintiff retained a new attorney, Mr. Barry Coburn, and Mr. Coburn sent the OIG notice of Plaintiff’s new representation in the matter while also requesting an extension to respond to the NOI. Id. at 11-13. The OIG extended the response deadline until October 20, 2014. Dkt. 17-4 at 12-13. Plaintiff, through counsel, then e-mailed a

2 response to the OIG on December 1, 2014, outlining why the proposed exclusion was unwarranted and describing the letter as a memorialization of the arguments raised in a meeting that occurred on November 13, 2014 between Mr. Coburn and the OIG. Dkt. 17-4 at 19-23. On January 18, 2015, Plaintiff emailed Mr. Coburn in response to receiving a discounted invoice from Mr. Coburn: “I am relocating to Pakistan and do want want [sic] to pursue any further

any of my cases any further. I appreciate the discount you gave to me. Can you tell me when I can pick up the check? I need money to make arrangement for dispatch my personal belongings to Pakistan.” Dkt. 17-3 at 18. Mr. Coburn followed up on January 20, 2015 to confirm that Plaintiff mistakenly meant to say he did not want to pursue any further any of his cases. Id. at 20. Nothing in the Administrative Record reveals Plaintiff’s response. The OIG then transmitted a formal notice of proposed exclusion (“NOPE”) dated February 4, 2015 to Mr. Coburn and his legal team on February 5, 2015, inquiring whether the original NOPE should be sent to Mr. Coburn’s attention or directly to Plaintiff. Id. at 27-33. That day, Mr. Coburn responded that the original could be sent to his attention rather than to Plaintiff. Id. at 34. Minutes later, Mr. Coburn

forwarded the OIG’s email regarding the NOPE to Plaintiff’s email address, attempting to discuss its contents over phone despite Mr. Coburn’s view that Plaintiff instructed him “not to do any more work on anything.” Id. at 36. Again, the Administrative Record is devoid of any response from Plaintiff. In the NOPE, the OIG found that Plaintiff’s actions had “resulted in serious financial harm to [] federal health care programs,” amounting to $2,602,473.08 over the course of approximately five years, recommending an exclusion from participation in any federal health care programs for 17 years. Id. at 21-24. The OIG also detailed the Administrative Law Judge (“ALJ”) hearing request process, including the requirement that Plaintiff submit such a request within 60 days from

3 receipt of the NOPE. Id. at 25. On May 11, 2015, having received no such request for an ALJ hearing, the OIG issued an official notice of exclusion to Plaintiff. Id. at 38-39. Plaintiff resurfaced on November 23, 2018 through new representation requesting an ALJ hearing. In that request, Plaintiff claimed he never received the NOPE Mr. Coburn had purportedly forwarded him and instead learned of the NOPE as a result of corresponding with his Maryland

senator’s office. Dkt. 17-1 at 17-41. The OIG moved to dismiss the request as untimely and questioned Plaintiff’s credibility. Id. at 72-86. Plaintiff opposed. Id. at 92-116. The presiding ALJ dismissed Plaintiff’s request for a hearing on April 3, 2019. Id. at 1-7. In its decision, the ALJ found that service of the NOPE upon Mr. Coburn was akin to service upon Plaintiff, that Plaintiff’s email to Mr. Coburn conveyed a clear desire “to abandon all of his appeals,” and that the record questioned Plaintiff’s supposed lack of knowledge regarding the NOPE. Id. Lastly, the ALJ held that Plaintiff’s request for a hearing was untimely irrespective of whether Mr. Coburn forwarded the actual NOPE electronically to Plaintiff. Id. at 6. Plaintiff timely appealed to the Departmental Appeals Board (“DAB”). Dkt. 17-2 at 1-16.

Following a second round of briefing, the DAB affirmed the ALJ’s dismissal on August 1, 2019. Dkt. 17-1 at 8-16. In its decision, the DAB concluded that the OIG’s email to Mr. Coburn containing the NOPE constituted sufficient notice to Plaintiff in “the absence of any notice from either [Plaintiff] or [Mr.] Coburn of a change in the status of the attorney-client relationship.” Id. at 13-14. The DAB further held that the ALJ’s determination was supported by “substantial evidence” that Plaintiff “received notice of his proposed exclusion on February 5, 2015” and Plaintiff’s supposed inability to understand Mr. Coburn’s communications was “not credible.” Id. at 14-15.

4 Plaintiff, proceeding pro se, filed his Petition for Review with the U.S. Court of Appeals for the Federal Circuit on September 27, 2019. Dkt. No. 1-2 at 1.

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Malik v. Department of Health and Human Services, Counsel Stack Legal Research, https://law.counselstack.com/opinion/malik-v-department-of-health-and-human-services-vaed-2022.